Diagnosis and treatment of obstructive atelectasis after general anesthesia in a patient with abscess in the maxillofacial area: A case report
10.17245/jdapm.2018.18.4.271
- Author:
Byung Koo UM
1
;
Jeong Kui KU
;
Yong Soo KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Jeonju, Korea. udentistm@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Atelectasis;
Maxillofacial Abscess;
Nasotracheal Intubation
- MeSH:
Abscess;
Anesthesia, General;
Diagnosis;
Epistaxis;
Hemorrhage;
Humans;
Intubation;
Mouth;
Mucus;
Pulmonary Atelectasis;
Risk Factors;
Suppuration;
Surgery, Oral;
Thorax
- From:Journal of Dental Anesthesia and Pain Medicine
2018;18(4):271-275
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study was to report and discuss the diagnosis and treatment of obstructive atelectasis secondary to pus obstruction in a patient who had developed a maxillofacial abscess, and to review the literature on similar cases. Persistently discharging pus within the oral cavity can act as an aspirate, and may lead to obstructive atelectasis. Additionally, maxillofacial surgery patients should be carefully assessed for the presence of risk factors of obstructive atelectasis, such as, epistaxis after nasotracheal intubation, oral bleeding, and mucus secretion. Furthermore, patients with these risk factors should be continuously followed up by monitoring SPO₂, breath sounds, and chest x-ray.
