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題名 | Dental Treatment of Wolf-Hirschhorn Syndrome under General Anesthesia--A Case Report=沃夫.賀許宏氏症(Wolf-Hirschhorn Syndrome)於全身麻醉下之牙科治療--病例報告 |
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作者姓名(中文) | 王爾均; 王姻麟; 張曉華; 黃桂芬; 郭敏光; | 書刊名 | 臺灣兒童牙醫學雜誌 |
卷期 | 14:3 2014.09[民103.09] |
頁次 | 頁103-108 |
分類號 | 417.69 |
關鍵詞 | 沃夫.賀許宏氏症; 全身麻醉; 牙科治療; Wolf-Hirschhorn syndrome; General anesthesia; Dental treatment; |
語文 | 英文(English) |
中文摘要 | 沃夫.賀許宏氏症是由第對四染色體短臂(4p16.3)部分缺失造成的先天性疾病。它的特徵為出生前及出生後的發育遲緩、智能障礙、癲癇及口腔顎面構造異常。本病例為一位七歲一個月的病人,因多處齲齒來台大醫院兒童牙科就診。病人無法於門診配合,故安排於全身麻醉下完成牙科治療。在為沃夫.賀許宏氏症的病人麻醉前應審慎評估,因此類病人有潛在困難氣道及插管以及發生惡性高熱的可能性。術後教導家長保持病童之口腔衛生、注意飲食習慣,並安排每三個月回診檢查。 |
英文摘要 | Wolf-Hirschhorn syndrome (WHS) is a congenital anomaly caused by deletion of chromosomal region 4p16.3. It is characterized by delay pre- and post-natal development, intellectual disability, and epilepsy. Various dentooro-facial abnormalities have been described in previous literatures. This case report presents a 7-year-1-month old boy with WHS, who presented typical systemic and craniofacial features. Multiple caries were treated under general anesthesia because patient was unable to cooperate in outpatient setting. Careful pre-anesthetic evaluation and planning is essential to avoid possible risk of difficult airway and malignant hyperthermia which are life-threatening. Oral hygiene instruction and dietary counseling for selecting appropriate foodstuff were advised and emphasized to the parents. Regular recall appointments were arranged at 3-month intervals. |
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