Intraoperative Hypertensive Crisis Secondary to an Undiagnosed Pheochromocytoma During Orthognathic Surgery: A Case Report

Bouchard, Carl; Chiniara, Gilles; Valcourt, A.-C.

doi:10.1016/j.joms.2013.10.020

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…21 Literature mentioned the case of a patient who developed high hypertension during surgery and in the postoperative period (RR=299/145 mmHg) because of the undiagnosed pheochromocytoma. 22 Those findings are contradictory to the rest of the literature which states that blood pressure is usually lowered during maxillofacial surgery. 23 Unsatisfactory postoperative jaw position was observed in 14 patients.…”

Section: Discussionmentioning

confidence: 89%

The incidence of complications in orthognathic surgery

Ravlić,

Cerović,

Mady Maričić

2024

Med. Jadert. (Online)

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Objective: The aim of this study was to analyze the type, frequency, treatment options and prevention methods of complications arising after surgical treatment of maxillofacial deformities. Methods: This retrospective study was conducted using 72 medical records of Caucasian subjects who underwent surgery in 2018 and 2019 at the Clinic of Maxillofacial and Oral Surgery at Rijeka University Hospital Center. Intraoperative and postoperative complications were recorded. Results: Most of the patients experienced some kind of complication and in most cases they were transitory. The consequences of damage to the sensory branches of the trigeminal nerve (occasional tingling, tightness, pain, loss of sensation) remain permanently present in most of the patients. The highest percentage of patients underwent surgical treatment due to speech and mastication problems. The majority of them are satisfied with the outcome. Conclusion: Most of the complications can be successfully treated.

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Section: Discussionmentioning

confidence: 89%

The incidence of complications in orthognathic surgery

Ravlić,

Cerović,

Mady Maričić

2024

Med. Jadert. (Online)

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“…In our department, one-stage genioplasty with two-or one-jaw surgery is avoided to prevent injury to the inferior alveolar and mental nerves, and geniosplasty is performed simultaneously with plate removal. Several studies have reported on orthognathic surgeries performed in patients with comorbidities [1][2][3][4][5]. However, the number of congenital and acquired diseases is low.…”

Section: Discussionmentioning

confidence: 99%

“…With improvements in the safety and stability of surgeries, the number of orthognathic surgeries is increasing. Most patients who undergo orthognathic surgeries are younger, and we are beginning to encounter more orthognathic surgeries in younger patients with comorbidities [1][2][3][4][5]. Despite many studies on patients with jaw deformity [6][7][8][9], few have focused on patients…”

Section: Introductionmentioning

confidence: 99%

Clinical investigation of patients with jaw deformity with comorbidities

Kasahara

Hoshino

Sugiura

et al. 2022

Maxillofac Plast Reconstr Surg

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Background With improvements in the safety and stability of surgeries, the number of orthognathic surgeries is increasing. Most patients who undergo orthognathic surgeries are younger, and the number of orthognathic surgeries for patients with comorbidities is also increasing. We report a survey and clinical investigation of patients with comorbidities who underwent orthognathic surgeries at our department to improve the safety of orthognathic surgery. Results The participants included 296 men and 712 women, with a mean age of 28 years (13–19 years, n=144; 20–29 years, n=483; 30–39 years, n=236; 40–49 years, n=102; 50–59 years, n=39; ≥60 years, n=4). In total, 347 patients underwent one-stage Le Fort type I osteotomy and sagittal split ramus osteotomy (SSRO), 243 underwent SSRO, 287 underwent plate removal, 126 underwent genioplasty and plate removal, and five underwent other surgeries. In total, 529 patients had comorbidities (52%), including allergic diseases (n=220, 33%), respiratory diseases (n=107, 16%), neurologic and psychiatric diseases (n=69, 10%), gynecologic diseases (n=28, 4%), hematologic diseases (n=27, 4%), cardiovascular diseases (n=24, 4%), digestive diseases (n=22, 3%), metabolic and endocrine diseases (n=18, 3%), spinal diseases (n=11, 2%), ophthalmologic diseases (n=11, 2%), renal and urological diseases (n=9, 1%), and other diseases (n=117, 18%). Among the patients with comorbidities, 11 with hemorrhagic diatheses (hemophilia and von Willebrand disease), arrhythmia (atrioventricular block), psychiatric disease (adjustment disorder), and metabolic disease (diabetes) required cautious perioperative management. The patient with hemophilia was managed with regular low-dose recombinant factor VIII replacement therapy, and the patient with type I diabetes mellitus was administered continuous insulin infusion and sliding-scale insulin therapy; both patients had an uneventful course. Conclusions The study findings suggest that with the increase in orthognathic surgeries, oral and maxillofacial surgeons should adequately manage cases requiring cautious perioperative control and highlight the importance of preoperative screening. Despite the well-established safety and postoperative stability of orthognathic surgeries, oral surgeons should adopt appropriate additional preventive measures for patients with comorbidities.

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Pheochromocytoma Metastasing to the Jaw: Review of the Literature and New Case

Rahpeyma

Khajehahmadi

2020

Indian J Surg Oncol

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Intraoperative Hypertensive Crisis Secondary to an Undiagnosed Pheochromocytoma During Orthognathic Surgery: A Case Report

Cited by 4 publications

References 6 publications

The incidence of complications in orthognathic surgery

The incidence of complications in orthognathic surgery

Clinical investigation of patients with jaw deformity with comorbidities

Pheochromocytoma Metastasing to the Jaw: Review of the Literature and New Case

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