Surgical Management of Odontogenic Infection in Sturge–Weber Syndrome: Report of a Case

Abstract

Surgical management of odontogenic infections in Sturge–Weber Syndrome is challenging, due to the risk of massive bleeding and difficulty to achieve hemostasis. The authors describe the use of preoperative vascular embolization for oral surgery in a 29-year-old patient. The authors highlight the importance of hemostatic agents and primary wound closure and the role of vascular embolization as a potential tool for preventing hemorrhage in these cases.

Surgical Orthodontic Treatment for Skeletal Maxillary Protrusion in Sturge-Weber Syndrome: A Case Report and Review of the Literature

“…SWS is a congenital disease characterized by the development of hemangioma [1]. Previous reports have suggested that surgical procedures should be avoided in patients with SWS because of the risk of abnormal bleeding [11,15]. In another report, surgical orthodontic treatment was performed for SWS patients, but there were no restrictions regarding anesthesia and surgical technique because the port-wine stain and hemangioma were unilateral and limited in location [10].…”

“…Soft-tissue hypertrophy occurs in 55% of patients with SWS, and the lips are the most frequently hypertrophied (81.0%) [7]. In the future, plastic surgery is scheduled for volume reduction of the upper lip, excision of port-wine stains, and skin grafting [15].…”