Abstract
Myotonic dystrophia (MD) is a systemic lesion in muscles, internal sections and central nerve system and one of rare autosomal dominant diseases. Accordingly, certain factors must be considered when surgical procedures under general anesthesia are indicated for the patients.
We experienced to excise a parotid tumor in a 48 year old man with MD.The slow induction was managed with midazoram and GOS, and the intubation could be performed easily without any musculer relaxant. The anesthetization was maintained with GOT. In theoperation, no physiological problem arose. Oxigen inhalation and its saturation monitor in blood was remained until next morning, however the patient recovered well through. The wound healingwas fair, and currently the patient has no complication as such as tumor recurrence neitherfacial nerve disorder.
Since there are various symptoms in MD, general condition of the patient must be estimated carefully prior to surgery.
