2022 Volume 82 Issue 3 Pages 225-231
Dermatomyositis （DM） is an autoimmune disease that is characterized by skin eruptions, which causes inflammation-induced weakness of the proximal limbs, trunk, and neck muscles. Sometimes, perioperative stress-induced shock and postoperative infection develop in patients due to the need for long-term corticosteroid therapy. We report a case of a 30-year-old male patient with DM with skeletal mandibular prognathism who underwent orthognathic surgery. The patient visited the Department of Orthodontics at our hospital with a complaint of anterior crossbite. Subsequently, he was referred to an oral and maxillofacial surgeon for orthognathic surgery. He was first diagnosed with DM at the age of 3 years and had been treated with corticosteroids and immunosuppressants for a long time. At this presentation, the DM was stable with a maintenance dose of 3mg prednisolone per day, but steroid-induced osteoporosis was present. No complications were observed when sagittal splitting ramus osteotomy was performed under general anesthesia. Additionally, steroid cover was given during the perioperative period. He has been followed up for 2 years after orthognathic surgery, and no abnormal occlusion or local infection has been observed.
