日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
ISSN-L : 0914-9694
臨床報告
遺伝性血管性浮腫患者の歯根囊胞摘出術を行った1例
井口 蘭, 中澤 龍一, 諸井 明徳, 石原 由梨, 外堀 恵, 井川 浩海, 河阪 明彦, 丸川 浩平, 上木 耕一郎
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2014 年 27 巻 1 号 p. 22-26

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We report the case of a 35-year-old adult with hereditary angioedema (HAE) who underwent oral surgery under local anesthesia. Hereditary angioedemas are rare but significant events in simple oral surgery because they can cause acute life-threatening laryngeal edema. The patient was diagnosed as left mandibular radicular cyst involving the third molar based on the findings of CT and panoramic radiography. In accordance with the HAE guidelines, C1-INH was injected before surgery and tranexamic acid was administered long-term to avoid angioedema attacks. He underwent tooth extraction and cystectomy under local anesthesia. Although edema was recognized at the proximal phalanx of the middle finger, no other complication occurred during or after surgery.
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© 2014 日本口腔診断学会
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