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KMID : 1144020190150010060
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Journal of Korean Association for Disability and Oral Health
2019 Volume.15 No. 1 p.60 ~ p.64
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DENTAL TREATMENT OF A PATIENT WITH SWYER JAMES UNDER GENERAL ANESTHESIA: A CASE REPORT
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Sung Young-Jae
Song Ji-Soo
Hyun Hong-Keun
Kim Young-Jae
Jang Ki-Taeg
Lee Sang-Hoon
Shin Teo-Jeon
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Abstract
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Swyer-James syndrome (SJS), also known as Swyer-James-MacLeod syndrome and unilateral hyperlucent lung syndrome, is rare acquired pulmonary disorder develops secondary to infectious etiologies in early childhood. Viral respiratory infection such as adenoviruses or Mycoplasma pneumoniae in infancy or early childhood rarely cause Swyer-James syndrome. It is generally characterized on radiographs by a unilateral small lung with hyperlucency and air trapping on expiration. In many cases unaffected lung tissue functions normally, compensating for affected lung portion. Preoperative assessment is needed to determinate individual’s pulmonary function.
A 4-year-old boy with Swyer-James syndrome visited Seoul National University Dental Hospital Department of pediatric dentistry for caries treatment. Clinical and radiographic examinations revealed multiple carious lesions on deciduous teeth. Considering patient’s underling disease, age, and level of cooperation, dental treatment under general anesthesia was scheduled. Dental treatment was done with composite resin and stainless-steel crown.
Since ventilation of Swyer-James syndrome patients was diminished because of airway obstruction, close monitoring of ventilation is necessary during dental treatment. Considering pulmonary pathology, general anesthesia rather than sedation is recommended when special behavior management is required for dental treatment. Swyer-James syndrome patients can tolerate general anesthesia and surgery well, according to several reports.
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KEYWORD
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Swyer James syndrome, General anesthesia
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