Browsing by Author "Valladares, Salvador"

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    Life-threatening complications following orthognathic surgery in a patient with undiagnosed hereditary angioedema
    (Elsevier, 2013) Cifuentes, Julio; Palisson, Francis; Valladares, Salvador; Jerez, Daniel
    As described in the literature, hereditary angioedema (HAE) is an autosomal dominant disease that presents with recurrent events of angioedema caused by a) deficiency or b) functional alteration of the plasma protein C1 inhibitor (C1-inh); this enzyme is involved in the regulation of the complement, kallikrein-kinin, fibrinolytic, and coagulation systems. HAE is characterized by episodes of edema in the larynx, facial structures and tissues, gastrointestinal tract, or extremities. Laryngeal edema has been reported to occur predominantly after oral surgery. We describe the case of an 18-year-old Asiatic male, reporting an unremarkable medical history, who experienced complications following orthognathic surgery. Thirty hours post-op, the patient developed severe facial, pharyngeal, and glottic edema that compromised the airway, and an emergency tracheal intubation was performed. He was tested for C1-inh plasma levels, showing a sub-normal concentration and indicating a diagnosis of HAE. The patient received fresh-frozen plasma and improved throughout the day as his condition stabilized. Several cases of HAE following oral surgery have been reported, but, to the authors' knowledge, this is the first case reported following orthognathic surgery. This patient's treatment will be described, and a literature review of the disease and management methods will be provided.
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    Protocolo clínico odontológico para la atención de pacientes hipertensos clínica UDD
    (Universidad del Desarrollo. Facultad de Medicina. Escuela de Odontología, 2016) Forero Jacob, María Esperanza; Valladares, Salvador
    El manejo operatorio del paciente hipertenso, dependerá de cada situación clínica especifca. Factores como la presión arterial del paciente, riesgo y tipo de procedimiento odontológico, riesgo propio de la patología cardiovascular, entre otros, deben ser considerados como un todo y no cada uno de ellos en forma aislada, con el fn de obtener una evaluación global del estado actual del paciente y con esto, determinar un adecuado tratamiento

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