Massive Middle Cerebral Artery Infarction After Surgically Assisted Rapid Palatal Expansion: A Case Report
Abstract Dentofacial deformities have a significant impact upon a patient’s quality of life. Fortunately, these deformities can often be corrected through orthodontic and surgical treatment. In adults, transverse maxillary discrepancies are often corrected by performing a surgically assisted rapid p...
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| Veröffentlicht in: | Journal of oral and maxillofacial surgery 2017-07, Vol.75 (7), p.1529.e1-1529.e8 |
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| container_end_page | 1529.e8 |
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| container_issue | 7 |
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| container_title | Journal of oral and maxillofacial surgery |
| container_volume | 75 |
| creator | Kufta, Kenneth, D.M.D Perez Melean, Luis, D.D.S Grady, M. Sean, M.D Panchal, Neeraj, D.D.S., M.D., M.A |
| description | Abstract Dentofacial deformities have a significant impact upon a patient’s quality of life. Fortunately, these deformities can often be corrected through orthodontic and surgical treatment. In adults, transverse maxillary discrepancies are often corrected by performing a surgically assisted rapid palatal expansion (SARPE) procedure. This procedure is accompanied by many of the same complications involved in performing a LeFort I osteotomy. While major complications from maxillary surgery are uncommon, severe hemorrhage and cerebrovascular accidents are real risks accompanied by significant sequela. The purpose of this case report is to describe a case in which a patient suffered from a massive middle cerebral artery infarct following a SARPE procedure. We discuss possible etiology and pathogenesis of the complication. We also aim to remind surgeons of this rare complication so as to ensure prompt recognition and management to prevent delays in care. |
| doi_str_mv | 10.1016/j.joms.2017.03.036 |
| format | Article |
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We discuss possible etiology and pathogenesis of the complication. We also aim to remind surgeons of this rare complication so as to ensure prompt recognition and management to prevent delays in care.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/j.joms.2017.03.036</identifier><identifier>PMID: 28438597</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Dentistry ; Female ; Humans ; Infarction, Middle Cerebral Artery - etiology ; Middle Aged ; Palatal Expansion Technique - adverse effects ; Postoperative Complications - etiology ; Surgery</subject><ispartof>Journal of oral and maxillofacial surgery, 2017-07, Vol.75 (7), p.1529.e1-1529.e8</ispartof><rights>2017 American Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. 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The purpose of this case report is to describe a case in which a patient suffered from a massive middle cerebral artery infarct following a SARPE procedure. We discuss possible etiology and pathogenesis of the complication. We also aim to remind surgeons of this rare complication so as to ensure prompt recognition and management to prevent delays in care.</description><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Infarction, Middle Cerebral Artery - etiology</subject><subject>Middle Aged</subject><subject>Palatal Expansion Technique - adverse effects</subject><subject>Postoperative Complications - etiology</subject><subject>Surgery</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdGK1DAUhoMo7rj6Al5ILr3pbE7SNq2IUIZVF3ZRdvU6nCanktppx6RdnLc3Zda98EI4JBD-74d8h7HXILYgoLzot_20j1spQG-FSlM-YRsoFGSFKNRTthFSV5lUNZyxFzH2QgAUunzOzmSVq6qo9Yb1Nxijvyd-450biO8oUBtw4E2YKRz51dhhsLOfRt506YXfLeGHtzgMR94kMs7k-C0evONfccA5kZe_DzjGRLzjDd9hJH5LhynML9mzDodIrx7uc_b94-W33efs-sunq11zndkcYM7Alp1wVOcOsSZdA9qywNZVWlQIgKjTqYWUynVOubJr20LX2FoJtdNUqXP29tR7CNOvheJs9j5aGgYcaVqigaqGqqpkmaeoPEVtmGIM1JlD8HsMRwPCrI5Nb1bHZnVshEpTJujNQ__S7sk9In-lpsD7U4DSL-89BROtp9GS84HsbNzk_9__4R_cDn5cnf-kI8V-WsKY_BkwURph7tYtr0sGrYQqcqX-AI13oz8</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Kufta, Kenneth, D.M.D</creator><creator>Perez Melean, Luis, D.D.S</creator><creator>Grady, M. Sean, M.D</creator><creator>Panchal, Neeraj, D.D.S., M.D., M.A</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0581-6829</orcidid></search><sort><creationdate>20170701</creationdate><title>Massive Middle Cerebral Artery Infarction After Surgically Assisted Rapid Palatal Expansion: A Case Report</title><author>Kufta, Kenneth, D.M.D ; Perez Melean, Luis, D.D.S ; Grady, M. Sean, M.D ; Panchal, Neeraj, D.D.S., M.D., M.A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-1c6f0de94daa9e791ac65abd8708a11aa7a1170223dfd3d6fbb579abc219d7e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Infarction, Middle Cerebral Artery - etiology</topic><topic>Middle Aged</topic><topic>Palatal Expansion Technique - adverse effects</topic><topic>Postoperative Complications - etiology</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kufta, Kenneth, D.M.D</creatorcontrib><creatorcontrib>Perez Melean, Luis, D.D.S</creatorcontrib><creatorcontrib>Grady, M. 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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Dentistry Female Humans Infarction, Middle Cerebral Artery - etiology Middle Aged Palatal Expansion Technique - adverse effects Postoperative Complications - etiology Surgery |
| title | Massive Middle Cerebral Artery Infarction After Surgically Assisted Rapid Palatal Expansion: A Case Report |
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