J Korean Assoc Maxillofac Plast Reconstr Surg.  2006 Mar;28(2):178-182.

Case report of pulmonary edema during two jaw surgery

• Choi HW
• Kim KW
• Lee EY
• Kang JY

Abstract

Pulmonary edema is a well known phenomenon in medicine, physical findings indicative of this condition include frothy pink sputum, dispnea, and chest X-ray may present cephalization of vessels, perihilar edema, or diffused increase of density. It is one of the most serious, life threatening situation and should be diagnosed and managed instantly. Early diagnosis and intensive treatment are mandatory in order to effectively resolve the situation. The most common etiology for this pathology is cardiogenic, such as left ventricular failure and valvular disease. The one following is noncardiogenic, such as transfusion, infectious pneumonia, inhaled toxins, shock lung in association with trauma. Other forms of pulmonary edema which have not been clearly explained result from pulmonary embolism, drug overdose, after anesthesia, epinephrine overdose, exposure to high altitude, neurogenic, etc. We experienced two cases of pulmonary edema during two jaw surgeries(Le Fort I Osteotomy and BSSRO). These patients were young and physically healthy individuals on preoperative evaluation. Thus we report and discuss the etiology, diagnosis, prognosis, and treatment with journals review.

Keyword

Pulmonary edema; Two jaw surgery

MeSH Terms

Altitude
Anesthesia
Diagnosis
Drug Overdose
Early Diagnosis
Edema
Epinephrine
Humans
Jaw*
Orthognathic Surgery*
Osteotomy
Pathology
Physical and Rehabilitation Medicine
Pneumonia
Prognosis
Pulmonary Edema*
Pulmonary Embolism
Respiratory Distress Syndrome, Adult
Sputum
Thorax
Epinephrine