The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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THE MANAGEMENT OF TONGUE BITE IN A PATIENT OF CEREBRAL PALSY AFTER DENTAL TREATMENT UNDER GENERAL ANESTHESIA -CASE REPORTT-

뇌성마비환자의 전신마취 하 치과치료 후 혀 깨물기 손상 관리

  • Shin, Teo-Jeon (Department of Dental Anesthesiology, Seoul National University School of Dentistry) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University School of Dentistry) ;
  • Kim, Hyun-Jeong (Department of Dental Anesthesiology, Seoul National University School of Dentistry) ;
  • Park, Sung-Soo (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital) ;
  • Kim, Hye-Jeong (Seoul Dental Hospital for the Disabled) ;
  • Yang, So-Young (Seoul Dental Hospital for the Disabled)
  • 신터전 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 서광석 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 김현정 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 박성수 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 김혜정 (서울시립장애인치과병원) ;
  • 양소영 (서울시립장애인치과병원)
  • Received : 2010.11.30
  • Accepted : 2010.12.20
  • Published : 2010.12.31
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Abstract

Trauma to the lips and tongue can occur by accidental self-biting after dental treatment. After local anesthesia, it is likely that the patient may feel painless even in biting the tongue. In case of young children and disabled patients, the dentists should be careful not to bite the tongue. In this report, we present a case of deep lingual laceration due to biting the tongue in the course of dental treatment under general anesthesia. A 33 year-old male was transferred to our hospital to treat tongue laceration. Before 2 hour on arrival, he had received dental care under general anesthesia at a dental hospital for the disabled because of cooperation difficulty and cerebral palsy. During recovery from general anesthesia, he tried to bite his own tongue involuntary. The doctors and nurses tried to prevent the patient from being injured. Despite these efforts, massive bleeding occurred from the injured sites of the tongue. Because we could not communicate with him, we decided to evaluate the extent of the injury and treat the injured sites under general anesthesia. The laceration wound was sutured for nearly 1 hr general anesthesia. During recovery we inserted mouth prop into the oral cavity to prevent further injuries from tongue biting. After full recovery from general anesthesia he didn't try to bite his tongue. After 4 hour admission, he was discharged without other complications.

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