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Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review
INTRODUCTION: In the disease irritable bowel syndrome (IBS), gastrointestinal function is worsened even though no organic abnormalities are observed in the gastrointestinal mucosa. We report the case of an orthognathic surgery patient with suspected irritable bowel syndrome. CASE: In September 2017,...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9579328/ https://www.ncbi.nlm.nih.gov/pubmed/36252543 http://dx.doi.org/10.1016/j.ijscr.2022.107745 |
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author | Nasrun, Nisrina Ekayani Fujita, Keiko Chieda, Kazumi Abiko, Yoshihiro Shimo, Tsuyoshi Akizuki, Kazuki |
author_facet | Nasrun, Nisrina Ekayani Fujita, Keiko Chieda, Kazumi Abiko, Yoshihiro Shimo, Tsuyoshi Akizuki, Kazuki |
author_sort | Nasrun, Nisrina Ekayani |
collection | PubMed |
description | INTRODUCTION: In the disease irritable bowel syndrome (IBS), gastrointestinal function is worsened even though no organic abnormalities are observed in the gastrointestinal mucosa. We report the case of an orthognathic surgery patient with suspected irritable bowel syndrome. CASE: In September 2017, a 15-year-old Japanese female was referred to us with dental crowding, malocclusion, and mandibular protrusion. In June 2019, a disagreement with classmates led to abdominal pain, diarrhea, and hemorrhage; in August 2019, a preoperative blood test showed sudden anemia, and her surgery was thus postponed. Subsequent upper and lower gastrointestinal endoscopy revealed no organic abnormality, and no definitive diagnosis was made. In March 2020, after an improvement in anemia was observed, a segmental Le Fort I osteotomy and bilateral sagittal split ramus osteotomy (BSSRO) were performed under general anesthesia. On the third post-operative day, due to the mucosal dehiscence adjacent to the suture part, the titanium plate was exposed, and irrigation of the wound with normal saline solution and oral hygiene instruction was continued daily for 2 weeks. Two years and eight months have passed since the surgery, and the healing of the oral mucosa and bone has been uneventful. DISCUSSION: The relationship between IBS and post-operative impaired healing associated with the fragility of the oral mucosa is unknown. However, psychological stress has been reported as a cause of IBS and to be related to oral microorganisms. CONCLUSION: Reducing risk factors for IBS and maintaining proper perioperative oral hygiene is essential in managing similar cases. |
format | Online Article Text |
id | pubmed-9579328 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-95793282022-10-20 Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review Nasrun, Nisrina Ekayani Fujita, Keiko Chieda, Kazumi Abiko, Yoshihiro Shimo, Tsuyoshi Akizuki, Kazuki Int J Surg Case Rep Case Report INTRODUCTION: In the disease irritable bowel syndrome (IBS), gastrointestinal function is worsened even though no organic abnormalities are observed in the gastrointestinal mucosa. We report the case of an orthognathic surgery patient with suspected irritable bowel syndrome. CASE: In September 2017, a 15-year-old Japanese female was referred to us with dental crowding, malocclusion, and mandibular protrusion. In June 2019, a disagreement with classmates led to abdominal pain, diarrhea, and hemorrhage; in August 2019, a preoperative blood test showed sudden anemia, and her surgery was thus postponed. Subsequent upper and lower gastrointestinal endoscopy revealed no organic abnormality, and no definitive diagnosis was made. In March 2020, after an improvement in anemia was observed, a segmental Le Fort I osteotomy and bilateral sagittal split ramus osteotomy (BSSRO) were performed under general anesthesia. On the third post-operative day, due to the mucosal dehiscence adjacent to the suture part, the titanium plate was exposed, and irrigation of the wound with normal saline solution and oral hygiene instruction was continued daily for 2 weeks. Two years and eight months have passed since the surgery, and the healing of the oral mucosa and bone has been uneventful. DISCUSSION: The relationship between IBS and post-operative impaired healing associated with the fragility of the oral mucosa is unknown. However, psychological stress has been reported as a cause of IBS and to be related to oral microorganisms. CONCLUSION: Reducing risk factors for IBS and maintaining proper perioperative oral hygiene is essential in managing similar cases. Elsevier 2022-10-13 /pmc/articles/PMC9579328/ /pubmed/36252543 http://dx.doi.org/10.1016/j.ijscr.2022.107745 Text en © 2022 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Nasrun, Nisrina Ekayani Fujita, Keiko Chieda, Kazumi Abiko, Yoshihiro Shimo, Tsuyoshi Akizuki, Kazuki Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review |
title | Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review |
title_full | Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review |
title_fullStr | Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review |
title_full_unstemmed | Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review |
title_short | Association between impaired healing after orthognathic surgery and irritable bowel syndrome: A case report and literature review |
title_sort | association between impaired healing after orthognathic surgery and irritable bowel syndrome: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9579328/ https://www.ncbi.nlm.nih.gov/pubmed/36252543 http://dx.doi.org/10.1016/j.ijscr.2022.107745 |
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