Rheumatologic disorders and maxillofacial surgery

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Rheumatologic illnesses encompass a wide variety of conditions that because of systemic inflammation may affect many different organ systems. Chronic inflammation associated with most rheumatologic conditions increases the risk for cardiovascular events, but patients may be asymptomatic. Furthermore, several diseases increase risk for chronic lung diseases, e.g., pulmonary fibrosis and/or pulmonary hypertension. There is a risk of perioperative flares of the underlying disease, especially with crystal-induced conditions such as gout and pseudogout. Anesthesia may be complicated not only by the presence of underlying cardiopulmonary disease but also by cervical spine involvement, particularly in rheumatoid arthritis and ankylosing spondylitis and airway involvement. Use of immunosuppressive medications may increase the risk of perioperative infections, but without them the primary condition could flare which could also result in postoperative complications. Oftentimes, the management of patients with rheumatic diseases requires a multidisciplinary approach.

Original languageEnglish (US)
Title of host publicationPerioperative Assessment of the Maxillofacial Surgery Patient
Subtitle of host publicationProblem-based Patient Management
PublisherSpringer International Publishing
Pages303-315
Number of pages13
ISBN (Electronic)9783319588681
ISBN (Print)9783319588674
DOIs
StatePublished - Jan 1 2018

ASJC Scopus subject areas

  • Medicine(all)
  • Dentistry(all)

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  • Cite this

    Hugenberg, S. (2018). Rheumatologic disorders and maxillofacial surgery. In Perioperative Assessment of the Maxillofacial Surgery Patient: Problem-based Patient Management (pp. 303-315). Springer International Publishing. https://doi.org/10.1007/978-3-319-58868-1_21