British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 5 , Pages 394-396, July 2008

Emergency management of upper airway angio-oedema after routine dental extraction in a patient with C1 esterase deficiency

  • S. Rice

      Affiliations

    • Corresponding Author InformationCorresponding author at: Department of Oral and Maxillofacial Surgery, First Floor John Harrison House, Phillpott St, Royal London Hospital, Whitechapel, E1 1BB, United Kingdom. Tel.: +44 207 377 7000/7956 637398; fax: +44 207 377 7095.
    • ,
  • T.J. Cochrane
    • ,
  • M. Millwaters
    • ,
  • N.T. Ali

Oral and Maxillofacial Surgery, Barts and the Royal London NHS Trust, Whitechapel, London, E1 1BB, United Kingdom

Accepted 6 September 2007. published online 06 December 2007.

Abstract 

Hereditary angio-oedema is rare and potentially life-threatening, being characterised by recurrent episodes of perioral or laryngeal oedema. We describe a 28-year-old woman who developed stridor, orofacial swelling, and drooling several hours after a routine dental extraction. This was initially diagnosed as a spreading dental infection. Only after early oral and maxillofacial review and taking a thorough family history was C1 esterase-inhibitor deficiency diagnosed. She was immediately given C1 esterase-inhibitor concentrate, made a complete recovery and was discharged next day.

Keywords: C1 esterase-inhibitor deficiency, Hereditary angio-oedema, Complications of dental extraction

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PII: S0266-4356(07)00469-X

doi:10.1016/j.bjoms.2007.09.010

British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 5 , Pages 394-396, July 2008

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