PERI AND POST-OPERATIVE MANAGEMENT OF A PATIENT WITH BRUGADA SYNDROME UNDERGOING MANDIBLE CYST REMOVAL: A CASE REPORT

F. Tricca¹, S.R. Tari¹, S. Benedicenti², S. A. Gehrke³ , F. Inchingolo⁴ , A. Scarano¹

¹ Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
² Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
³ Universidad Católica de Murcia (UCAM), Murcia, Spain
⁴ Department of Interdisciplinary Medicine, Section of Dental Medicine, University of Bari “Aldo Moro”, Bari, Italy

Correspondence to:

Annals of Stomatology 2023 September-December; 3(3): 137-142
https://doi.org/10.69129/stomatol/2023v3iss3_1

Received: 23 September 2023 Accepted: 11 November 2023

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Abstract

Brugada syndrome (BS) is an inherited cardiac disease that can lead to SCA (sudden cardiac arrest) in healthy young patients with structurally healthy hearts. Several treatments in common dental practice may be involved in the genesis of life-threatening arrhythmias, and local anesthetics themselves can have a potential role in eliciting the disease. Since surgical procedures can trigger the genesis of ominous arrhythmias, the setting — of proper peri and post-operative protocols is mandatory when treating this type of patient. Anesthesiologic and cardiovascular risk must be conducted with particular care, and some procedures, such as placement of an external defibrillator along with continuous blood pressure and ECG monitoring, are needed to prevent the potential onset of arrhythmias. BS is a life-threatening condition, and despite its relatively low incidence, dentists should be aware of related risks since even simple local anesthesia may trigger a fatal arrhythmia. The aim of this case report is to describe the peri and post-operative management of a patient with BS undergoing mandible cyst removal.

Keywords: Brugada syndrome, cyst, dental extraction, Oral surgery