Managements Of Liver Cirrhosis Patients In Oral And Maxillofacial Surgery -Case Reports

ABSTRACT

To evaluate the pathophysiology and surgical considerations for liver cirrhosis in the field of oral and maxillofacial surgery, 4 cases with maxillofacial traumas or infections in different stages of liver cirrhosis were reviewed. Although appropriate medical cares were ensured, 2 patients were died due to complications of the liver disease. Each cases were classified by the Pugh's classification system and analyzed with reference to laboratory findings and hospital courses. For improved understandings of pathophysiology of liver cirrhosis, the congulopathies, the lowered detoxification, the hepatic encephalopathy, the hepatorenal syndrome, the sepsis, other conditions-ascites, esophageal varix, portal hypertension, etc-and pre or postoperative complications were reviewed. And special emphases were made at the staging of liver cirrhosis in oral and maxillofacial surgery, preoperative preparations, and prevention of intraoperative or postoperative complications.