Özet:

Negative-pressure pulmonary edema can arise in patients having upper airway obstruction following extubation. The aim of this study is to present the case that had negative-pressure pulmonary edema after orthognathic surgery and to review the literature. Twenty-seven year-old male patient underwent to bimaxillary orthognathic surgery. At the postanesthesia care unit the patient had marked respiratory distress and significant arterial oxgen desaturation. The patient was reintubated and transported to the Intensive Care Unit. Extubation was done after 6 hours and continious positive airway pressure was applied for 2 days at Intensive Care Unit. On the postoperative second and third day vascular congestion resolved on the chest radiograpies. C-reactive protein, leukocyte , neutrophil counts, partial pressure of arterial oxygen and carbon dioxide  showed improvement during the treatment. Negative-pressure pulmonary edema is a life-threatening complication that can be seen after orthognathic surgery and can be managed with early diagnosis and accurate treatment protocol.

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