Severe hyponatraemia after plastic surgery in a girl with cleft palate, medial facial hypoplasia and growth retardation.
A ten-year-old girl with middle face hypoplasia, cleft lip and palate developed severe hyponatraemia on the first day following surgery. Final diagnosis was inappropriate secretion of antidiuretic hormone (ADH) and complete hormonal investigation revealed partial deficit in growth hormone secretion. The incidence of hormonal deficiency associated to midline facial malformations is discussed.
Gomola
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A
Department of Anaesthesia and Intensive Care, Hôpital d'enfants Armand Trousseau, Paris, France.
Cabrol
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S
Murat
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I
D002648:Child; D002972:Cleft Palate / Q000150:complications / Q000601:surgery; D005260:Female; D006130:Growth Disorders / Q000150:complications*; D013006:Growth Hormone / Q000172:deficiency; D006801:Humans; D007010:Hyponatremia / Q000209:etiology*; D007177:Inappropriate ADH Syndrome / Q000150:complications / Q000175:diagnosis; D019767:Maxillofacial Abnormalities / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures
D013006:Growth Hormone