Management of a dentigerous cyst in a child with hereditary angioedema.
The purpose of this paper was to report the case of an 8-year-old girl with hereditary angioedema (HAE) who underwent 2 oral surgeries for removal of a dentigerous cyst without any significant episode of angioedema. One week after routine radiographic examination revealed an odontogenic cyst, short-term prophylactic therapy (Danazol 600 mg/day) was initiated to avoid an angioedema attack. The cyst was carefully removed under general anesthesia without life-threatening complications. Postoperative prophylactic therapy also was performed. Histopathological exam confirmed the diagnosis of a dentigerous cyst. Nine months after surgery, the cyst recurred and it was successfully removed once more under general anesthesia. The same prophylactic therapy was used, this time with fresh frozen plasma. The case presented showed that the oral management of a pediatric patient with HAE is a high-risk procedure. It can be performed successfully, however, when the involved health professionals are aware of both the risks and preventive strategies.
Moraes
Renata Simões
RS
Department of Pediatric Dentistry and Orthodontics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. renatamoraeslira@hotmail.com
Vieira
Aurea Simone Barros
AS
Primo
Laura Guimarães
LG
D054179:Angioedemas, Hereditary / Q000150:complications*; D002648:Child; D003613:Danazol / Q000627:therapeutic use; D019140:Dental Care for Children / Q000379:methods*; D017742:Dental Care for Chronically Ill / Q000379:methods*; D003803:Dentigerous Cyst / Q000175:diagnosis / Q000601:surgery*; D004965:Estrogen Antagonists / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010949:Plasma; D012008:Recurrence
D004965:Estrogen Antagonists; D003613:Danazol