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

F. Tricca^1†*, S.R. Tari^‡1, S. Benedicenti³, S.A. Gehrke^4‡, F. Inchingolo^5† and A. Scarano¹

¹Department of Innovative Technologies in Medicine and Dentistry, University of Chieti–Pescara, Chieti, Italy;
²Faculty of Oral and Dental Medicine, Ahram Canadian University, Egypt;
³Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy;
⁴Department of Research, Bioface/PgO/UCAM, Montevideo, Uruguay, Department of Biotechnology, Universidad Católica de Murcia (UCAM), Spain;
⁵Department of Interdisciplinary Medicine, Section of Dental Medicine, University of Bari “Aldo Moro”, Italy.
 

^†These authors contributed equally to this work as co-first Authors
^‡These authors contributed equally to this work as co-last Authors

*Correspondence to:
Antonio Scarano, DDS
Department of Innovative Technologies in Medicine and Dentistry,
University of Chieti–Pescara,
Chieti, Italy
e-mail: ascarano@unich.it

Received:  23 September 2023 Accepted: 11 November 2023

ISSN 2975-1276 [online] Copyright 2023 © by BIOLIFE This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: all authors report no conflicts of interest relevant to this article.

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, oral surgery, cyst, dental extraction