Management of patients with cystic fibrosis in oral and maxillofacial surgery

Cystic fibrosis, an autosomal recessive disease, is considered to be the most lethal inherited trait among Caucasians. The median age for the CF patient has significantly increased over the past 60 years. This study will review diagnosis, pathophysiology, and eventual systemic complications of CF and discuss relevant information for management of the CF patient for the oral and maxillofacial surgeon. The aim of this study is to prove the connection between the cystic fibrosis and the oral health of the patient. For this study, five patients with cystic fibrosis were treated at the clinic of oral surgery. They were evaluated thoroughly to prevent future complications. In preoperative assessment, the pulmonary status, nutritional status and blood glucose levels were identified. The usual doses of antibiotics, cardio tonic drugs, bronchodilators etc. were considered where it was necessary into the preoperative period. Depending on the nature, duration, and complications of the surgical procedure, patients were taken care of in the postoperative period. Every patient in our study went through the treatment successfully without specific complications with the appropriate procedures and protocols. With preoperative preparation and premedication, timing of the surgery, monitoring during the intervention and special post-operative care is necessary for creating specific protocol for surgical interventions on patients with cystic fibrosis. Patients with cystic fibrosis require consistent, regular follow-up. Keywords: Cystic fibrosis, premedication, protocol, surgery