PERIOPERATIVE MANAGEMENT OF CYSTIC FIBROSIS IN PATIENTS UNDERGOING ORAL AND MAXILLOFACIAL SURGERY CARE

Vancho Spirov; Darko Veljanovski; Bruno Nikolovski; Dimitar Iliev; Denis Baftijari; Maja Spirova; Kiril Lazov; Irena Stojanova

Vancho Spirov Faculty of Medical Sciences, "Goce Delcev" University, Štip, North Macedonia
Darko Veljanovski Faculty of Medical Sciences, "Goce Delcev" University, Štip, North Macedonia
Bruno Nikolovski Faculty of Medical Sciences, "Goce Delcev" University, Štip, North Macedonia
Dimitar Iliev Polyclinic "Dr. Iliev" – Skopje, North Macedonia
Denis Baftijari Faculty of Medical Sciences, University of Tetovo, Polyclinic “Vita Dent", North Macedonia
Maja Spirova Public Health Institution Special Hospital for Geriatric and Palliative Medicine "13 November" – Skopje, North Macedonia
Kiril Lazov Institute for Transfusion Medicine, Skopje, North Macedonia
Irena Stojanova University Dental Clinical Centre”St.Pantelejmon”- Skopje, Department of Oral surgery and Implantology, Skopje, North Macedonia

Abstract

Cystic Fibrosis (CF) is an autosomal recessive disorder and is considered one of the most fatal hereditary diseases. The average survival age of CF patients has significantly increased over the past 60 years, particularly with advances in neonatal and pediatric care, along with modern preventive care methods. There is a large number of CF patients who require interventions in oral and maxillofacial surgery. This paper will discuss the diagnosis, pathophysiology, and systemic complications of CF and will provide relevant information regarding the management of CF patients in oral and maxillofacial surgery. Recommendations for preoperative, perioperative, and postoperative care of these patients will be presented.

Keywords: cystic fibrosis, premedication, protocol, surgery

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