後天性免疫不全症候群患者の顎矯正手術経験

概要

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It is well known that anti-retroviral therapy (ART) has improved the prognosis of Acquired Immuno-Deficiency Syndrome (AIDS) patients. Therefore, the number of surgeries for patients with AIDS is tending to increase recently. In this paper, we present an outline of surgical orthodontic treatment for a patient with AIDS. A 39-year-old man presented with the chief complaint of mandibular protrusion. He had been treated with ART since he had developed AIDS at the age of 38 years. His preoperative CD4 and HIV RNA were 146/μand 8.8 copies/ml respectively. The diagnosis of skeletal mandibular protrusion was made. Sagittal split ramus osteotomy (SSRO) was performed under general anesthesia. On the following day, ART was resumed. The postoperative course was uneventful and he was discharged from our hospital 11 days after the surgery. One year after the operation, well-harmonized occlusion and facial appearance were obtained, and he remains in good general condition.