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Arch Craniofac Surg > Volume 14(1); 2013 > Article
Archives of Craniofacial Surgery 2013;14(1):50-52.
DOI: https://doi.org/10.7181/acfs.2013.14.1.50   
Aspiration Pneumonia caused by Povidone-iodine (Betadine) in Cleft Palate Patient.
Sukwha Kim, Hyo Hyun Seok, Eui Cheol Jeong, Ji Ung Park, Tae Hyun Choi
1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.
2Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea. ejeong.md@gmail.com
Abstract
Povidone-iodine (PVP-I, Betadine) has many advantages as a disinfectant solution for preoperative preparations, especially for oral surgery. It is widely used because of its low toxicity and excellent bactericidal effect. The authors report a case of pneumonia secondary due to the aspiration of PVP-I, which was used as an oral disinfectant. We present a case of aspiration pneumonia that resulted from the careless use of PVP-I during preoperative preparation. The patient was a 10-month-old female scheduled for elective surgery to correct a complete cleft of secondary palate. During the preparation of the oral cavity for that cleft palate patient, PVP-I was incidentally aspirated to the airway. The lung resistance was noted with positive pressure and pneumonic infiltration on chest radiograph was seen. The operation was postponed and the patient underwent respiratory care. Three months later, elective palatoplasty under general anesthesia was performed without complication. Based on the experiences of this case, the authors advise that throat-packing should be placed before oral preparation to prevent serious pulmonary complications.
Keywords: Aspiration pneumonia; Povidone-iodine; Cleft palate
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