[Long-term consequences of postoperative delirium].

Area of Science:

• Medical Psychology
• Neuroscience
• Surgical Oncology

Background:

• Reconstruction of the anterior floor of the mouth is a complex surgical procedure often following tumor resection.
• Postoperative delirium is a known complication in intensive care settings, characterized by altered mental status.
• Long-term psychological sequelae after major surgery are increasingly recognized.

Observation:

• A patient developed anxiety and sleeping problems nine months after anterior floor of the mouth reconstruction.
• These psychological symptoms were linked to an undiagnosed episode of postoperative delirium with hallucinations.
• The delirium episode occurred during the initial intensive care unit stay following surgery.

Findings:

• A single psychotherapy session nine months post-surgery significantly alleviated the patient's anxiety and sleep disturbances.
• The patient's long-term psychological distress stemmed from an unrecognized delirium event.
• Proactive inquiry and patient education regarding delirium symptoms are crucial.

Implications:

• Screening for and informing patients about delirium symptoms in intensive care units may prevent chronic psychological distress.
• Early identification of delirium could mitigate the risk of persistent mental health issues after major surgery.
• This case highlights the importance of recognizing and managing delirium to improve long-term patient outcomes.