악변형환자의 악교정수술시 합병증에 관한 연구
Clinical study of complications of orthognathic surgery for the dentofacial deformities
백운규, 양익, 정승기, 이진만,
소속 상세정보
백운규 ( ) - 경희대학교
양익 ( ) - 경희대학교
정승기 ( ) - 경희대학교
이진만 ( ) - 경희대학교
KMID : 0360119940160030247
Abstract
We got this conclusion from on investigation about complications from 144 cases of 130 patients who were to be searched their personal records, admission chart, clinical laboratory sheet, anesthetic record, consult sheet and radiographic opinion.
They
had orthognathic surgery for maxillofacial deformity treatment at the department of oral and maxillofacial surgery in dental school of Kyung Hee university for 4 years and 10 months, from March 1989 to December 1993.
1. In the intraoperative phase, by the frequency of complication, blood vessel injury was found the most-22%, and then soft tissue injury, unfavorable osteotomy split, and there were some cases of tooth injury and inappropriate osteotomy.
In the mandibular segmental osteotomy, blood vessel injury was found the most frequently 20 cases(27%), soft tissue injury, unfavorable osteotomy split were the second frequent cases, and then unfavorable fragment position was found. In the
extraoral
vertical ramus osteotomy and Le Fort I osteotomy also, blood vessel injury and nerve injury were found the most.
2. In the postoperative hospitalization phase, by the frequency of complication, hematoma(23%) was happened the most, except for that, lkie the complication that can be happened by adverse reaction of medicine or long hospital life. In the case
of
SSRO, there were 21 cases(20%) of hematoma, and this wal the most frequently case. In the case of EVRO, hematoma wasn't happened that much-2 case(4%).
3. In the follow up phase, relaps, numbness and TMJ dysfunction were happened. In mandibular surgery, the forward relapse percentage of point B, was 27% when used wire fixation on SSRO, was 15% by miniplate fixation on SSRO and was 7% on EVRO.
In the case of SSRO, numbness was kind of high, comparing to ordinary surgery-12 cases(16%)
There were many difficulties in analyzing this data accurately. Although orthognathic surgery is done many times, only available data is from the "success" stories and data is not consistently recorded for the cases with complications. In this
manner,
much essential informantion is lost and overlooked. When data is charted including those cases that are seemingly insignificalt, we can have a much clearer understanding and more accurate guide on treatment protocols.
키워드
원문 및 링크아웃 정보
등재저널 정보