Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery
이정수, 김문기, 강상훈,
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이정수 ( Lee Jung-Soo ) - National Health Insurance Service Ilsan Hospital Department of Oral and Maxillofacial Surgery
김문기 ( Kim Moon-Key ) - National Health Insurance Service Ilsan Hospital Department of Oral and Maxillofacial Surgery
강상훈 ( Kang Sang-Hoon ) - National Health Insurance Service Ilsan Hospital Department of Oral and Maxillofacial Surgery
Abstract
Background: We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1).
Methods: We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI).
Results: For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm3) than the maxillary-insertion group (7250 mm3; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling.
Conclusions: Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.
키워드
Suction drainage; Orthognathic surgery; Maxillary sinus haziness; Facial swelling
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