지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 211 - 219 (9page)
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초록· 키워드
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Objectives: The purpose of this research was to create a scoring system that provides comprehensive assessment of patients with oromaxillofacial cancer or odontogenic infection, and to statistically reevaluate the results in order to provide specific criteria for elective tracheostomy. Materials and Methods: All patients that had oral cancer surgery (group A) or odontogenic infection surgery (group B) during a period of 10 years (2003 to 2013) were subgrouped according to whether or not the patient received a tracheostomy. After a random sampling (group A: total of 56, group B: total of 60), evaulation procedures were observed based on the group classifications. For group A, four factors were evaluated: TNM stage, reconstruction methods, presence of pathologic findings on chest posterior-anterior (PA), and the number of systemic diseases. Scores were given to each item based on the scoring system suggested in this research and the scores were added together. Similarly, the sum score of group B was counted using 5 categories, including infection site, C-reactive protein level on first visit, age, presence of pathologic findings on chest PA, and number of systemic diseases. Results: The scoring system rendered from this research shows that there is a high correlation between the scores and TNM stage in oral cancer patients, or infection sites in odontogenic infection patients. However, no correlation between pathologic findings on chest PA could be found in either group. The results also indicated that for both groups, the hospital day increased with the tracheostomy score. The tracheostomy score cutoff value was 5 in oral cancer patients and 6 in odontogenic infection patients which was used for elective tracheostomy indication. Conclusion: The elective tracheostomy score system suggested by this research is a method that considers both the surgical and general conditions of the patient, and can be very useful for managing patients with severe oral disease.
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참고문헌 (27)
참고문헌 신청
Agnew J / 1992 / Management of the airway in oral and oropharyngeal resections / Aust N Z J Surg 62 : 652 ~ 653
Astrachan DI / 1988 / Prolonged intubation vs. tracheotomy: complications, practical and psychological considerations / Laryngoscope 98 : 1165 ~ 1169
Bernard AC / 1999 / Conventional surgical tracheostomy as the preferred method of airway management / J Oral Maxillofac Surg 57 : 310 ~ 315
Berrouschot J / 1997 / Perioperative complications of percutaneous dilational tracheostomy / Laryngoscope 107 : 1538 ~ 1544
Cameron M / 2009 / Development of a tracheostomy scoring system to guide airway management after major head and neck surgery / Int J Oral Maxillofac Surg 38 : 846 ~ 849
Astrachan DI / 1988 / Prolonged intubation vs. tracheotomy: complications, practical and psychological considerations / Laryngoscope 98 : 1165 ~ 1169
Bernard AC / 1999 / Conventional surgical tracheostomy as the preferred method of airway management / J Oral Maxillofac Surg 57 : 310 ~ 315
Berrouschot J / 1997 / Perioperative complications of percutaneous dilational tracheostomy / Laryngoscope 107 : 1538 ~ 1544
Cameron M / 2009 / Development of a tracheostomy scoring system to guide airway management after major head and neck surgery / Int J Oral Maxillofac Surg 38 : 846 ~ 849
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