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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제40권 제4호
발행연도
2014.1
수록면
169 - 172 (4page)

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초록· 키워드

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Objectives: The purpose of this retrospective study was to compare the amount of postoperative drainage via closed suction drainage system after intraoral vertical ramus osteotomy (IVRO) and sagittal split ramus osteotomy (SSRO). Materials and Methods: We planned a retrospective cohort study of 40 patients selected from a larger group who underwent orthognathic surgery from 2007 to 2013. Mean age (range) was 23.95 (16 to 35) years. Patients who underwent bilateral IVRO or SSRO were categorized into group I or group II, respectively, and each group consisted of 20 patients. Closed suction drainage system was inserted in mandibular osteotomy sites to decrease swelling and dead space, and records of drainage amount were collected. The data were compared and analyzed with independent t-test. Results: The closed suction drainage system was removed at 32 hours postoperatively, and the amount of drainage was recorded every 8 hours. In group I, the mean amount of drainage was 79.42 mL in total, with 31.20 mL, 19.90 mL, 13.90 mL, 9.47 mL, and 4.95 mL measured at 0, 8, 16, 24, and 32 hours postoperatively, respectively. In group II, the mean total amount of drainage was 90.11 mL, with 30.25 mL, 25.75 mL, 19.70 mL, 8.50 mL, and 5.91 mL measured at 0, 8, 16, 24, and 32 hours postoperatively, respectively. Total amount of drainage from group I was less than group II, but there was no statistically significant difference between the two groups (P=0.338). There was a significant difference in drainage between group I and group II only at 16 hours postoperatively (P=0.029). Conclusion: IVRO and SSRO have different osteotomy design and different extent of medullary exposure; however, our results reveal that there is no remarkable difference in postoperative drainage of blood and exudate.
#Sagittal split ramus osteotomy #Intraoral vertical ramus osteotomy #Postoperative complications #Closed suction drainage system #Drainage

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참고문헌 (15)

참고문헌 신청
Abou-Khalil R / 2014 / Cellular and molecular bases of skeletal regeneration: what can we learn from genetic mouse models? / Bone 64 : 211 ~ 221 google schola Chegini S / 2012 / Review of evidence for the use of steroids in orthognathic surgery / Br J Oral Maxillofac Surg 50 : 97 ~ 101 google schola Choi WS / 2009 / The effect of tranexamic acid on blood loss during orthognathic surgery: a randomized controlled trial / J Oral Maxillofac Surg 67 : 125 ~ 133 google schola Clifton R / 2008 / Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials / Int Orthop 32 : google schola He XD / 2011 / Whether drainage should be used after surgery for breast cancer? A systematic review of randomized controlled trials / Med Oncol 28 (Suppl 1) : S22 ~ S30 google schola

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