Maxillofacial Plastic and Reconstructive Surgery
- 제16권3호
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- Pages.247-258
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- 1994
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- 2288-8101(pISSN)
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- 2288-8586(eISSN)
악변형환자의 악교정수술시 합병증에 관한 연구
CLINICAL STUDY OF COMPLICATIONS OF ORTHOGNATHIC SURGERY FOR THE DENTOFACIAL DEFORMITIES
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김여갑
(경희대학교 치과대학 구강악안면외과학교실) ;
- 이상철 (경희대학교 치과대학 구강악안면외과학교실) ;
- 이백수 (경희대학교 치과대학 구강악안면외과학교실) ;
- 김병주 (경희대학교 치과대학 구강악안면외과학교실)
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Kim, Yeo-Gab
(Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyung Hee University) ;
- Lee, Sang-Chull (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyung Hee University) ;
- Lee, Baek-Soo (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyung Hee University) ;
- Kim, Byung-Ju (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyung Hee University)
- 발행 : 1994.09.30
초록
We got this conclusion from an 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 date 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.
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