Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

BLOOD LOSS AND HEMATOLOGIC CHANGE AFTER ORTHOGNATHIC SURGERY

악교정 수술후 출혈양과 혈액학적 변화에 대한 임상연구

  • Chang, Hyun-Ho (Oral & Maxillofacial Surgery, Department of Dentistry, Asan Medical Center, College of Ulsan Medicine) ;
  • Ryu, Sung-Ho (Oral & Maxillofacial Surgery, Department of Dentistry, Asan Medical Center, College of Ulsan Medicine) ;
  • Kang, Jae-Hyun (Oral & Maxillofacial Surgery, Department of Dentistry, Asan Medical Center, College of Ulsan Medicine) ;
  • Lee, Seung-Ho (Oral & Maxillofacial Surgery, Department of Dentistry, Asan Medical Center, College of Ulsan Medicine) ;
  • Kim, Jae-Seung (Oral & Maxillofacial Surgery, Department of Dentistry, Asan Medical Center, College of Ulsan Medicine)
  • 장현호 (울산대학교 의과대학, 서울중앙병원 치과 구강악안면외과) ;
  • 류성호 (울산대학교 의과대학, 서울중앙병원 치과 구강악안면외과) ;
  • 강재현 (울산대학교 의과대학, 서울중앙병원 치과 구강악안면외과) ;
  • 이승호 (울산대학교 의과대학, 서울중앙병원 치과 구강악안면외과) ;
  • 김재승 (울산대학교 의과대학, 서울중앙병원 치과 구강악안면외과)
  • Published : 2001.10.30
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Abstract

Orthognathic surgery for the correction of dentofacial deformities is a common elective procedure. That has proven over the years to be a safe operation with minimal long-term morbidity. But, there are many surgical complication including mal-union of the bone, TMJ problem, excessive bleeding, and permanent damage of inferior alveolar nerve. Among them excessive bleeding which focus is not clear is one of the serious complication because that is fatal and so a transfusion is performing for the prevention and management of that. Until the end of the 1980's, homologous blood transfusions were routinely necessary because of the large amounts of blood lost during surgery. Recently several blood-saving measures can be undertaken for orthognathic surgery patients before, during, and after the operation. We made a comparative study of an amount of blood loss, hematologic change and transfusion requirements based on a series of 40 consecutive patients undergoing single-jaw and double-jaw surgery. The purpose of this investigation was to make a comparative analysis of an amount of blood loss, post-operative hematologic change and duration of the procedure under induced hypotensive anesthesia in healthy orthognathic patients.

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