Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A HEMATOLOGIC STUDY OF ORTHOGNATHIC SURGERY PATIENTS

악교정 수술후 혈액학적 변화에 대한 연구

  • Lee, Jong-Seok (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ko, Seung-O (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Jeong, Kil-Jung (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Leem, Dae-Ho (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Baek, Jin-A (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • 이종석 (전북대학교 치과대학 & 치의학 전문대학원 구강악안면외과학교실) ;
  • 고승오 (전북대학교 치과대학 & 치의학 전문대학원 구강악안면외과학교실) ;
  • 정길중 (전북대학교 치과대학 & 치의학 전문대학원 구강악안면외과학교실) ;
  • 임대호 (전북대학교 치과대학 & 치의학 전문대학원 구강악안면외과학교실) ;
  • 백진아 (전북대학교 치과대학 & 치의학 전문대학원 구강악안면외과학교실) ;
  • 신효근 (전북대학교 치과대학 & 치의학 전문대학원 구강악안면외과학교실)
  • Published : 2007.03.31
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Abstract

Moderns have desire likely to be further good-looking concomitant with a qulitative advancement of the life. Orthognathic surgery for the correction of dentofacial deformities is a common elective procedure. It's possible to occur many complication during the operations and especially, an excessive bleeding of those may be fatal and so a tranfusion is performing for the prevention and management of that. The most notable of these for reduction of blood loss is the utilization of induced hypotensive anesthetic technique to reduce the mean arterial pressure between 55 and 60 mmHb. Another method for dealing with blood loss following orthognathic surgery is the transfusion of blood obtained as an autologous tranfusion or from banked blood. Some of the disadvantage of banked blood are overcome with the use of predeposited autologous transfusion. But currently, surgeons try so that even autologous transfusion may not transfuse the patients. We made a comparative study of hematologic change and transfusion requirement based on a series of 200 patients who had an orthognathic surgical procedure at Chonbuk National University during the period 2001-2005. This study is to make a comparative analysis of an post-operative hematologic (Hemoglobin, Hematocrit, Red blood cell) change and duration of the procedure under induced hypotensive anesthesia in healthy orthognathic patients.

Keywords

References

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