Maxillofacial Plastic and Reconstructive Surgery

  • 제29권4호
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  • Pages.329-332
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  • 2007
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

악교정 수술시 술후 환자의 증상변화와 항생제 투여와의 관계

THE RELATIONSHIP BETWEEN THE SYMPTOMS OF THE PATIENTS AND POST-SURGICAL APPLICATION OF ANTIBIOTICS IN ORTHOGNATHIC SURGERY

  • 강상훈 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이충국 (연세대학교 치과대학 구강악안면외과학교실)
  • Kang, Sang-Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Yi, Choong-Kook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 발행 : 2007.07.31
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초록

This study compared and evaluated the variation of patients' symptoms depending on whether or not antibiotics had been used in the recovery period after the orthognathic surgery. 28 patients, with no particular medical history, were divided into two groups on the basis of whether antibiotics had been applied after the orthognathic surgery. All patients had been operated on maxilla and mandible simultaneously and were investigated with any symptom changes within the postoperative 4 days. Among the symptoms that could follow after the orthognathic surgery, 6 symptoms were checked every 24 hours on 5 points basis. Phases of each symptom improvements were checked and analyzed by ANOVA statistical method. Aspects of symptom changes according to application of antibiotics showed no statistical significance. Symptoms, except for swelling, showed continuous improvements after the surgery. Swelling increased until postoperative $2^{nd}\;day$, and then started to decrease. This study shows that post-surgical use of antibiotics has no significance provided that post-surgical infection had not occurred.

키워드

참고문헌

  1. Modig M, Andersson L, Wardh I : Patients'perception of improvement after orthognathic surgery : pilot study. Br J Oral Maxillofac Surg 44 : 24, 2006 https://doi.org/10.1016/j.bjoms.2005.07.016
  2. Yannick JE, Rolf MA, Maurice YM : A prospective study on infectious complications in orthognathic surgery. J Craniomaxillofac Surg 33 : 24, 2005 https://doi.org/10.1016/j.jcms.2004.06.008
  3. Precious DS, Multari J, Finley GA et al : A comparison of patient-controlled and fixed schedule analgesia after orthognathic surgery. J Oral Maxillofac Surg 55 : 33, 1997 https://doi.org/10.1016/S0278-2391(97)90442-0
  4. Weber CR, Griffin JM : Evaluation of dexamethasone for reducing postoperative edema and inflammatory response after orthognathic surgery. J Oral Maxillofac Surg 52 : 35, 1994 https://doi.org/10.1016/0278-2391(94)90010-8
  5. Ceib P, Kiyak HA, Dale B et al : Perceptions of recovery and satisfaction in the short term after orthognathic surgery. J Oral Maxillofac Surg 62 : 535, 2004 https://doi.org/10.1016/j.joms.2003.08.025
  6. Bertolini F, Russo V, Sansebastiano G : Pre- and postsurgical psycho-emotional aspects of the orthognathic surgery patient. Int J Adult Orthodon Orthognath Surg 15 : 16, 2000
  7. Neal CE, Kiyak HA : Patient perceptions of pain, paresthesia, and swelling after orthognathic surgery. Int J Adult Orthodon Orthognath Surg 6 : 169, 1991
  8. Nagatsuka C, Ichinohe T, Kaneko Y : Preemptive effects of a combination of preoperative diclofenac, butorphanol, and lidocaine on postoperative pain management following orthognathic surgery. Anesth Prog 47 : 119, 2000
  9. Silva AC, Felice O'Ryan, Poor DB : Postoperative Nausea and Vomiting(PONV) After Orthognathic Surgery : A Retrospective Study and Literature Review. J Oral Maxillofac Surg 64 : 1385, 2006 https://doi.org/10.1016/j.joms.2006.05.024
  10. Kau CH, A Cronin, P Durning et al : A new method for the 3D measurement of postoperative swelling following orthognathic surgery. Orthod Craniofac Res 9 : 31, 2006 https://doi.org/10.1111/j.1601-6343.2006.00341.x
  11. Conrad SM, Blakey GH, Shugars DA et al : Patients'perception of recovery after third molar surgery. J Oral Maxillofac Surg 57 : 1288, 1999 https://doi.org/10.1016/S0278-2391(99)90861-3