개방성 치조골 골절의 고정법: 응급실에서 간편하게 적용할 수 있는 방법

Fixation of Open Alveolar Bone Fractures: Easily Applicable Method in the Emergency Department

  • 설승환 (아주대학교 의과대학 응급의학교실) ;
  • 차수현 (아주대학교 의과대학 응급의학교실) ;
  • 최상천 (아주대학교 의과대학 응급의학교실) ;
  • 안정환 (아주대학교 의과대학 응급의학교실) ;
  • 김기운 (아주대학교 의과대학 응급의학교실) ;
  • 최혜경 (을지대학교 보건과학대학 응급구조학과) ;
  • 조준필 (아주대학교 의과대학 응급의학교실) ;
  • 정윤석 (아주대학교 의과대학 응급의학교실)
  • Seol, Seung Hwan (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Cha, Soo Hyun (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Choi, Sang Cheon (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Ahn, Jung Hwan (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Kim, Gi Woon (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Choi, Hea Kyung (Department of Emergency Medical Serice, College of Health Sciences, Eulji University) ;
  • Cho, Joon Pil (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Jung, Yoon Seok (Department of Emergency Medicine, Ajou University School of Medicine)
  • 투고 : 2007.08.02
  • 심사 : 2007.10.15
  • 발행 : 2007.12.30

초록

Purpose: The purpose of this clinical trial was to evaluate the fixation method for treating alveolar fractures in an emergency department. Methods: The efficiency of using the fixation method was judged on the basis of clinical criteria. Stability, occlusion state, bleeding amount after fixation, operation time, and difficulties during procedural operation were recorded. Results: Eight patients were enrolled in this study. In all instances, the fixation method was effective in bleeding control. Each patient had a noticeable decrement in bleeding. A wire was used for four of the eight patients, and nylon strings was used for the others. The average operation time was 6.3 minutes for the wire patients and 2.8 minutes for the Nylon string patients. No specific problem was identified during the procedural operation. However, the difference in the fixation material influenced the effectiveness of the procedure, the operation time, and the satisfaction of the doctor. Conclusion: In the emergency department, the fixation method using wire or nylon string in the treatment of alveolar fractures is effective in bleeding control

키워드

참고문헌

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