下顎骨骨切り術における術後腫脹のX線学的定量評価と腫張の要因に関する検討

DOI
  • 坂井 謙介
    名古屋大学大学院医学研究科細胞情報医学専攻頭頸部・感覚器外科学講座顎顔面外科学
  • 畠 賢一郎
    名古屋大学大学院医学研究科細胞情報医学専攻頭頸部・感覚器外科学講座顎顔面外科学
  • 鷲見 幸男
    名古屋第2日赤病院歯科口腔外科
  • 小田 知生
    中部労災病院歯科口腔外科
  • 澤木 佳弘
    名古屋大学大学院医学研究科細胞情報医学専攻頭頸部・感覚器外科学講座顎顔面外科学
  • 上田 実
    名古屋大学大学院医学研究科細胞情報医学専攻頭頸部・感覚器外科学講座顎顔面外科学

書誌事項

タイトル別名
  • Radiological Quantitative Assessment and Evaluation of Factors Regarding Postoperative Swelling in Mandibular Osteotomy.

抄録

Facial swelling is a postoperative reaction of mandibular osteotomy. Several methods of evaluating facial swelling have been reported, but they are technically complicated. In this study, we examined the factors contributing to postoperative facial swelling and its quantitative assessment using the postero-anterior cephalogram.<BR>The subjects were 40 patients who underwent mandibular osteotomy.<BR>A preliminary study of various parameters on cephalograms taken at three time points: immediately after, 3 months after, and 6 months after, surgery, showed that the width of the soft tissue on the occlusal plane line was most useful in evaluating postoperative swelling, because it decreased most significantly at 3 months, as compared to immediately after surgery, and it remained unchanged at 6 months.<BR>When the swelling index was defined as the ratio of the width immediately after surgery to that at 3 months, there were significant correlation among the index, the amount of hemorrhage and the number of segmental leukocytes. The index for sagittal split ramus osteotomy was also different from that for intraoral vertical ramus osteotomy.<BR>In conclusion, the swelling index, calculated from the frontal cephalometric radiograph, is effective for quantitative assessment of facial swelling.

収録刊行物

詳細情報 詳細情報について

  • CRID
    1390001206435110144
  • NII論文ID
    130004335830
  • DOI
    10.11277/stomatology1952.50.285
  • ISSN
    21850461
    00290297
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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