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上颌前部截骨术中及围手术期并发症:103例患者的回顾性评估

Intraoperative and perioperative complications in anterior maxillary osteotomy: a retrospective evaluation of 103 patients.

作者信息

Gunaseelan Rajan, Anantanarayanan Parameswaran, Veerabahu Muthusubramanian, Vikraman Baskarapandian, Sripal Rajendran

机构信息

Rajan Dental Institute, Mylapore, Chennai, India.

出版信息

J Oral Maxillofac Surg. 2009 Jun;67(6):1269-73. doi: 10.1016/j.joms.2008.12.051.

Abstract

PURPOSE

To study the intraoperative and perioperative complications associated with anterior maxillary osteotomy (AMO), and assess its safety and predictability in orthognathic surgery.

PATIENTS AND METHODS

We performed a retrospective evaluation of 103 patients undergoing AMO as a single procedure, or in combination with other osteotomies over a period of 5 years, with a mean follow-up of 3 years.

RESULTS

Twenty-seven (26.2%) patients in our series of 103 had complications of varying severity: 43.3% of these were soft tissue-related, and 36.6% were attributable to dental causes. All other complications accounted for the remaining 20%.

CONCLUSION

Although its indications are limited, AMO is a safe and reliable procedure in routine orthognathic surgery.

摘要

目的

研究上颌前部截骨术(AMO)相关的术中及围手术期并发症,并评估其在正颌外科手术中的安全性和可预测性。

患者与方法

我们对103例接受AMO手术的患者进行了回顾性评估,这些患者在5年的时间里单独接受AMO手术,或与其他截骨术联合进行,平均随访3年。

结果

在我们的103例患者系列中,有27例(26.2%)出现了不同程度的并发症:其中43.3%与软组织相关,36.6%归因于牙齿问题。所有其他并发症占其余的20%。

结论

尽管其适应证有限,但AMO在常规正颌外科手术中是一种安全可靠的手术。

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