術後管理からみた顎間固定の安全性に関する研究-全国アンケート調査の報告と今後の対応-

概要

論文の詳細を見る
This research was designed to find out postoperative complications in relation to intermaxillary fixation (IMF) after maxillo-facial surgery by questionnaires sent to 141 hospitals, which performed oral surgery, throughout nation. We obtained 113 replies (87.9%).According to them, 11, 017 operations were carried out under general anesthesia, including 2, 315 cases with I IF (20. 1%). IMF was performed during the intraoperative period in 55 hospitals (50%), on the other hand, 46 hospitals (40%) had done IMF in the postoperative period. Several major complications, like pneumonia or pulmonary edema, were reported in addition to minor complications, like vomiting or hemorrhage, in the answers of 36%of the hospitals.<BR>These results indicate that guidelines on the management of patients with INIF are required in order to accomplish safe treatment in the perioperative period.