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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • P-ISSN2234-7550
  • E-ISSN2234-5930
  • SCOPUS, KCI, ESCI
김홍식(부산대학교) ; 김광혁(고신대학교) ; 김욱규(부산대학교) ; 김종렬(부산대학교) ; 정인교(부산대학교) ; 양동규(부산대학교) ; 이성근(이화여자대학교) pp.1-174
윤경인(을지의과대학교) ; 표성운(가톨릭대학교) ; 김영실(가톨릭대학교) ; 이철원(가톨릭대학교) pp.3-187
김상렬(조선대학교) ; 김수관(조선대학교) ; 조세인(조선대학교) ; 장현선(조선대학교) pp.4-195
윤옥병(포항기독교병원) ; 김여갑(경희대학교) pp.5-204
조이수(원광대학교) ; 민승기(원광대학교) pp.6-215
조용민(원광대학교) ; 민승기(원광대학교) ; 김수남(원광대학교) ; 유용욱(원광대학교) pp.7-225
류동목(경희대학교) ; 전용일(경희대학교) ; 이상철(그리스도대학교) ; 김여갑(경희대학교) ; 이백수(경희대학교) pp.8-230
김영균(서울대학교) pp.9-233
오정환(독일 쾰른대학교) ; AlexanderKuebler(독일 쾰른대학교) ; JoachimE.Zoeller(독일 쾰른대학교) pp.10-238
이중규(단국대학교) ; 김경욱(단국대학교) ; 이재훈(단국대학교) pp.175-181
초록보기
초록

Abstract

Intermaxillary fixation and occusal splint are routine procedure for maxillofacial fracture and orthognathic surgery. When these methods could obstruct oral airway the patients who kept intermaxillary fixation and occusal splint in their mouth, are very difficult to breath after surgery. Nasal bleeding and pharyngeal edema due to nasotracheal intubation, residual effect of muscle relaxants, and anesthetic agent could be contributing factor of airway obstruction. In this study, pulmonary function test was evaluated before and after intermaxillary fixation, and intermaxillary fixation with occusal splint in 22 volunteers. The results were as follows 1. FVC, %FVC, $FEV_1$, $FEV_1%$, PEF, $PEF_{50}$, MVV without intermaxillary fixtion were 4.45L, 88%, 4.03L, 90.9%, 10.26L/s, 5.53L/s, and 136.14L/min, and with intermaxillary fixation were 3.51L, 68.67%, 3.06L, 69.39L, 6.52L/s, 3.94L/s, and 69.39L/min. The results with intermaxillary fixation and occusal splint were 2.15L, 42.41%, 1.71L, 38.81%, 2.83L/s, 1.74L/s, and 37.14L/min. 2. Compared with before and after intermaxillary fixation, all values of pulmonary function test were decreased and after intermaxillary fixation and intermaixillary fixation with occulasal splint, the results were decreased. 3. MVV and PEF were decreased significantly with interaxillary fixtion and occusal splint, and FVC was less decreased. It meant that intermaxillary fixation and occluasal splint induced reduction of respiratory flow significantly, but less reduction of respiratory volume. 4. Intermaxillary fixation and occulsal splint induced increase of airway resistance, decrease of expiratory volume and air flow. So severe respiratory difficulty could be seen to all volunteers who kept intermaxillary fixtion and occusal splint. 5. In classification of respiratory difficulty, intermaxillary fixation with occulsal splint induced complex respiratory difficulty more than intermaxillary fixation only did. From the above results, doctors who care patients kept intermaxillary fixation and occusal splint should be aware of respiratory depression caused by these treatment.

Journal of the Korean Association of Oral and Maxillofacial Surgeons