Journal of the Korean Association of Oral and Maxillofacial Surgeons
- Volume 27 Issue 1
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- Pages.78-82
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- 2001
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- 2234-7550(pISSN)
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- 2234-5930(eISSN)
THE STUDY FOR HEMODYNAMIC CHANGE ON CORONAL APPROACH TO ZYGOMATICO-MAXILLARY COMPLEX FRACTURE
관골골절에 있어 관상피판 접근법시 혈액학적 변화에 대한 연구
- Kim, Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
- Kim, Chul-Hwan (Department of Oral and Maxillofacial Surgery, Fatima Hospital) ;
- Yeo, Hwan-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
- Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University)
- 김훈 (조선대학교 치과대학 구강악안면외과학교실) ;
- 김철환 (대구파티마병원 구강악안면외과) ;
- 여환호 (조선대학교 치과대학 구강악안면외과학교실) ;
- 김수관 (조선대학교 치과대학 구강악안면외과학교실)
- Published : 2001.02.28
Abstract
Background : The coronal incision is versatile surgical approach to upper and middle region of the facial skeletal including the zygomatic arch. The advantages of coronal approach are minimal injury of facial tissue including facial nerve and satisfactory cosmetic result by hidden scar at hair. But wide exposure of scalp, its disadvantages are operation time and massive blood loss. Methods : Thirty patients undergoing elective surgery were divided 3 groups. Group I used only coronal approach, group II used coronal with subciliary approach and group III used coronal with subciliary and intraoral approach. And then retrospected of the preoperative, postoperative red blood cell count, hemoglobin(Hb), hematocrit, transfused red blood cell units and platelet cell units, and the amount of infused crystalloids and colloids, and postoperative hemovac count was estimated. Results: 1. Red blood cell count were decreased in all groups at immediated postoperation and decreased in all group of postoperative first day and decreased in group I, II but increased group III of postoperative third day. 2. Hemoglobin and hematocrit were decreased in all group at immediated postoperation and decreased in all group of postoperative first day and decreased in group I, II., but increased group III postoperative third day. 3. Platelet was decreased in all group at immediated postoperation, and decreased in group II, III but increased in group I of postoperative first day and decreased in group I but increased group II, III of postoperative third day. 4. Mean postoperative hemovac mean drainage group I of first day is