A Randomized Comparison of the Effect of Partial and Total Wound Closure Techniques on Postoperative Morbidity After Mandibular Third Molar Surgery
A Randomized Comparison of the Effect of Partial and Total Wound Closure Techniques on Postoperative Morbidity After Mandibular Third Molar Surgery
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DOI：
10.1016/j.joms.2011.01.025
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发表时间：
2011-06-01
影响因子：
1.9
通讯作者：
Ladeinde, Akinola L.
中科院分区：
文献类型：
--
作者：
Bello, Seidu Adebayo;Olaitan, Abayomi A.;Ladeinde, Akinola L.
目的：比较下颌第三磨牙手术后即刻组织反应和并发症的影响，全部和部分伤口闭合技术。患者和方法：这项前瞻性，随机，对照研究在尼日利亚阿布贾国立医院口腔颌面外科进行。患者被随机分配到部分（组I）和完全（组II）伤口闭合组。收集患者经历的疼痛、牙关紧闭、肿胀和并发症的数据。数据分析采用SPSS软件（13.0版; SPSS，芝加哥，IL）和GenStat（Discovery Edition，2005; VSN International Ltd，赫梅尔·亨普斯特德，UK）。I组有40例患者（48.8%），II组有42例患者（51.2%）。与组II相比，组I的面部肿胀有统计学显著性降低（P = 0.001），但疼痛和牙关紧闭无差异。第一组出现明显的术后反应性出血（P = .007），但两组在干槽症和槽感染方面没有差异。鉴于与第三磨牙手术相关的反应性出血的痛苦性质，第三磨牙手术后的部分伤口闭合技术被认为与更多的术后发病率相关。然而，每次使用完全伤口闭合技术时，应充分告知患者伴随的面部肿胀的可能性。(C)2011年美国口腔颌面外科医师协会J Oral Maxillofac Surg 69：e24-e30，2011
Purpose: To compare the effect of total and partial wound closure techniques on immediate postoperative tissue reactions and complications after mandibular third molar surgery.Patients and Methods: This prospective, randomized, controlled study was carried out at the Department of Oral and Maxillofacial Surgery, National Hospital, Abuja, Nigeria. Patients were randomly allocated to partial (group I) and total (group II) wound closure groups. Data were collected on pain, trismus, swelling, and complications experienced by the patients. Data analysis was carried out with SPSS software for Windows (version 13.0; SPSS, Chicago, IL) and GenStat (Discovery Edition, 2005; VSN International Ltd, Hemel Hempstead, UK).Results: We studied 82 patients, consisting of 54 female and 28 male patients, with mandibular third molar teeth impaction. There were 40 patients (48.8%) in group I and 42 patients (51.2%) in group II. A statistically significant reduction in facial swelling (P = .001) was found in group I compared with group II, but no difference was recorded for pain and trismus. Group I presented with significant postoperative reactionary bleeding (P = .007), but no difference was recorded between the 2 groups regarding dry socket and socket infection.Conclusion: The partial wound closure technique after third molar surgery was considered to be associated with more postoperative morbidity, in view of the distressing nature of reactionary bleeding that was found to be associated with it. However, patients should be adequately informed about the possibility of attendant facial swelling each time the technique of total wound closure is used. (C) 2011 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 69:e24-e30, 2011