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慢性 化膿性上顎洞炎 根治手術後 患側頰部腫脹의 豫防에 대하여

On preventio of post-operative buccal swelling afger radical operation for chronic purulent maxillary sinusitis

중앙의학 1965년 8권 5호 p.537 ~ 540
김구현,
소속 상세정보
김구현 (  ) - 경북대학교 의과대학 이비인후과학교실

Abstract


It is well known that radical operation for chronic suppurative maxillary sinusitis is - usually follcwed by more or less swelling of the cheek.
To evaluate which of the already existing post-operative managements to prevent this undisirable complication is most efficient, the present author conducted a survey on 200 cases of Caldwell-Luc´s opration as performed at the K. P. U. M.S.H. during the period of Sept. 1959 to December 1960.
The patients were divided into 3 groups a ccording to the difference in managements applied: (1) Manual compress with or without gauze-packing (2) Ice-bag compress with or without gauze-packing and (3) No compress with or without gauze-packing.
Ard the following results were obtained.
(1) The post-operative swelling of the cheek was most often encountered the patients were treated by packing of gauze after operation.
(2) It is observed that the patients who received manual compress after opration showed best result. Ice-bag compress brought about good result and no compress resulted in most severe swelling.
It would appear that the gauze-packing is always occasioned by immediate post-operative bleeding which should have been controlled by more patient and careful hemostasis and that the swelling seemed to be caused by post-oprerative bleeing and soft tissue injury incurred by the removal of the packed gauze.
Therefore, it may concluded that the best result can be expected by application of manual compress without gauze-packing provided the situation makes it unavoidable.

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