Trost O, Kadlub N, Robe N, Lépine J, Rombi H, Noirot-Letourneau M T, Trouilloud P, Malka G
Service de chirurgie maxillofaciale et stomatologie, CHU de Dijon, 3, rue du Faubourg-Raines, B.P. 1519, 21033 Dijon, France.
Rev Stomatol Chir Maxillofac. 2008 Apr;109(2):91-5; discussion 95-7. doi: 10.1016/j.stomax.2007.08.006. Epub 2008 Jan 16.
Third molar surgery is an important part of the activity in a maxillofacial surgery department. This common activity is often under-evaluated by patients who forget its surgical aspect. The aim of this study was to evaluate our practice, and especially complications, with special consideration given to medicolegal aspects.
All the patients operated between September 2004 and July 2006 were enrolled in a retrospective study. This population is described, with the indications, follow-up, and complications.
One hundred and eighty patients were reviewed (sex-ratio 1, mean age 27 years). The most frequent indications were impaction and pain. The mean duration of hospitalization was 1.7 days and temporary disability, one week. Local infection occurred in 8%; there was neurological complication in 2% for the inferior alveolar nerve, and 1% for the lingual nerve. These were all transient cases.
Third molar surgery is an important and profitable part of the activity in a maxillofacial surgery department. Standardized information is necessary even if the rate of complications remains low.
第三磨牙手术是颌面外科手术活动的重要组成部分。这项常见手术往往被患者忽视其手术性质而未得到充分评估。本研究旨在评估我们的手术操作，尤其是并发症情况，并特别考虑医疗法律方面的问题。
对2004年9月至2006年7月间所有接受手术的患者进行回顾性研究。描述了该人群的情况、手术指征、随访情况及并发症。
共回顾了180例患者（性别比为1，平均年龄27岁）。最常见的手术指征是阻生和疼痛。平均住院时间为1.7天，临时残疾时间为一周。局部感染发生率为8%；下牙槽神经神经并发症发生率为2%，舌神经为1%。这些均为短暂性病例。
第三磨牙手术是颌面外科手术活动中重要且有收益的一部分。即使并发症发生率仍然较低，标准化信息也是必要的。
