[全身麻醉下的第三磨牙手术：180例患者的回顾]

[Third molar surgery under general anesthesia: a review of 180 patients].

作者信息

Trost O, Kadlub N, Robe N, Lépine J, Rombi H, Noirot-Letourneau M T, Trouilloud P, Malka G

机构信息

Service de chirurgie maxillofaciale et stomatologie, CHU de Dijon, 3, rue du Faubourg-Raines, B.P. 1519, 21033 Dijon, France.

出版信息

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.

DOI:10.1016/j.stomax.2007.08.006

PMID:18201737

Abstract

BACKGROUND

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.

MATERIALS AND METHODS

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.

RESULTS

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.

DISCUSSION

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.

摘要