Necmettin Erbakan University, Faculty of Dentistry, Oral and Maxillofacial Surgery, Konya, Turkey.
Necmettin Erbakan University, Faculty of Dentistry, Oral and Maxillofacial Surgery, Konya, Turkey.
J Stomatol Oral Maxillofac Surg. 2020 Sep;121(4):368-372. doi: 10.1016/j.jormas.2019.08.006. Epub 2019 Aug 30.
We compared the effect of lingual-based triangular flap with buccal-based triangular flap on postoperative complications in impacted third molar surgery.
Thirty patients aged between 18 and 36 (mean age 19.65±2.14) were included. They all had bilateral impacted third molars. We used buccal-based triangular flap on a randomly selected side (Group 1) and lingual-based triangular flap on the other side (Group 2). We evaluated pain during 7 days after the surgery; swelling and trismus on postoperative 2., 7. and 14. days; wound dehiscence and alveolar osteitis incidence on postoperative 7. and 14. days.
Pain was significantly higher in Group 2 during 7 days postoperatively (P<.05). Trismus and swelling were also more prominent in Group 2 on postoperative days 2 and 7. In Group 2, the duration of the surgery in was longer than Group 1 (P<.05). In Group 1, 17 patients (56.7%) had wound dehiscence and 6 patients (20%) in Group 2 (P<.05). No alveolar osteitis developed in either groups.
The buccal-based triangular flap seems better with regard to postoperative pain, swelling and trismus. On the other hand, the lingual-based triangular flap had a lesser incidence for wound dehiscence.
比较基于颊侧的三角形瓣与基于舌侧的三角形瓣对阻生第三磨牙手术术后并发症的影响。
纳入 30 名年龄在 18 至 36 岁之间（平均年龄 19.65±2.14 岁）的患者。所有患者均为双侧阻生第三磨牙。我们在随机选择的一侧使用颊侧三角形瓣（第 1 组），在另一侧使用基于舌侧的三角形瓣（第 2 组）。我们评估了术后 7 天内的疼痛情况；术后第 2、7 和 14 天的肿胀和张口受限情况；术后第 7 和 14 天的创口裂开和牙槽骨炎发生率。
术后第 2 天至第 7 天，第 2 组的疼痛明显高于第 1 组（P<.05）。第 2 组的张口受限和肿胀在术后第 2 天和第 7 天也更为明显。第 2 组的手术时间长于第 1 组（P<.05）。第 1 组有 17 名患者（56.7%）出现创口裂开，第 2 组有 6 名患者（20%）（P<.05）。两组均未发生牙槽骨炎。
基于颊侧的三角形瓣在术后疼痛、肿胀和张口受限方面似乎更好。另一方面，基于舌侧的三角形瓣创口裂开的发生率较低。
