Ayad W, Jöhren P, Dieckmann J
Klinik für Mund-, Kiefer- und Gesichtschirugie-Plastische Operationen-Knappschaftskrankenhaus Akademisches Lehrkrankenhaus, Universität Bochum, Recklinghausen.
Fortschr Kiefer Gesichtschir. 1995;40:134-6.
This investigation compared the results of 2 types of wound closure - primary closure technique with and without Penrose drains (Naturallatex) - after mandibular third Molar removal. In both the test group (n = 27) and control group (n = 25), the molar were removed using a buccal mucoperiosteal flap. The test group received a drain partially submerged into the socket to secure more drainage of woundsecrete. Examination were performed 1 day, 3 days and 7 days after surgery, and swelling, trismus, pain and analgetic consommation were recorded. Analysis of Variance indicated that there was significant difference between the 2 methods. The drain method appears to minimize postoperative edema, trismus, pain and analgetic consommation, and thus contributes to enhanced patient comfort.
本研究比较了下颌第三磨牙拔除术后两种伤口闭合方式的结果——使用和不使用(天然乳胶)彭罗斯引流管的一期闭合技术。在试验组(n = 27)和对照组(n = 25)中,均采用颊侧粘骨膜瓣拔除磨牙。试验组放置一根部分浸入牙槽窝的引流管,以确保伤口分泌物更多排出。术后1天、3天和7天进行检查,并记录肿胀、牙关紧闭、疼痛和镇痛药消耗情况。方差分析表明,两种方法之间存在显著差异。引流管方法似乎能将术后水肿、牙关紧闭、疼痛和镇痛药消耗降至最低,从而提高患者舒适度。