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Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery
- Source :
- Maxillofacial Plastic and Reconstructive Surgery, Maxillofacial Plastic and Reconstructive Surgery, Vol 42, Iss 1, Pp 1-8 (2020)
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Background We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm3) than the maxillary-insertion group (7250 mm3; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.
- Subjects :
- Suction (medicine)
medicine.medical_specialty
Maxillary sinus haziness
Maxillary sinus
medicine.medical_treatment
lcsh:Surgery
Orthognathic surgery
Dentistry
Facial swelling
03 medical and health sciences
0302 clinical medicine
Hematoma
Medicine
030223 otorhinolaryngology
business.industry
Research
Mandible
Soft tissue
lcsh:RD1-811
030206 dentistry
medicine.disease
lcsh:RK1-715
Plastic surgery
medicine.anatomical_structure
lcsh:Dentistry
Maxilla
Suction drainage
business
Subjects
Details
- ISSN :
- 22888586
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Maxillofacial Plastic and Reconstructive Surgery
- Accession number :
- edsair.doi.dedup.....8a5d9f63afebd3415e08d3b04961526b