Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery

Maxillofacial Plastic and Reconstructive Surgery

Jung-Soo Lee¹  Moon-Key Kim²  Sang-Hoon Kang² 

[1] Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsan-donggu, 10444, Goyang, Gyeonggi-do, Republic of Korea;Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsan-donggu, 10444, Goyang, Gyeonggi-do, Republic of Korea;Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, 03722, Seoul, Republic of Korea;

关键词: Suction drainage;    Orthognathic surgery;    Maxillary sinus haziness;    Facial swelling;   

DOI  :  10.1186/s40902-020-00277-0

来源: Springer

【 摘 要 】

BackgroundWe 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).MethodsWe 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).ResultsFor 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.ConclusionsSuction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.

【 授权许可】

CC BY