체육전공 대학생의 구강악안면 외상 예방법 교육경험에 영향을 미치는 요인

장경애 ( Kyeung Ae Jang ) 한국치위생학회(구 한국치위생교육학회) 2014 한국치위생학회지 Vol.14 No.6

Objectives: The aim of this study was to investigate the influencing factors on oral and maxillofacial trauma prevention education experience of students majoring in physical education. Methods: A self-reported questionnaire was filled out by 268 students majoring in physical education in Busan. All statistical analyses were performed using SPSS 21.0. The questionnaire consisted of general characteristics(4 questions), TMJ symptoms(9 questions), oral habit(8 questions), and mouth guard awareness(5 questions). The questionnaire was carried out by 5 Likert scale. Higher points of Likert scale showed the negative tendency except the mouth guard awareness. The higher points of mouth guard awareness showed the positive tendency to use the mouth guard. Results: Male students had higher scores of 2.75 points in bad oral habit than the female students(p<0.05). Female students higher score of 1.30 points in mouth guard awareness than male students(p<0.05). TMJ symptoms experience in oral and maxillofacial trauma was 3.15 points which was higher than the prevention education experience without maxillofacial trauma(p<0.001). TMJ symptoms and Mouth guard awareness showed 2.71(p<0.01) and 1.20 points(p<0.001) respectively in students with maxillofacial trauma prevention education experience. These score were higher than those without education experience of trauma prevention education experience. The influencing factors on trauma prevention education experience are mouth guard awareness(p<0.001), oral habits(p<0.01), and temporomandibular joint symptom(p<0.01). Conclusions: The necessity of mouth guards should be emphasized to prevent the serious oral trauma. It is very important to establish the rule for mouth guard use in sports activities. Therefore, oral and maxillofacial trauma prevention education program is needed.

악안면 외상 후 식립된 임플란트의 예후에 관한 연구

전하룡(Ha-Ryong Jeon),김종원(Jong-Won Kim),홍종락(Jong-Rak Hong),김창수(Chang-Soo Kim) 대한구강악안면외과학회 2006 대한구강악안면외과학회지 Vol.32 No.4

Purpose The purpose of this study was to evaluate the success rate of dental implant on post-traumatic region to rehabilitate missing teeth Patients and Methods 5 patients who had been treated due to maxillofacial trauma during 2000 to 2004 at samsung medical center were selected for this study. 22 dental implants were installed to them for restoring missing teeth. The success rate of these dental implants was evaluated with criteria by T. Albrektsson .We divided installed 22 implants into 2 categories. One category consisted rough surface implants group and smooth surface implants group. And the other category consisted more healing group and less healing group. The healing time was calculated from point of trauma. Results The success rate of dental implants is 68.2% that is lower than other studies because of poor vascularity of bone bed and mechanical stress according to trauma. Rough surface implants group and More healing group showed superior success rate to others. (P < 0.05) Conclusion We found that to increase success rate, it may need rough surface implants and longer healing period.

A CLINICAL STUDY OF THE ORAL AND MAXILLOFACIAL FRACTURE

Lee, Hyun-Woo,Jee, Yu-Jin,Ryu, Dong-Mok,Lee, Deok-Won,Kim, Jae-Hwan Korean Academy of Dental Science 2009 Journal of korean dental science Vol.2 No.1

With today's social and cultural personal interactions, greater leisure time and participation in sports activities, and growing traffic volume, the risk of physical trauma has increased markedly. This is a clinical and retrospective study of patients exposed to oral and maxillofacial trauma. We clinically observed 72 patients with trauma in the Department of Oral and Maxillofacial Surgery, Kyunghee University Dental Hospital, from June 2006 through November 2007. The following data was obtained: 1. The male:female ratio of patients having experienced physical trauma was 6.2:1, with most patients in their twenties. 2. Traffic accident (37.5%) was the most common cause of trauma. 3. The highest incidence of fracture occurred to the zygomatic arch(22.1%) among mid-facial fractures and angle(37.5%), symphysis(35.4%) in mandible fractures. 4. Open reduction (88.9%) was the most frequently used form of treatment. Closed reduction was performed on the remaining 11.1% of cases. 5. Teeth and alveolar bone damage occurred in 23.6% of all cases. 6. Other injuries that were related to mid-face fracture occurred in 27.8% of all cases. 7. Post-operative complications occurred in 31.9% of cases, and the highest complication was the nerve injury.

악안면 손상후 Serum Transaminase 수치의 변화에 관한 연구

김영균(Kim Young Kyun),여환호(Yeo Hwan Ho),양인석(Yang ln Sug) 대한구강악안면외과학회 1994 대한구강악안면외과학회지 Vol.20 No.2

Abnormalities of hepatic function and morpholgy have been observed frequently in severely injured patients. The causes of these abnormalities are not established although hepatic ischemia has been implicated. In this study, elevated serum enzymatic changes(SGOT SGPT) were observed in 34 of 103 patients with maxillofacial trauma. They usually recovered at normal values before receiving an operation and complete recovery was seen before discharge. We must differentiate the true liver disease from the trauma-related false abnormal liver function. The careful study of elevated SGOT and SGPT levels in the injured patient is important in the assessment of those individuals who are at risk for drug related complications and potential misdiagnosis of the true liver disease.

제주 지역 간호사의 구강 악안면 영역 손상에 대한 응급 처치 인식도

이병진(Byoung-Jin Lee),송효정(Hyo-Jeong Song),임길채(Gil-Chai Lim),감세훈(Se-Hoon Kahm),김성준(Sung-Joon Kim) 대한치과의사협회 2012 대한치과의사협회지 Vol.50 No.12

The purposes of this work were to assess the cognition of the registered nurse(RN) on oral and maxillofacial emergency treatment and to compare cognition of the RN with that of the 119 emergency medical technician(EMT). 450 RNs who were working at each of secondary hospitals in Jeju province had responded to the questionnaire. Independent sample t-test and chi-square test were used to assess the state of RN on dental emergency treatment and to compare RN with EMT. The question "education time on dentistry in formal education" that marked "0 hour" and "1-3 hours" were 73.3% and 20.0%, respectively. The question "refresher training class on dentistry" that marked "0 hour" and "1-3 hours" were 92.9% and 6.7%, aggregately 99.6%. The results showed low score in the question "reduction of temporo-mandibular joint(TMJ)"(1.67±0.857), "fixation of dislocated TMJ"(1.70±0.853) and "post-avulsed tooth treatment"(1.78±0.774) by 5-point Likert scale. Likewise, the scores were 2.02±0.806 in the question "treatment of maxillofacial trauma", 2.76±1.061 in the question "emergent care of avulsed tooth", 2.70±1.095 in the question "treatment time of avulsed tooth" and 2.79±1.056 in the question "mouth guard", respectively. Compared to EMT, results of RN showed a statistically lower figure(ph0.05) in all items compared except the question "medicine control", and the question "doctor care in emergency room" was borderline(p=0.069). From this study, it is necessary for RN and student of nursing science to be educated on the oral and maxillofacial emergency treatment for the initial management of injuries. Authors suggest further co-study and nation-wide research with nursing care.

길리씨 접근법을 통한 협골궁 골절의 정복

신동근,김영수,심우섭,정한진 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.11

Background and Objectives The incidence of facial bone fracture is increasing. The zygomaticbone, due to its anatomical prominence, is the second most common site of all facialbone fractures. In this study, we present the clinical experiences of zygomatic arch fracture ina tertiary hospital and introduce the Gillies approach for reduction and its outcome results. Subjects and Method We collected data from retrospective chart reviews of patients whounderwent surgeries from 2010 to 2017 for zygomatic arch fractures at Chungbuk NationalUniversity Hospital. Data were analyzed according to age, gender, cause of trauma, locationof trauma, and clinical symptoms including trismus. All surgery was performed under generalanesthesia and via the use of Gillies approach. The result of surgery was evaluated by postoperativefacial computed tomography. Results Sixteen patients underwent surgery for zygomatic arch fracture. The patients hadthe average age of 41.3 years, a male predominance of 15:1 and physical assault as the mostcommon cause of trauma. The time lag between injury and surgical reduction was 5.5 days. The surgical outcomes were assessed ‘good’ in 14 cases and ‘moderate’ in one case. Patientswho had trismus preoperatively were resolved of it in all cases after operation. Postoperativecomplications were absent. Conclusion The Gillies approach proved to be a relatively easy, safe, and reliable method, andits surgical outcomes was satisfactory in our experiences.

Epidemiology of Facial Bone Fractures During the Coronavirus Disease 2019 Pandemic: A Single Korean Level I Trauma Center Study

( Min Ji Kim ),( Kyung Min Yang ),( Hyoseob Lim ) 대한외상학회 2021 大韓外傷學會誌 Vol.34 No.4

Purpose: The medical community has been heavily impacted by the coronavirus disease 2019 pandemic. The management of facial trauma patients has been affected by the patient capacity of emergency rooms. In this study, we share our experiences of facial trauma management during the social lockdown period and investigate the epidemiological changes in facial bone fractures. Methods: A total of 997 patients who presented to Ajou University Hospital Emergency Center and were evaluated by plastic or maxillofacial surgeons for facial trauma were included in this retrospective study. Our study design was a comparative study of two groups: the 2019 group (control) and the 2020 group (the experimental group that experienced social lockdown). Results: The total number of emergency room inpatients reflected the national pandemic trends with three peaks in patient numbers. According to these trends, facial bone fractures had two different low points in August 2020 and December 2020. A comparison of the 2019 and 2020 facial bone fractures did not show a statistically significant difference in the total number of patients. An analysis of the causes of trauma showed that domestic accidents increased in 2020 (30.92%; p<0.001). Among the anatomical sites of facial injury in surgical patients, the frontozygomatic complex fracture increased the most in 2020 (p=0.018). Facial injuries with two separate sites of injury or with three or more involved sites also showed a significant increase in 2020 (p<0.001). Conclusions: We demonstrated that the incidence of facial trauma patients correlated with the incidence of patients presenting to the emergency department and that facial trauma is inextricably related to multi-trauma cases. Domestic accidents and facial trauma with multiple anatomically involved sites are increasing trends that need more attention.

Evaluation of safety and usefulness of submental intubation in panfacial trauma surgery

Mohanavalli Singaram,Ilango Ganesan,Radhika Kannan,Rajesh Kumar 대한구강악안면외과학회 2016 대한구강악안면외과학회지 Vol.42 No.2

Objectives: Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Surgeons should have various options for airway management in maxillofacial trauma patients. Most maxillofacial injuries involve occlusal derangements, which might require intraoperative occlusal corrections; hence, orotracheal intubation is not ideal. Maxillofacial surgeons generally prefer nasotracheal intubation; however, in cases with concomitant skull base fracture or nasal bone fracture, nasotracheal intubation might not be suitable; in these situations, tracheostomy is typically performed. However, the possible complications of tracheostomy are well known. Due to trauma situations and to avoid the complications of tracheostomy, submental intubation would be an ideal alternative procedure in selected maxillofacial trauma surgery patients. This study aimed to evaluate the safety and usefulness of a submental intubation technique for panfacial trauma surgery. Moreover, we intended to share our experience of submental intubation and to recommend this simple, safe procedure for certain panfacial trauma surgeries. Materials and Methods: In five panfacial trauma patients, we performed submental intubation for airway management; the mean time required for the procedure was only eight minutes. Results: We were able to execute this procedure safely in a short time without any intraoperative or postoperative complications. Conclusion: Submental intubation is a safe and simple technique for airway management in indicated panfacial trauma surgery patients.

한국 초·중·고등학생들의 측두하악장애 유병상태와 악안면외상과의 관련성

정기호,권호근,김진범,최충호 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.2

The purpose of this population-based epidemiologic study was to clarify the tempromandibular disorders prevalence, the maxillofacial trauma experience rate and the relation between maxillofacial truma and tempromandibular discorders in 6-14 and 16 years old korean children who were selected through the stratified random sampling method. the results are as follows; 1. The prevalence of tempromandibular clicking sounds was 1.28% in elementary students, 11.05% in middle school students, 20.07% in high school students, with an overall 6.30%. The result of the statistical test showed that girls experienced more tempromandibular clicking sounds than boys(p<0.05). 2. The prevalence of tempromandibular pain was 0.51% in elementary students, 1.95% in middle school students, 7.04% in high school students, with an overall 20.07%. 3. The prevalence in mouth opening limitation was 0.04% in elementary students, 1.36% in middle school students, 5.85% in high school students, with an overall 1.06%. 4. The percentage of treatment experience for the tempromandibular disorders was 0.00% in elementary students, 0.77% in middle school students, 2.12% in high school students, with an overall 0.46% 5. The maxillofacial trauma experience rate was 5.45% in elementary students, 9.11% in middle school students, and 11.89% in high school students, with an overall 7.22%. Males experienced more maxillofacial trauma than females(p<0.01), and urban students experienced more than rural students)p<0.05). 6. The results of the relation betwwen maxillofacial trauma and tempromandibuar disorders showed there were statistically significant realtionship between the tempromandibular experience and the clicking sound(odds ratio 1.86), and between the maxillofacial trauma and tempromandibular disorders(odds ratio 1.79).

일부 대학생의 악안면외상경험과 측두하악장애 유병상태와의 관련성

전은숙(Eun-Suk Jeon),이정화(Jung-Hwa Lee) 한국콘텐츠학회 2009 한국콘텐츠학회논문지 Vol.9 No.7

이 연구는 악안면외상경험과 측두하악장애 유병상태와의 관련성을 조사하여 측두하악장애의 예방과 치료계획에 도움을 주고자 울산광역시에 소재한 C보건대학 학생 370명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 이용하여 분석하여 다음과 같은 결론을 얻었다. 1. 측두하악관절잡음 유병률은 남학생 25.7%, 여학생 22.7%로 남학생이 측두관절잡음 발생이 높았으나(p<0.01), 학년별로는 유의한 차이를 보이지 않았다. 2. 측두하악동통 유병률은 여학생이 높게 나타났다. 3. 개구장애 유병률은 여학생 10.8%, 남학생 7.0%로 여학생이 개구장애 발생이 약간 높게 나타났다. 4. 측두하악장애로 인한 치료경험은 남학생 6.5%, 여학생 4.3%로 남학생이 측두하악장애 치료경험률이 높게 나타났다(p<0.05). 5. 악안면외상 경험률은 남학생이 높게 나타났으며(p<0.01), 악안면외상 경험 경로 중 넘어짐이 가장 많았으며, 운동, 기타 순으로 나타났다. 6. 악안면 외상과 측두하악장애와의 관련성은 악악면외상과 측두하악관절잡음 간에 통계적으로 유의한 관련성을 보였다(p<0.01). 이상의 결과 악안면외상 경험유무와 측두하악장애간에는 관련성이 존재하며 악안면외상을 측두하악장애 발생의 기여요인으로 볼 수 있겠다. 따라서 향후 측두하악장애를 일으키는 요인이 무엇인지 그 관련요인에 대한 추가연구가 필요하다고 사료된다. This study was to investigate the relation between maxillofacial trauma experience and temporomandibular disorder prevalence with a view to helping prevent and cure temporomandibular dysfunctions by conducting a questionnaire survey with 370 students attending C Health Care College located in Ulsan Metropolis. Data collected underwent an analysis using SPSS program, resulting in the following:1. As for TMJ(temporomandibular joint) clicking prevalence rate, with 25.7% of male students and 22.7% of female students answering positively, the former showed higher rate of temporomandibular joint clicking(p<0.01), while no significant difference was identified depending on school years. 2. In terms of temporomandibular pain prevalence rates, females were found to have been more affected than male students. 3. When it comes to trismus prevalence rates, 10.8% of female students and 7.0% of male students responded they had experienced the dysfunction and female students showed slightly higher rate of trismus prevalence. 4. 6.5% of males and 4.3% of female students responded they had got treatment experience resulting from temporomandibular disorders, indicating that more male students had gone through treatment for temporomandibular disorders(p<0.05). 5. Male students showed higher experience rate of maxillofacial trauma(p<0.001), mostly due to falling or tumbling down, followed by exercises and etc. 6. The relation between maxillofacial trauma and temporomandibular disorders showed statistically significant relation between maxillofacial trauma and TMJ(temporomandibular joint) clicking(p<0.01).