Effect of maxillomandibular fixation on the incidence of postoperative pulmonary atelectasis

Purpose: Our goal was to assess the role of maxillomandibular fixation (MMF) on postoperative atelectasis. Patients and Methods: We examined 64 patients in 2 groups: MMF and non-MMF. Atelectasis was diagnosed by comparing preoperative and postoperative chest radiographs, arterial blood gas analysis,...

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Veröffentlicht in:Journal of oral and maxillofacial surgery 2002-09, Vol.60 (9), p.988-990
Hauptverfasser: Aframian-Farnad, Fariborz, Savadkoohi, Fariba, Soleimani, Mahkameh, Shahrokhnia, Behzad
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container_end_page 990
container_issue 9
container_start_page 988
container_title Journal of oral and maxillofacial surgery
container_volume 60
creator Aframian-Farnad, Fariborz
Savadkoohi, Fariba
Soleimani, Mahkameh
Shahrokhnia, Behzad
description Purpose: Our goal was to assess the role of maxillomandibular fixation (MMF) on postoperative atelectasis. Patients and Methods: We examined 64 patients in 2 groups: MMF and non-MMF. Atelectasis was diagnosed by comparing preoperative and postoperative chest radiographs, arterial blood gas analysis, and axial temperatures. Postoperative chest computed tomography scans were also used as the best way to detect atelectasis. Results: Of the MMF and non-MMF patients, 37.5% and 15.6%, respectively, sustained atelectasis (P .10). PaO2 was decreased in some cases of atelectasis, especially in patients with extensive involvement. Conclusion: MMF should be considered as a contributing factor for postoperative pulmonary atelectasis. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:988-990, 2002
doi_str_mv 10.1053/joms.2002.34401
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Patients and Methods: We examined 64 patients in 2 groups: MMF and non-MMF. Atelectasis was diagnosed by comparing preoperative and postoperative chest radiographs, arterial blood gas analysis, and axial temperatures. Postoperative chest computed tomography scans were also used as the best way to detect atelectasis. Results: Of the MMF and non-MMF patients, 37.5% and 15.6%, respectively, sustained atelectasis (P &lt;.05). Plate type was the most prevalent (71%). The right lung was more involved (59%). Fever was not a significant finding in atelectatic patients (P &gt;.10). PaO2 was decreased in some cases of atelectasis, especially in patients with extensive involvement. 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subjects Adolescent
Adult
Dentistry
Humans
Immobilization - adverse effects
Jaw Fixation Techniques - adverse effects
Mandible - surgery
Mandibular Diseases - surgery
Mandibular Fractures - surgery
Middle Aged
Prospective Studies
Pulmonary Atelectasis - diagnostic imaging
Pulmonary Atelectasis - etiology
Tomography, X-Ray Computed
title Effect of maxillomandibular fixation on the incidence of postoperative pulmonary atelectasis
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