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首页> 外文期刊>Journal of Clinical Medicine Research >Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention
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Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention

机译:地塞米松注射入下颌深部磨牙术后后遗症的舌下间隙与舌下间隙

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Background: The surgical removal of lower third molar is still the most common surgical procedure that is done in oral and maxillofacial surgery field and creates the predictable post-operative sequelae such as pain, swelling, stiffness and difficulty in mouth opening. The purpose of this study is to compare pre-operative dexamethasone injection into pterygomandibular space (PGS) and sublingual space (SLS) in lower third molar intervention of post-operative pain, swelling, and limited mouth opening. Methods: This study is the split-mouth, randomized crossover clinical trial in 30 healthy patients (mean age 21 years). These patients had similar bilateral lower third molar impactions. The patients were randomly divided into two groups receiving either 8-mg dexamethasone injection into SLS or PGS with the 4-week washout period intervention. Clinical assessment of facial swelling and maximum mouth opening was performed before operation and on day 2 and day 7 after operation. The post-operative pain was also measured by patients’ response on pain visual analogue scale (VAS) on the first, second and third day after intervention. Results: There is no significant difference between PGS group and SLS group in pain and swelling on the second and seventh day after operation. However, PGS group showed a greater degree of limited mouth opening than SLS group on the second day after operation. Conclusions: This study showed that 8-mg dexamethasone injection into PGS or SLS was not different in reduction of pain, swelling, and limited mouth opening. This result suggests that dexamethasone injection into PGS or SLS is similarly effective.
机译:背景:下颌第三磨牙的外科手术切除仍是口腔颌面部外科手术领域中最常见的手术方法,会产生可预测的术后后遗症,例如疼痛,肿胀,僵硬和张口困难。这项研究的目的是比较术前下颌第三磨牙干预术中疼痛,肿胀和张口受限的情况,比较术前地塞米松注射入下颌骨间隙(PGS)和舌下间隙(SLS)的情况。方法:本研究是对30例健康患者(平均年龄21岁)进行的双口随机交叉临床试验。这些患者双侧下颌第三磨牙相似。将患者随机分为两组,接受4周冲洗期干预,将8 mg地塞米松注射入SLS或PGS中。术前以及术后第2天和第7天进行面部肿胀和最大张口的临床评估。手术后第一天,第二天和第三天,患者通过疼痛视觉模拟量表(VAS)的反应来测量术后疼痛。结果:PGS组和SLS组在术后第二天和第七天疼痛和肿胀没有显着差异。然而,术后第二天,PGS组比SLS组表现出更大的受限张口程度。结论:这项研究表明,向PGS或SLS注射8毫克地塞米松在减轻疼痛,肿胀和张口受限方面没有区别。该结果表明,地塞米松注射入PGS或SLS同样有效。

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