若年者の顎矯正手術後に生じた深部静脈血栓症の1例 A case of deep venous thrombosis after orthognathic surgery in a young adult

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著者

    • 津端 久美子 TSUBATA Kumiko
    • 新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野 Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
    • 福田 純一 FUKUDA Jun-ichi
    • 新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野 Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
    • 藤田 一 [他] FUJITA Hajime
    • 新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野 Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
    • 安島 久雄 AJIMA Hisao
    • 新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野 Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
    • 小野 和宏 ONO Kazuhiro
    • 新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野 Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
    • 高木 律男 TAKAGI Ritsuo
    • 新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野 Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences

抄録

Deep venous thrombosis (DVT) is caused by obstruction of blood flow of the deep vein of the leg and accelerated blood coagulating activity. DVT may occur after an operation. However, there are few reports of DVT associated with surgery of the oral and maxillofacial region, especially in young adults.<BR>We report a case of DVT occurring after orthognathic surgery in a 19-year-old woman at our hospital. She had facial asymmetry and underwent Le Fort I osteotomy of the maxilla combined with sagittal splitting ramus osteotomy and intraoral vertical ramus osteotomy of the mandible under general anesthesia. Although she was able to walk the next day, symptoms of DVT appeared 3 days after the operation. On the 18th day after the first operation, surgery to remove the thrombus was performed by cardiovascular surgeons. She was discharged on the 34th day after the first operation.<BR>Orthognathic surgery is not free of the risk of DVT, which can cause fatal acute pulmonary thromboembolism. Therefore, it is necessary to prevent DVT after orthognathic surgery, even in young adults.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 51(10), 520-523, 2005-10-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018954528
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7708909
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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