Classification of postoperative edema based on the anatomic division with mandibular third molar extraction

PURPOSE: Several investigations have been performed for a postoperative edema after extraction, but the results have been controversial due to low objectivity or poorly reproducible assessments of the edema. The aim of this study was to suggest a classification and patterns of postoperative edema according to the anatomical division associated with extraction of mandibular third molar as a qualitative evaluation method.

METHODS: This study was conducted forty-four mandibular third molars extracted and MRI was taken within 48 h after extraction. The postoperative edema space was classified by MRI (one anatomic component-buccinator muscle-and four fascial spaces-supra-periosteum space, buccal space, parapharyngeal space, and lingual space), and evaluated independently by two examiners. The inter-examiner reliability was calculated using Kappa statistics.

RESULTS: The evaluation of buccinator muscle edema showed good agreement and the fascial spaces showed constant high agreement. The incidence of postoperative edema was high in the following order: supra-periosteum space (75.00%), buccinator muscle (68.18%), parapharyngeal space (54.55%), buccal space (40.91%), and lingual space (25.00%).

CONCLUSION: Postoperative edema could be assessed clearly by each space, which showed a different tendency between the anatomic and fascial spaces.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Maxillofacial plastic and reconstructive surgery - 43(2021), 1 vom: 19. Jan., Seite 4

Sprache:

Englisch

Beteiligte Personen:

Jeong, Yeong Kon [VerfasserIn]
Ku, Jeong-Kui [VerfasserIn]
Baik, Sung Hyun [VerfasserIn]
You, Jae-Seek [VerfasserIn]
Leem, Dae Ho [VerfasserIn]
Choi, Sun-Kyu [VerfasserIn]

Links:

Volltext

Themen:

Edema
Journal Article
Magnetic resonance imaging
Postoperative complications
Third molar
Tooth extraction

Anmerkungen:

Date Revised 26.01.2021

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1186/s40902-021-00291-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320321355