在整形手术后产生的外周诱导的口腹
1Department of Oral and Maxillofacial Surgery, National Hospital Organization, Kyoto Medical Center, Kyoto, JPN.
Cureus
|November 4, 2025
概括
口类 dystonia (OMD) 可以发生在正手术后,虽然它很少报告,经常被诊断不足. 外科医生的早期意识对于及时诊断和管理这种并发症至关重要.
科学领域:
- 口腔和牙面部外科手术
- 神经学 神经学
- 运动障碍 运动障碍
背景情况:
- 周围诱导的运动障碍是与创伤或手术相关的高动力状况.
- 口腔 dystonia (OMD) 是最常见的周围诱导运动障碍在口腔神经系统.
- 在整形外科手术后的OMD很少被记录.
研究的目的:
- 为了描述OMD在经过orthognathic手术后的发展.
- 分析临床特征,延迟和治疗结果.
- 为了提高人们对这种潜在并发症的认识.
主要方法:
- 京都医疗中心 (2007-2025) 六名患者的回顾性病例系列.
- 纳入标准:手术后3个月内出现OMD,解剖相关性,患者报告的因果关系.
- 分析临床特征,手术史,潜伏期和治疗结果.
主要成果:
- 六名患者 (平均年龄35.2岁) 在经过orthognathic手术后发展了OMD.
- OMD亚型包括关,舌头,开和偏差.
- 平均延迟到OMD发病时间为39.5天;平均延迟到转诊时间为40.3个月.
- 毒素注射提供了症状改善;最初的手术关联往往错过了.
结论:
- OMD是一种潜在的,尽管很少见,而且可能被诊断得不够好,是整形外科手术的后果.
- 口腔和面外科医生需要意识到这种并发症.
- 及时诊断和管理对于受影响的患者至关重要.
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