神戸大学附属図書館デジタルアーカイブ
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https://hdl.handle.net/20.500.14094/90007714
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2024-04-25
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90007714 (fulltext)
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297 KB
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メタデータID
90007714
アクセス権
open access
出版タイプ
Accepted Manuscript
タイトル
Dental injuries caused by endotracheal intubation - A retrospective study
著者
Kakei, Yasumasa ; Akashi, Masaya ; Kashin, Masahiko ; Komori, Sayaka ; Komori, Takahide
著者ID
A2217
研究者ID
1000070772896
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3e2a39a5f4448ccc520e17560c007669
著者名
Kakei, Yasumasa
筧, 康正
カケイ, ヤスマサ
所属機関名
医学部附属病院
著者ID
A1492
研究者ID
1000040597168
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=b7649a2950dc725a520e17560c007669
著者名
Akashi, Masaya
明石, 昌也
アカシ, マサヤ
所属機関名
医学研究科
著者名
Kashin, Masahiko
著者名
Komori, Sayaka
著者ID
A0121
研究者ID
1000050251294
著者名
Komori, Takahide
古森, 孝英
コモリ, タカヒデ
所属機関名
大学院医学研究科 医科学専攻
収録物名
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
巻(号)
29(6)
ページ
518-521
出版者
Elsevier
刊行日
2017-11
公開日
2020-12-24
抄録
Objective: Dental injury is the most common complication of general anaesthesia. The primary purpose of this study was to report the occurrence, location, type, and treatment of dental injury caused by endotracheal intubation. Methods: This retrospective study evaluated 36,627 cases of general anaesthesia at our hospital from January 2008 through December 2015. The examination items included risk factors such as age; sex; surgical department; type of intubation(orotracheal or nasotracheal intubation); presence of preoperative trismus; Cormack–Lehane classification; experience of the attending anaesthesiologist; intubation appliance; mouth guard use; tooth mobility diagnosed by attending anaesthesiologist before surgery; the location, type, and treatment of injured teeth; and forensic implications. Results: The incidence of dental injury was 0.06% (22 of 36,627 patients). There was a significant difference in the rate of dental injury according to age (0.026% among those <60 years of age vs. 0.096% among those ≥60 years; P < 0.05) and according to surgical department (0.189% among neurosurgery patients; P < 0.05). The most common Cormack–Lehane classification of laryngeal view in the 22 patients with dental injury was grade 2 (50%). Tooth mobility was diagnosed by anaesthesiologists in 50% of injured patients before surgery. There was no preoperative dental consultation in our department in any of the patients with injured teeth. Conclusions: Dental screening is recommended for patients in whom anaesthesiologists find mobile teeth and difficult intubation. A system to facilitate cooperation between anaesthesiologists and dental surgeons should be established.
キーワード
Dental injury
Complication
General anaesthesia
Endotracheal intubation
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© 2017 Asian AOMS, ASOMP, JSOP, JSOMS, JSOM, and JAMI. Published by Elsevier Ltd.
This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
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資源タイプ
journal article
言語
English (英語)
ISSN
2212-5558
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eISSN
2212-5566
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NCID
AA12706726
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関連情報
DOI
https://doi.org/10.1016/j.ajoms.2017.06.010
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