奈良県立医科大学口腔外科・口腔ケア外来における周術期口腔機能管理症例の臨床的検討

Abstract

A total of 302 patients who enrolled for perioperative oral functional management for a year from April 2013 to March 2014 were analyzed in the Department of Oral and Maxillofacial Surgery, Nara Medical University Hospital. It was intended for patients whose it was possible to calculate the "perioperative oral functional management fee" could be calculated. One hundred and eighty four cases (60.9%) were male and one hundred and eighteen cases (39.1%) were female, and the median age was 67.0 ± 11.1. Most patients were referred from the Department of Cardiovascular Surgery (77 cases, 25.5%). The primary diseases that the patients suffered from comprised 213 cases (68.5%) of malignant tumor, 85 cases (27.3%) of heart disease, and 4 cases (1.3%) of kidney disease. The treatment regimen for the primary diseases comprised 152 cases (50.3%) of radiation therapy or chemotherapy, 119 cases (39.4%) of operations, and 31 cases (10.3%) of hematopoietic stem cell transplantation. The cases that we received included both patients already undergoing the treatment of the primary disease, as well as those whose treatment regimen had not yet started. Amongst the cases without any oral symptoms, 136 cases did not understand the need for oral functional management. Two hundred and forty five cases (81.1%) did not have a family dental clinic. Periodontal treatment was the most common form of oral functional management, followed by tooth extraction, repair and denture adjustment. The introduction rate from specific clinical departments is high. In addition, many patients receive our treatment course without understanding perioperative oral functional management. It is necessary to inform the patient and the physician about the efficacy of perioperative oral functional management.