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Surgical site infection maxillofacial orthognathic

Clayton M Davis, Curtis E Gregoire, Ian Davis, Thomas W Steeves
PURPOSE: The purpose of this study was to determine the effect of a 3- versus 1-day antibiotic regimen on the rate of surgical site infection (SSI) in patients undergoing orthognathic surgery at a department of oral and maxillofacial surgery in Halifax, Nova Scotia, Canada. MATERIALS AND METHODS: A prospective, randomized controlled trial was conducted. All patients received 1 day of intravenous antibiotics after surgery. Then, patients were randomly distributed into groups that received 2 days of additional antibiotics (group A) or placebo (group B)...
April 2017: Journal of Oral and Maxillofacial Surgery
Clayton M Davis, Curtis E Gregoire, Thomas W Steeves, Amanda Demsey
PURPOSE: The purpose of this retrospective study was to determine the prevalence of surgical site infection (SSI) after orthognathic surgery at the Department of Oral and Maxillofacial Surgery of Capital Health and Dalhousie University (Halifax, NS, Canada). PATIENTS AND METHODS: A retrospective chart review of all patients undergoing orthognathic surgery from October 2005 through April 2013 was performed. The outcome variable was SSI. The primary predictor variable was the antibiotic used for prophylaxis...
June 2016: Journal of Oral and Maxillofacial Surgery
Jun-Young Paeng, Jongrak Hong, Chang-Soo Kim, Myung-Jin Kim
INTRODUCTION: Resorbable screw fixation for orthognathic surgery is widely used in oral and maxillofacial surgery and has several advantages. However, surgeons are concerned about using resorbable screws in orthognathic surgery because of possible postoperative complications such as relapse, screw fracture, and infection. The purpose of this study was to evaluate the skeletal stability of bicortical resorbable screw fixation after sagittal split ramus osteotomies for mandibular prognathism...
December 2012: Journal of Cranio-maxillo-facial Surgery
G De Riu, S M Meloni, M T Raho, R Gobbi, A Tullio
The reconstruction of large maxillofacial defects generally requires harvesting bone from extra-oral sites. The main source of autogenous bone is the iliac crest. This donor site is used to obtain bone for augmentation in orthopaedic surgery, neurosurgery, and oral and maxillofacial surgery, where the main indications are secondary and tertiary osteoplasty in patients with cleft-lip and palate, reconstruction of bony defects after operations for tumours, and augmentation of severe atrophy of the alveolar crest in preprosthetic surgery...
December 2008: International Journal of Oral and Maxillofacial Surgery
M R Mosbah, D Oloyede, D A Koppel, K F Moos, D Stenhouse
Records of patients undergoing the surgical removal of miniplates placed during the management of maxillofacial trauma (n=49) and orthognathic surgery (n=16) in a single unit, over a 2-year period have been analysed. Data concerning indications for plating, age and sex distribution, site of plating, time between insertion and removal, antibiotic prophylaxis, general medical factors and clinical indications for plate removal were evaluated for all patients. In addition, data for trauma patients included the site of fracture, and time delay between injury and plate insertion...
April 2003: International Journal of Oral and Maxillofacial Surgery
L Califano, G Coscia, A Zupi, G De Maria
BACKGROUND: Aim of this paper is to define the behaviour of osteosynthesis plates in maxillofacial area and to determine when to remove them. METHODS: The records of 123 patients treated with osteosynthesis plates were retrospectively assessed. Each case had a follow-up of not less than 5 years. Removal as a consequence of poor surgery was excluded from the study. RESULTS: Osteosynthesis occurred in the mandible in 198 cases and in the upper maxilla in 146 cases, with a further 23 cases treated by plating in other sites...
June 2002: Minerva Stomatologica
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