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Surgical site infection orthognathic

Jeffrey C Posnick, Elbert Choi, Anish Chavda
PURPOSE: Frequency estimates of surgical site infection (SSI) after orthognathic surgery vary considerably. The purpose of this study was to determine the incidence and site of SSIs and associated risk factors after bimaxillary orthognathic, osseous genioplasty, and intranasal surgery. MATERIALS AND METHODS: The authors executed a retrospective cohort study of patients with a bimaxillary developmental dentofacial deformity (DFD) and symptomatic chronic obstructive nasal breathing...
September 20, 2016: 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
Hideo Shigeishi, Mohammad Zeshaan Rahman, Kouji Ohta, Shigehiro Ono, Masaru Sugiyama, Masaaki Takechi
The present study reviewed the records of 58 patients who underwent orthognathic surgery [sagittal split ramus osteotomy (SSRO), Le Fort I osteotomy, genioplasty, anterior maxillary alveolar osteotomy] between 2010 and 2015. To investigate the influence of preoperative oral health care on postoperative inflammation, infection and length of hospital stay in those patients, white blood cell (WBC) count and C-reactive protein (CRP) levels were compared between patients who received and did not receive preoperative oral care...
January 2016: Biomedical Reports
Christopher Madsen, Denver Lough, Alan Lim, Raymond J Harshbarger, Anand R Kumar
BACKGROUND: Military pediatric plastic surgery humanitarian missions in the Western Hemisphere have been initiated and developed since the early 1990 s using the Medical Readiness Education and Training Exercise (MEDRETE) concept. Despite its initial training mission status, the MEDRETE has developed into the most common and advanced low level medical mission platform currently in use. The objective of this study is to report cleft- and craniofacial-related patient outcomes after initiation and evolution of a standardized treatment protocol highlighting lessons learned which apply to civilian plastic surgery missions...
June 2015: Journal of Craniofacial Surgery
Stephan Ariyan, Janet Martin, Avtar Lal, Davy Cheng, Gregory L Borah, Kevin C Chung, John Conly, Robert Havlik, W P Andrew Lee, Mary H McGrath, Julian Pribaz, V Leroy Young
BACKGROUND: There is a growing concern for microbial resistance as a result of overuse of antibiotics. Although guidelines have focused on the use of antibiotics for surgery in general, few have addressed plastic surgery specifically. The objective of this expert consensus conference was to evaluate the evidence for efficacy and safety of antibiotic prophylaxis in plastic surgical procedures. METHODS: THE AUTHORS: searched for existing high-quality systematic reviews for antibiotic prophylaxis in the literature from the MEDLINE, Cochrane Library, and Embase databases...
June 2015: Plastic and Reconstructive Surgery
Romina Brignardello-Petersen, Alonso Carrasco-Labra, Ignacio Araya, Nicolás Yanine, Luis Cordova Jara, Julio Villanueva
BACKGROUND: Orthognathic surgery (OS) is a term that refers to many elective surgical techniques to correct facial deformity; the associated malocclusion and functional disorders related to the stomatognathic system. Whilst such surgery is classed as "clean-contaminated", the usefulness of and the most appropriate regimen for antibiotic prophylaxis in these patients are still debated. OBJECTIVES: To assess the effects of antibiotic prophylaxis for preventing surgical site infection (SSI) in people undergoing orthognathic surgery...
January 5, 2015: Cochrane Database of Systematic Reviews
Olindo Massarelli, Roberta Gobbi, Andrea Biglio, Damiano Soma, Antonio Tullio
The authors evaluate the use of an osteomyocutaneous fibula free flap, combined in a chimeric fashion, with a lateral supramalleolar flap, in 10 patients with composite head and neck defects. All reconstructions were performed successfully. With the exception of one patient who died after disease recurrence, all patients were decannulated and resumed an oral diet. Speech intelligibility was good in seven of 10 patients. Dental implants were used in two of 10 patients, with a total of 10 fixtures placed successfully...
January 2014: Plastic and Reconstructive Surgery
Sormani Bento Fernandes de Queiroz, Pedro Augusto Bulhões Curioso, Francisco Samuel Rodrigues Carvalho, Valthierre Nunes de Lima
The use of bonded orthodontic molar tubes is becoming more prevalent in orthodontics because they have some advantages over conventional bonding. However, a bonded apparatus can become detached, leading to complications. This article presents the case of a submandibular-space abscess associated with a molar tube that detached during orthognathic surgery and became embedded in the soft tissues. The site became infected, and antibiotics were prescribed. Eventually, the molar tube migrated and could be removed under local anesthesia...
May 2013: American Journal of Orthodontics and Dentofacial Orthopedics
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
Marina Kuhlefelt, Pekka Laine, Anna L Suominen, Christian Lindqvist, Hanna Thorén
PURPOSE: This study was conducted to determine risk factors for infections after orthognathic surgery. PATIENTS AND METHODS: This was a retrospective cohort study, including files of patients who had undergone 1-jaw orthognathic surgery (ie, bilateral sagittal split osteotomy or Le Fort I osteotomy) during a 7-year period. The outcome variable was surgical site infection. Predictor variables were age, gender, general disease, smoking habit, site of orthognathic surgery, duration of operation, type of osteosynthesis material, and use of postoperative drainage...
July 2012: Journal of Oral and Maxillofacial Surgery
Anil Kumar Danda, Poornima Ravi
PURPOSE: To conduct a systematic review of published clinical trials on the effectiveness of extended postoperative antibiotics in orthognathic surgery. MATERIALS AND METHODS: Electronic databases were searched for randomized clinical trials. Data from relevant articles were extracted and assessed. The primary outcome variable was surgical site infection. Extracted data were analyzed using a meta-analytical program with a random effects model. RESULTS: In total 532 patients were assessed in 8 clinical trials...
October 2011: Journal of Oral and Maxillofacial Surgery
B Imholz, M Richter, I Dojcinovic, M Hugentobler
INTRODUCTION: Maxillary non-union following Le Fort I osteotomy is a rare complication in orthognathic surgery. We report our experience and analyze the possible etiological factors. PATIENTS AND METHOD: We retrospectively analyzed the files of 150 patients having undergone Le Fort I osteotomy, between 1996 and 2006, screening for maxillary non-union. We documented patients' features of: sex, age, medical history, indication, orthodontics, osteotomy type(s) and displacement(s), osteosynthesis, quality of dental occlusion, orthodontics, clinical signs supporting a diagnosis of non-union, radiologic examinations, peroperative observations and surgical revision, outcome after surgical revision...
November 2010: Revue de Stomatologie et de Chirurgie Maxillo-faciale
Bart Falter, Serge Schepers, Luc Vrielinck, Ivo Lambrichts, Herbert Thijs, Constantinus Politis
OBJECTIVES: The objectives of this study were to determine the incidence of bad splits in sagittal split osteotomies (SSOs), performed at the same hospital, and if the occurrence was reduced over time because of technical progress and/or surgical experience. Bad splits were defined as buccal or lingual plate fractures. STUDY DESIGN: The files of all patients (n = 1008) who underwent bilateral or unilateral SSO between October 1989 and October 2009 were reviewed retrospectively...
October 2010: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Michael Miloro
PURPOSE: Mandibular retrognathia may cause upper airway obstruction in the pediatric patient due to tongue collapse and physical obstruction in the hypopharyngeal region. Mandibular distraction osteogenesis (DO) may be a useful treatment option to avoid tracheostomy. This study reviews 35 patients who underwent DO as treatment for concomitant jaw discrepancy and corrective airway management. PATIENTS AND METHODS: Thirty-five consecutive patients, 20 male and 15 female, with airway obstruction were evaluated retrospectively using clinic and hospital records...
July 2010: Journal of Oral and Maxillofacial Surgery
Yu-Seok Ahn, Su-Gwan Kim, Sung-Mun Baik, Byung-Ock Kim, Hak-Kyun Kim, Seong-Yong Moon, Sung-Hoon Lim, Young-Kyun Kim, Pil-Young Yun, Jun-Sik Son
PURPOSE: The purpose of the present study was to evaluate the clinical application of resorbable and nonresorbable plates for correction of facial asymmetry. PATIENTS AND METHODS: A total of 272 patients who had undergone orthognathic surgery were enrolled. The site of osteotomy was fixed using a nonresorbable plate in group I (n = 152) and using a resorbable plate in group II (n = 120). The postoperative complications included postoperative anterior open bite, infection, temporomandibular joint dysfunction, and postoperative relapse...
February 2010: Journal of Oral and Maxillofacial Surgery
A Barrier, P Breton, R Girard, J Dubost, P Bouletreau
INTRODUCTION: Surgical site infections (SSI) in orthognathic surgery are considered infrequent and without any important consequence for the final operative result. A procedure of epidemiological surveillance was implemented to determine the frequency of SSI in orthognathic surgery and to better document their risk factors. MATERIAL AND METHOD: This prospective study included all interventions in our orthognathic surgery department between September 1(st) 2006 and August 31(st) 2007...
June 2009: Revue de Stomatologie et de Chirurgie Maxillo-faciale
Sang-Hoon Kang, Jae-Ha Yoo, Choong-Kook Yi
PURPOSE: This study examined the efficacy of the postoperative prophylactic antibiotics used in orthognathic surgery. The prevalence of surgical site infections (SSIs) was determined according to the use of postoperative prophylactic antibiotics. PATIENTS AND METHODS: Fifty-six patients were divided into 2 groups. Each patient intravenously received 1.0 g of a third-generation cephalosporin (Cefpiramide) 30 minutes before surgery. Among them, 28 patients in the control group received 1...
February 28, 2009: Yonsei Medical Journal
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
Yannick J E Spaey, Rolf M A Bettens, Maurice Y Mommaerts, Jo Adriaens, Herman W Van Landuyt, Johan V S Abeloos, Calix A S De Clercq, Philippe R B Lamoral, Luc F Neyt
AIM: According to an earlier study in 2000, 4.7% of patients undergoing corrective facial orthopaedic surgery in this unit suffered a postoperative wound infection. In 1998, the Belgian Government recommended stricter rules for infection prophylaxis and a new antibiotic protocol similar to that proposed by Peterson (1990) was implemented in this unit. The new protocol was to be evaluated. MATERIAL AND METHODS: Eight hundred and ten consecutive patients were selected receiving orthognathic surgery (Le Fort I-type osteotomies, sagittal split osteotomies, segmental and chin osteotomies)...
February 2005: Journal of Cranio-maxillo-facial 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
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