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Surgical site infection maxillofacial

Hai-Jiang Sun, Lei Xue, Chuan-Bin Wu, Qing Zhou
PURPOSE: The aim of this study was to describe the effect of vancomycin-impregnated calcium sulfate in the treatment of osteomyelitis of the jaw. MATERIALS AND METHODS: Twelve patients who were diagnosed with osteomyelitis of the jaw underwent treatment with vancomycin-impregnated calcium sulfate since July 2014 at the Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University (Shenyang, China). All patients underwent debridement of nonviable bone and implantation of vancomycin-impregnated calcium sulfate...
June 27, 2016: Journal of Oral and Maxillofacial Surgery
Claudia Flores, Stephanie Degoutin, Feng Chai, Gwenael Raoul, Jean-Chritophe Hornez, Bernard Martel, Juergen Siepmann, Joel Ferri, Nicolas Blanchemain
Trauma and orthopedic surgery can cause infections as any open surgical procedures. Such complications occur in only1 to 5% of the cases, but the treatment is rather complicated due to bacterial biofilm formation and limited drug access to the site of infection upon systemic administration. An interesting strategy to overcome this type of complications is to prevent bacterial proliferation and biofilm formation via the local and controlled release of antibiotic drugs from the implant itself. Obviously, the incorporation of the drug into the implant should not affect the latter's biological and mechanical properties...
July 1, 2016: Materials Science & Engineering. C, Materials for Biological Applications
Andreas Sakkas, Ioannis Konstantinidis, Karsten Winter, Alexander Schramm, Frank Wilde
BACKGROUND: Sinuslift is meanwhile an established method of bone augmentation in the posterior maxilla. Aim of the study was to evaluate the significance of intraoperative Schneiderian membrane perforations during maxillary sinus floor elevation surgery using autogenous bone harvested from two different donor sites using a Safescraper device on the success rate, graft survival and implant integration. METHODS: The investigators conducted a retrospective cohort study at the Department of Oral and Maxillofacial Surgery of Military Hospital Ulm composed of patients with severe maxillary atrophy who underwent sinus augmentation from January 2011 until December 2011...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
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
Z Pan, P M Patil
INTRODUCTION: A 5-year retrospective study evaluated the incidence and causes for removal of titanium miniplates. MATERIAL AND METHODS: The surgical records of 156 patients treated with rigid internal fixation after maxillofacial traumas were reviewed. Study variables included age, sex, site of fracture, site and number of plates, time of plate removal and reasons for plate removal. RESULTS: Of 384 plates used for fixation, 35 plates (9 %) in 21 patients (13...
October 2014: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Andreas Sakkas, Alexander Schramm, Winter Karsten, Nils-Claudius Gellrich, Frank Wilde
PURPOSE: The aim of this study was to evaluate the possibility of using the zygomatic buttress as an intraoral bone harvesting donor site and determine the safety of this harvesting procedure for later optimal positioning of dental implants in accordance with prosthodontic and functional principles. MATERIAL AND METHODS: A consecutive retrospective study was conducted on patients who had been treated at the Department of Oral and Maxillofacial Surgery of Ulm military and academic hospital, over a 3-year period (January 2008 to December 2010)...
March 2016: Journal of Cranio-maxillo-facial Surgery
Vivekanand S Kattimani, Pandi Srinivas Chakravarthi, Lingamaneni Krishna Prasad
BACKGROUND: Improving quality of human life has been the rationale for increase in the applications of bone substitute materials for bone regeneration. High prevalence of loss of bone tissue due to disease remains a major challenge for reconstruction. Shortcomings of autografts and allografts have made the clinicians go for artificial implant materials. AIM AND OBJECTIVE: To prospectively study the structural and esthetic reconstruction of resected mandibular site with biograft porous block hydroxyapatite (BBHA)...
January 2016: Journal of Craniofacial Surgery
Hideo Shigeishi, Kouji Ohta, Masaaki Takechi
OBJECTIVE: The objective of this study was to clarify significant risk factors for postoperative complications in the oral cavity in patients who underwent oral surgery, excluding those with oral cancer. MATERIAL AND METHODS: This study reviewed the records of 324 patients who underwent mildly to moderately invasive oral surgery (e.g., impacted tooth extraction, cyst excision, fixation of mandibular and maxillary fractures, osteotomy, resection of a benign tumor, sinus lifting, bone grafting, removal of a sialolith, among others) under general anesthesia or intravenous sedation from 2012 to 2014 at the Department of Oral and Maxillofacial Reconstructive Surgery, Hiroshima University Hospital...
July 2015: Journal of Applied Oral Science: Revista FOB
Aleksandar Kiralj, Nada Vučković, Ivana Mijatov
INTRODUCTION: Bronchogenic cysts are rare congenital anomalies of the embryonic foregut. They are caused by abnormal budding of diverticulum of the embryonic foregut between the 26th and 40th day of gestation. Bronchogenic cysts can appear in the mediastinum and pulmonary parenchyma, or at ectopic sites (neck, subcutaneous tissue or abdomen). So far, 70 cases of cervical localization of bronchogenic cysts have been reported. Majority of bronchogenic cysts have been diagnosed in the pediatric population...
May 2015: Srpski Arhiv za Celokupno Lekarstvo
María Mercedes Otero-Rivas, Beatriz González-Sixto, Teresa Alonso-Alonso, Alicia Pérez-Bustillo, Luis Miguel Valladares-Narganes, Manuel Ángel Rodríguez-Prieto
BACKGROUND: Titanium mesh has been employed in neurosurgery, plastic surgery, and maxillofacial surgery as a bone replacement in diverse conditions. We first reported on its use as a substitute for osteocartilaginous nasal structure with satisfactory functional and aesthetic results in 2009. OBJECTIVES: To assess the utility and tolerance of titanium mesh as a substitute of the osteocartilaginous portion of the nose. MATERIALS AND METHODS: Eleven patients were identified who had a nasal reconstruction with titanium mesh...
August 2015: International Journal of Dermatology
Sathya Kumar Devireddy, M Senthil Murugan, R V Kishore Kumar, Rajasekhar Gali, Sridhar Reddy Kanubaddy, M Sunayana
INTRODUCTION: Functional and cosmetic defects in maxillofacial region are caused by various ailments like trauma, neoplasm, developmental, infections and iatrogenic causes. Reconstruction of these defects with free flaps remains the gold standard but demerits like need for surgical expertise and equipment, prolonged duration of surgery, compliance of the patient and increased cost are associated with microvascular reconstruction. Hence reconstruction with nonvascular bone grafts can be considered when defect is nonirradiated and <9 cm and with sufficient soft tissue cover available...
June 2015: Journal of Maxillofacial and Oral Surgery
Hoon Cho, Hwi-Dong Jung, Bok-Joo Kim, Chul-Hoon Kim, Young-Soo Jung
OBJECTIVES: The purpose of this study is to retrospectively evaluate the postoperative complication rates for absorbable type-I collagen sponge (Ateloplug; Bioland) use in third molar extraction. MATERIALS AND METHODS: From January to August 2013, 2,697 total patients undergoing third molar extraction and type-I collagen sponge application in the Department of Oral and Maxillofacial Surgery at Yonsei University Dental Hospital (1,163 patients) and Dong-A University Hospital (1,534 patients) were evaluated in a retrospective study using their operation and medical records...
February 2015: Journal of the Korean Association of Oral and Maxillofacial Surgeons
Matthew W Keller, Peggy P Han, Michael R Galarneau, Curtis W Gaball
The study objectives were to characterize maxillofacial injuries and assess the safety of in-theater facial fracture repair in U.S. military personnel with severe combat trauma from Iraq and Afghanistan. We performed a retrospective chart review of the Expeditionary Medical Encounter Database from 2004 to 2010. 1,345 military personnel with combat-related maxillofacial injuries were identified. Injury severity was quantified with the Abbreviated Injury Scale and Injury Severity Score. Service members with maxillofacial injury and severe combat trauma (Injury Severity Score ≥ 16) were included...
March 2015: Military Medicine
Taranjit Kaur, Gopal Krishnan, Abhimanyu Sharma
BACKGROUND AND OBJECTIVE: Ankylosis of the temporomandibular joint is a clinical entity significant for a maxillofacial surgeon. Since time immemorial humanity is battling with this condition which is not just disfiguring the normal anatomy of the face but severely hampers the function of mastication. In this study we have tried to evaluate and correlate various factors leading to causation of ankylosis of TM Joint along with clinical manifestation and treatment planning as well as outcomes...
March 2015: Journal of Maxillofacial and Oral Surgery
Cui-mei Liu, Hai-yan Lin, Peng-ju Xin, Jian-fen Ding, Kai Hu, Wei Zhang
OBJECTIVE: To evaluate the prophylactic application of antibiotics in oral and maxillofacial surgery and to provide a scientific basis for its reasonable use. METHODS: The use of prophylactic antibiotics in the oral and maxillofacial surgery was conducted in our hospital from January 2011 to August 2013 based on a retrospective survey, and the conditions and affecting factors were analyzed. RESULTS: The utilization rates of prophylactic antibiotics were respectively 98...
February 18, 2015: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Takahiro Kanno, Shintaro Sukegawa, Yoshiki Nariai, Hiroto Tatsumi, Hiroaki Ishibashi, Yoshihiko Furuki, Joji Sekine
OBJECTIVE: The treatment of comminuted mandibular fractures is challenging due to the severity of associated injuries and the need for a careful diagnosis with adequate treatment planning. Recently, open reduction and stable internal fixation (OR-IF) with a load-bearing reconstruction plate have been advocated for reliable clinical outcomes with minimal complications. This clinical prospective study evaluated OR-IF in the surgical management of comminuted mandibular fractures with a new low-profile, thin, mandibular locking reconstruction plate...
July 2014: Annals of Maxillofacial Surgery
Zhen-Hu Ren, Han-Jiang Wu, Hong-Yu Tan, Kai Wang, Sheng Zhang
PURPOSE: Although a promising approach, the use of anterolateral thigh (ALT) free flaps has been limited in the reconstruction of oral and maxillofacial defects in elderly patients. The aim of this study was to estimate the frequency of postoperative complications and identify factors associated with complications. PATIENTS AND METHODS: The authors designed and implemented a retrospective study on the frequency of postoperative complications in elderly patients...
March 2015: Journal of Oral and Maxillofacial Surgery
John Edward O'Connell, Claire Hartnett, Marie Hickey-Dwyer, Gerard J Kearns
This is a 10-year retrospective study of patients with an isolated unilateral orbital floor fracture reconstructed with an autogenous iliac crest bone graft. The following inclusion criteria applied: isolated orbital floor fracture without involvement of the orbital rim or other craniofacial injuries, pre-/post-operative ophthalmological/orthoptic follow-up, pre-operative CT. Variables recorded were patient age and gender, aetiology of injury, time to surgery, follow-up period, surgical morbidity, diplopia pre- and post-operatively (Hess test), eyelid position, visual acuity, and the presence of en-/or exophthalmos (Hertel exophthalmometer)...
March 2015: Journal of Cranio-maxillo-facial Surgery
Haigang Wei, Shuguang Li, Renqian Wei, Yuting Chen
OBJECTIVE: Assessed the feasibility of application of free fibular flap and clinical significance of pre-operational contrast enhanced CT angiography in functional reconstruction of oral and maxillofacial hard and soft tissue defects. METHOD: Eight cases with mandibular and soft tissue defects received a free fibula flap using arteriovenous anastomosis anastomosis method. The relationship between fibula flap design, size, repair parts and survival were analyzed...
August 2014: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Marius Bredell, Klaus Grätz, Joachim Obwegeser, Astrid Kruse Gujer
Management of the temporomandibular joint in ablative head and neck surgery is controversial with no standardized approach. The aim of the study was to establish risk-based guidelines for the management of the temporomandibular joint after ablative surgery. Analysis of all patients' records receiving ablative surgery involving the temporomandibular joint in the Department of Cranio-Maxillofacial and Oral Surgery, University Hospital of Zürich, from 2001 to 2012, was performed, identifying 15 patients and 14 reconstructive procedures...
December 2014: Craniomaxillofacial Trauma & Reconstruction
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