A prospective study on infectious complications in orthognathic surgery

Spaey, Yannick; Bettens, Rolf M.A; Mommaerts, Maurice Y.; Adriaens, Jo; Landuyt, H. W. Van; Abeloos, J.; Clercq, Calix A.S. De; Lamoral, P.; Neyt, L

doi:10.1016/j.jcms.2004.06.008

Cited by 60 publications

(29 citation statements)

References 16 publications

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“…The blinded clinical assessors evaluated all participants for infection based on the presence of the following clinical criteria, similar to previous studies 3, 26,32,34,38 : drainage or purulent exudates from the surgical site; elevated body temperature (>37.5 8C) for longer than 72 h or a sudden increase in body temperature after having a normal temperature postoperatively; increase in oedema, induration and erythema of wound edges and surrounding tissues; unusual pain associated with the surgical site; increased leucocyte count (>10.10 Â 10 9 /l) with an associated increase in immature forms of polymorphonuclear neutrophils; an elevated Creactive protein level (>0.76 mg/dl); and localized, red, tender, overheated swelling, either fluctuating or indurated.…”

Section: Outcome Measuresmentioning

confidence: 99%

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Are postoperative intravenous antibiotics necessary after bimaxillary orthognathic surgery? A prospective, randomized, double-blind, placebo-controlled clinical trial

Tan

Liu

Zwahlen

2011

International Journal of Oral and Maxillofacial Surgery

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Section: Outcome Measuresmentioning

confidence: 99%

“…Extraoral approaches, pose an additional risk of infection owing to skin microorganisms. Infections due to intraoral approaches, are caused mainly by streptococci, anaerobic Gram-positive cocci and anaerobic Gram-negative rods; staphylococci are the most important germs causing transcutaneous infection 34 .…”

mentioning

confidence: 99%

Are postoperative intravenous antibiotics necessary after bimaxillary orthognathic surgery? A prospective, randomized, double-blind, placebo-controlled clinical trial

Tan

Liu

Zwahlen

2011

International Journal of Oral and Maxillofacial Surgery

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“…Los resultados obtenidos en ensayos clínicos aleatorios son controversiales; sin embargo, muestran una tendencia a favor del uso de PA de corta duración 10,11,14,16,23,24 . Los protocolos existentes en distintos centros hospitalarios varían en la administración de antimicrobianos: mientras en algunos hospitales se realiza PA de corta duración, en otros, la PA se extiende, prolongándose hasta por 7 días 25 . Este trabajo de investigación exploró la duración de la PA como factor de riesgo, determinando que no existen diferencias estadísticamente signifi cativas de infección entre PA de corta y larga duración en cirugía maxilofacial mayor limpia-contaminada.…”

Section: Discussionunclassified

Profilaxis antimicrobiana de corta duración versus profilaxis antimicrobiana de larga duración en cirugía maxilofacial mayor limpia-contaminada: Un estudio de cohorte

Villanueva

2012

Rev. chil. infectol.

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AntimicrobianosProfi laxis antimicrobiana de corta duración versus profi laxis antimicrobiana de larga duración en cirugía maxilofacial mayor limpia-contaminada. Un estudio de cohorte Julio Villanueva M., Ignacio Araya C. y Nicolás Yanine M.Short-term antibiotic prophylaxis versus long-term antibiotic prophylaxis in major clean-contaminated maxillofacial surgery.Introduction: There is no consensus on the most appropriate duration of antimicrobial prophylaxis (single or multiple dose) in clean-contaminated maxillofacial surgery. Objective: To determine whether short-term antimicrobial prophylaxis is effective compared to long-term antimicrobial prophylaxis in preventing surgical site infection in clean-contaminated maxillofacial surgery. Patients and Methods: The cohort study included 527 patients. We compared the incidence of surgical site infection in two groups. One group received short-term antibiotic prophylaxis (single dose) and the other group, long-term antimicrobial prophylaxis (multiple dose). Results: The single dose group showed 5.7% of postoperative infections and the multiple-dose group, 5.9%, with an odds ratio of 0.96 (95% CI 0.44 to 2.10) p = 0.9214. Conclusion: No signifi cant differences were found between the infection incidences in the single dose antibiotic prophylaxis group compared with the use of multiple doses.

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“…Maxillary DO has become an accepted alternative treatment for patients with severe maxillary hypoplasia, craniofacial syndromes, and bone deformities. Insufficient distraction, undesirable soft-tissue changes, the occurrence of defective distraction vectors, and psychological problems are among the potential complications of intraoral maxillary DO (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

A Rare Complication Associated with Distraction Osteogenesis in Correction of Maxillary Hypoplasia

2017

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Aim: Distraction osteogenesis (DO) is an alternative to orthognathic surgery that appears to have some advantages for advancement in the maxilla and mandible, but relatively high complication rates have been reported in the maxillofacial region. Methodology: A 22-year-old female with the chief complaint of maxillary hypoplasia was referred to our clinic. A two-stage procedure combining maxillary advancement by distraction technique with mandibular setback surgery was performed to correct jaw deformity. At the sixth day of the distraction breakage of the device occurred. The distractors were removed and the patient was treated using conventional osteotomy techniques to achieve good occlusion and improve the facial profile Results: Besides there are a number of studies about complications of DO, breakage of distractor has been really rare reported. In our case this unexpected and a very rarely reported complication occurred. Conclusions:The purpose of the present case report is to present an undesirable and very rare complication associated with the maxillary distraction device and an alternative treatment method for managing this undesirable failure.

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A prospective study on infectious complications in orthognathic surgery

Cited by 60 publications

References 16 publications

Are postoperative intravenous antibiotics necessary after bimaxillary orthognathic surgery? A prospective, randomized, double-blind, placebo-controlled clinical trial

Are postoperative intravenous antibiotics necessary after bimaxillary orthognathic surgery? A prospective, randomized, double-blind, placebo-controlled clinical trial

Profilaxis antimicrobiana de corta duración versus profilaxis antimicrobiana de larga duración en cirugía maxilofacial mayor limpia-contaminada: Un estudio de cohorte

A Rare Complication Associated with Distraction Osteogenesis in Correction of Maxillary Hypoplasia

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