Evaluation of the effectiveness of early or delayed treatment upon healing of mandibular fractures: A retrospective study

Abstract

Objectives:This study was aimed to assess the impacts of delay treatment of mandibular fracture and its complications. In addition risk variables related such as time to repair, fracture types, substance abuse, causes, surgical management, muddling or complications and duration of clinic stay were also evaluated.Materials and Methods:The data of patients attending the Newcastle General Hospital, UK for the management of mandibular fractures were probed. This retrospective clinical trial conducted over 6 months, included 91 patients attending trauma operating theatre during weekdays or weekends. Data were analyzed for time to admission and treatment and its relationships to various factors using SPSS version 20 (SPSS Inc., Chicago, IL).Results:Time to treatment from the point of admission was 31.50 ± 3.83 h during week days that has been significantly more for patients attending the hospital at weekends or nights. Similar trend was observed for total summative time from the incident to treatment analysis.Conclusions:This investigation has demonstrated that the rate of infection and postoperative complications following surgical treatment of mandible fractures can be eased off by reducing the waiting time from presentation to the emergency and to the operating theater.

Retrospective Study on Multidrug-Resistant Bacterium Infections After Rigid Internal Fixation of Mandibular Fracture

“…In this study, the inclusion criteria included general conditions, local injury severity, and treatment measures, which allowed the authors to measure the risk factors of MDRB infection more comprehensively. Their previous retrospective analysis of risk factors for MDRB infection in patients with RIF of mandibular fracture found that obesity, preoperative infection, and open fractures were independent risk factors for infection, [9][10][11] indicating that general conditions and injury complexity are closely related to infection, which is consistent with other studies. 12,13 It is believed that age, gender, obesity, and smoking history could affect the body's antiinfection ability through influencing genetic and immune status.…”

Treatment Delay Impact on Open Reduction Internal Fixation of Mandibular Fractures: A Systematic Review

“…Six of 20 included studies did not report mean patient age making exclusion of irrelevant studies more difficult. 8 , 31 , 33 , 37 , 40 , 41 Reported follow-up times were regularly shorter than 12 weeks, and 9 of 20 included studies did not report any follow-up data (Table 6 ). Inadequate follow-up periods were, however, penalized as part of the MINORS scoring criteria (Tables 3 , 4).…”

“…Formal statistical analysis in the form of P values or confidence intervals was lacking among included studies to substantiate recommendations supporting shorter treatment delay. 8 , 31 , 37 In general, there was a lack of stratified time delay data for cohort study subgroups and case–control subgroups, thereby preventing meaningful statistical calculations that could determine quantitatively if in fact treatment delay was associated with an increased risk of complications. Even in the best-case scenario (Fig.…”

State of the art in the treatment of mandibular fractures caused by firearms: case report

“…Therefore, open fractures present a high risk of infection 16 , requiring pre-, trans-and post-operative care aimed at preventing infection, maintaining blood volume, copious intraoral and extraoral irrigation, scrubbing and debridement of the wound, exploration and removal of fractured fragments and debris, reduction and fixation of the stumps to establish bone continuity, antibiotic and anti-tetanus prophylaxis, tissue synthesis, maintenance of suction drainage, daily cleaning of the wound, oral hygiene and the establishment of a suitable diet 2,11,[13][14][15][17][18] .…”