Infected screws in patients treated by mandibular sagittal split osteotomy

Frequency and Reasons for Fixation Hardware Removal After Orthognathic Surgery in Patients Treated in One Center

“…In the course of our study, we removed fixation hardware in 77 cases out of 124 orthognathic procedures performed, which represents 62.10% of the total number of cases. This is a high percentage compared to the data available in the literature [ 9 , 11 , 12 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ], where the percentage varies from 2% to 55%.…”

“…There is a tendency for fewer inflammatory complications when bicortical screws are used to provide fixation for osteotomy fragments in the mandible than when plates are used [ 9 , 25 , 29 , 30 , 31 , 32 ].…”

Frequency and Reasons for Fixation Hardware Removal After Orthognathic Surgery in Patients Treated in One Center

“…In the course of our study, we removed fixation hardware in 77 cases out of 124 orthognathic procedures performed, which represents 62.10% of the total number of cases. This is a high percentage compared to the data available in the literature [ 9 , 11 , 12 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ], where the percentage varies from 2% to 55%.…”

“…There is a tendency for fewer inflammatory complications when bicortical screws are used to provide fixation for osteotomy fragments in the mandible than when plates are used [ 9 , 25 , 29 , 30 , 31 , 32 ].…”

Perioperative complications following sagittal split osteotomy of the mandible

“…There are a number of publications discussing the incidence of this kind of perioperative complications (Martis, 1984;Turvey, 1985;Van Sickels et al, 1985;Kaplan et al, 1988;Lanigan et al 1991;Mommaerts, 1992;Lacey and Colcleugh, 1995;Sakashita et al, 1996;Van de Perre et al, 1996;Acebal-Bianco et al, 2000;Heo et al, 2001;Maurer et al, 2001). Even less is known about the occurrence of serious perioperative morbidity resulting from elective maxillofacial orthognathic surgery.…”

Surgical Site Infections Following Bimaxillary Orthognathic, Osseous Genioplasty, and Intranasal Surgery: A Retrospective Cohort Study

“…37 In addition to questions about preferred antibiotic prophylaxis, risk factors for infection in orthognathic surgery are often said to include the age of a patient; use of nicotine products; uncontrolled periodontal disease; uncontrolled diabetes; simultaneous removal of third molars; use of segmental osteotomies; incision site preparation; method of wound closure; osteotomy design and method of fixation; open wound operating time; postoperative oral hygiene; and degree of jaw mobilization, physical activity level, and diet during convalescence. 1,16,17,20,24,[39][40][41][42][43] The purpose of this retrospective clinical study was to determine the incidence of SSI in a consecutive series of patients undergoing at a minimum bimaxillary orthognathic, osseous genioplasty, and intranasal surgery for which most of the risk factors in question were consistently managed. The authors hypothesized that when using consistent operative techniques and perioperative medical management, the occurrence of SSI would be low and not influenced by the type of antibiotic administered, age of the patient, gender, pattern of dentofacial deformity (DFD), or simultaneous procedures carried out, including removal of third molars.…”

Frequency and Reasons for Fixation Hardware Removal After Orthognathic Surgery in Patients Treated in One Center

“…In the course of our study, we removed fixation hardware in 77 cases out of 124 orthognathic procedures performed, which represents 62.10% of the total number of cases. This is a high percentage compared to the data available in the literature [ 9 , 11 , 12 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ], where the percentage varies from 2% to 55%.…”

“…There is a tendency for fewer inflammatory complications when bicortical screws are used to provide fixation for osteotomy fragments in the mandible than when plates are used [ 9 , 25 , 29 , 30 , 31 , 32 ].…”

Perioperative complications following sagittal split osteotomy of the mandible

“…There are a number of publications discussing the incidence of this kind of perioperative complications (Martis, 1984;Turvey, 1985;Van Sickels et al, 1985;Kaplan et al, 1988;Lanigan et al 1991;Mommaerts, 1992;Lacey and Colcleugh, 1995;Sakashita et al, 1996;Van de Perre et al, 1996;Acebal-Bianco et al, 2000;Heo et al, 2001;Maurer et al, 2001). Even less is known about the occurrence of serious perioperative morbidity resulting from elective maxillofacial orthognathic surgery.…”

Surgical Site Infections Following Bimaxillary Orthognathic, Osseous Genioplasty, and Intranasal Surgery: A Retrospective Cohort Study

“…37 In addition to questions about preferred antibiotic prophylaxis, risk factors for infection in orthognathic surgery are often said to include the age of a patient; use of nicotine products; uncontrolled periodontal disease; uncontrolled diabetes; simultaneous removal of third molars; use of segmental osteotomies; incision site preparation; method of wound closure; osteotomy design and method of fixation; open wound operating time; postoperative oral hygiene; and degree of jaw mobilization, physical activity level, and diet during convalescence. 1,16,17,20,24,[39][40][41][42][43] The purpose of this retrospective clinical study was to determine the incidence of SSI in a consecutive series of patients undergoing at a minimum bimaxillary orthognathic, osseous genioplasty, and intranasal surgery for which most of the risk factors in question were consistently managed. The authors hypothesized that when using consistent operative techniques and perioperative medical management, the occurrence of SSI would be low and not influenced by the type of antibiotic administered, age of the patient, gender, pattern of dentofacial deformity (DFD), or simultaneous procedures carried out, including removal of third molars.…”

Frequency and Reasons for Fixation Hardware Removal After Orthognathic Surgery in Patients Treated in One Center

“…In the course of our study, we removed fixation hardware in 77 cases out of 124 orthognathic procedures performed, which represents 62.10% of the total number of cases. This is a high percentage compared to the data available in the literature [ 9 , 11 , 12 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ], where the percentage varies from 2% to 55%.…”

“…There is a tendency for fewer inflammatory complications when bicortical screws are used to provide fixation for osteotomy fragments in the mandible than when plates are used [ 9 , 25 , 29 , 30 , 31 , 32 ].…”

Perioperative complications following sagittal split osteotomy of the mandible

“…There are a number of publications discussing the incidence of this kind of perioperative complications (Martis, 1984;Turvey, 1985;Van Sickels et al, 1985;Kaplan et al, 1988;Lanigan et al 1991;Mommaerts, 1992;Lacey and Colcleugh, 1995;Sakashita et al, 1996;Van de Perre et al, 1996;Acebal-Bianco et al, 2000;Heo et al, 2001;Maurer et al, 2001). Even less is known about the occurrence of serious perioperative morbidity resulting from elective maxillofacial orthognathic surgery.…”

Surgical Site Infections Following Bimaxillary Orthognathic, Osseous Genioplasty, and Intranasal Surgery: A Retrospective Cohort Study

“…37 In addition to questions about preferred antibiotic prophylaxis, risk factors for infection in orthognathic surgery are often said to include the age of a patient; use of nicotine products; uncontrolled periodontal disease; uncontrolled diabetes; simultaneous removal of third molars; use of segmental osteotomies; incision site preparation; method of wound closure; osteotomy design and method of fixation; open wound operating time; postoperative oral hygiene; and degree of jaw mobilization, physical activity level, and diet during convalescence. 1,16,17,20,24,[39][40][41][42][43] The purpose of this retrospective clinical study was to determine the incidence of SSI in a consecutive series of patients undergoing at a minimum bimaxillary orthognathic, osseous genioplasty, and intranasal surgery for which most of the risk factors in question were consistently managed. The authors hypothesized that when using consistent operative techniques and perioperative medical management, the occurrence of SSI would be low and not influenced by the type of antibiotic administered, age of the patient, gender, pattern of dentofacial deformity (DFD), or simultaneous procedures carried out, including removal of third molars.…”