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Article: Prevalence of Postoperative Complications After Orthognathic Surgery: A 15-Year Review

TitlePrevalence of Postoperative Complications After Orthognathic Surgery: A 15-Year Review
Authors
Issue Date2007
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms
Citation
Journal Of Oral And Maxillofacial Surgery, 2007, v. 65 n. 5, p. 984-992 How to Cite?
AbstractPurpose: This study was conducted to determine the prevalence of postoperative complications after orthognathic surgery and evaluate the use of antibiotic prophylaxis in relation to the infection rate. Patients and Methods: All patients undergoing orthognathic procedures between 1990 and 2004 were studied retrospectively by retrieving their individual medical records. Demographic data, intraoperative data (specific orthognathic procedures and duration of operation), and postoperative data (type and duration of antibiotic prophylaxis and presence of postoperative complications) were recorded. Patients noted to have suffered any postoperative complications were studied in detail, and various factors, including gender, age, duration of operation, and use of prophylactic antibiotics, were analyzed using statistical tests in relation to postoperative infection. Results: A total of 2,910 orthognathic procedures were performed on 1,294 consecutive patients in the 15-year period, with 1,070 patients undergoing bimaxillary procedures and 224 patients undergoing single-jaw surgery. The orthognathic surgery-related complication rate was 9.7%, of which 7.4% was related to postoperative infection. Of the cases of infection, 58.3% were acute infection and 41.7% were chronic infection. Patients who received a single preoperative dose of antibiotics had a significantly higher infection rate (17.3%) than those who received postoperative antibiotics for various durations. Conclusions: The prevalence of infection after orthognathic surgery was relatively low given the complexity of the procedures. No particular orthognathic procedure was more susceptible to infection. A preoperative dose of prophylactic antibiotics together with at least 2 days of postoperative doses was useful in reducing the infection rate compared with only a single dose of prophylactic antibiotics. © 2007 American Association of Oral and Maxillofacial Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/66086
ISSN
2015 Impact Factor: 1.631
2015 SCImago Journal Rankings: 0.824
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChow, LKen_HK
dc.contributor.authorSingh, Ben_HK
dc.contributor.authorChiu, WKen_HK
dc.contributor.authorSamman, Nen_HK
dc.date.accessioned2010-09-06T05:43:28Z-
dc.date.available2010-09-06T05:43:28Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Oral And Maxillofacial Surgery, 2007, v. 65 n. 5, p. 984-992en_HK
dc.identifier.issn0278-2391en_HK
dc.identifier.urihttp://hdl.handle.net/10722/66086-
dc.description.abstractPurpose: This study was conducted to determine the prevalence of postoperative complications after orthognathic surgery and evaluate the use of antibiotic prophylaxis in relation to the infection rate. Patients and Methods: All patients undergoing orthognathic procedures between 1990 and 2004 were studied retrospectively by retrieving their individual medical records. Demographic data, intraoperative data (specific orthognathic procedures and duration of operation), and postoperative data (type and duration of antibiotic prophylaxis and presence of postoperative complications) were recorded. Patients noted to have suffered any postoperative complications were studied in detail, and various factors, including gender, age, duration of operation, and use of prophylactic antibiotics, were analyzed using statistical tests in relation to postoperative infection. Results: A total of 2,910 orthognathic procedures were performed on 1,294 consecutive patients in the 15-year period, with 1,070 patients undergoing bimaxillary procedures and 224 patients undergoing single-jaw surgery. The orthognathic surgery-related complication rate was 9.7%, of which 7.4% was related to postoperative infection. Of the cases of infection, 58.3% were acute infection and 41.7% were chronic infection. Patients who received a single preoperative dose of antibiotics had a significantly higher infection rate (17.3%) than those who received postoperative antibiotics for various durations. Conclusions: The prevalence of infection after orthognathic surgery was relatively low given the complexity of the procedures. No particular orthognathic procedure was more susceptible to infection. A preoperative dose of prophylactic antibiotics together with at least 2 days of postoperative doses was useful in reducing the infection rate compared with only a single dose of prophylactic antibiotics. © 2007 American Association of Oral and Maxillofacial Surgeons.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jomsen_HK
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_HK
dc.subject.meshAdolescenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAntibiotic Prophylaxis - statistics & numerical dataen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMalocclusion - surgeryen_HK
dc.subject.meshMandible - surgeryen_HK
dc.subject.meshMaxilla - surgeryen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshOsteotomy - adverse effects - classification - methodsen_HK
dc.subject.meshPostoperative Complications - classification - epidemiology - prevention & controlen_HK
dc.subject.meshPrevalenceen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshSex Factorsen_HK
dc.subject.meshSurgical Wound Infection - epidemiology - prevention & controlen_HK
dc.titlePrevalence of Postoperative Complications After Orthognathic Surgery: A 15-Year Reviewen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0278-2391&volume=65&spage=p. 984&epage=992&date=2007&atitle=Prevalence+of+postoperative+complications+after+orthognathic+surgery:+a+15-year+reviewen_HK
dc.identifier.emailSamman, N:nsamman@hkucc.hku.hken_HK
dc.identifier.authoritySamman, N=rp00021en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.joms.2006.07.006en_HK
dc.identifier.pmid17448852-
dc.identifier.scopuseid_2-s2.0-34247108578en_HK
dc.identifier.hkuros127664en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34247108578&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume65en_HK
dc.identifier.issue5en_HK
dc.identifier.spage984en_HK
dc.identifier.epage992en_HK
dc.identifier.isiWOS:000246133600025-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChow, LK=7202532968en_HK
dc.identifier.scopusauthoridSingh, B=7405642152en_HK
dc.identifier.scopusauthoridChiu, WK=36177164400en_HK
dc.identifier.scopusauthoridSamman, N=7006413627en_HK

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