scholarly journals Complications of Poly-l-Lactic Acid and Polyglycolic Acid (PLLA/PGA) Osteosynthesis Systems for Maxillofacial Surgery: A Retrospective Clinical Investigation

Polymers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 889
Author(s):  
Yuhei Matsuda ◽  
Masaaki Karino ◽  
Tatsuo Okui ◽  
Takahiro Kanno
Keyword(s):  
Postoperative Complications ◽  
Clinical Investigation ◽  
Maxillofacial Surgery ◽  
Multivariate Logistic Regression Analysis ◽  
Polyglycolic Acid ◽  
Oral And Maxillofacial Surgery ◽  
Low Incidence ◽  
Adjusted Model ◽  
Pyriform Aperture ◽  
Plate System

Two second-generation PLLA/PGA bioresorbable osteosynthetic plate systems for oral and maxillofacial surgery are available in Japan. The two systems have different PLLA-PGA component ratios (RapidSorb®, 85:15; Lactosorb®, 82:18) and plate and screw shapes. We conducted a retrospective study to compare our clinical evaluation and examine the incidence of postoperative complications between the two plate systems. A retrospective survey was conducted in 148 patients (midfacial fracture/trauma (68.2%) and dentofacial deformity patients (31.8%); males (54.7%); median age, 37.5 years) treated using maxillofacial osteosynthetic plate systems. The complications included plate exposure (7.4%), infection, (2.7%), and plate breakage (0.7%). Multivariate logistic regression analysis showed a significant correlation between sex (female), plate system (Lactosorb®), number of plates, and pyriform aperture and periorbital sites of plate placement (p < 0.05). Additionally, the propensity score-adjusted model showed a significant correlation between Lactosorb® and postoperative complications (odds ratio 1.007 (95% confidence interval, 1.001–1.055), p < 0.01). However, the two plate systems showed a low incidence rate of complications, and the plate integration and survivability were similar using 2.0-mm or 1.5-mm resorbable plate regardless of the plate system. Our findings suggest that female sex and a greater number of plates are risk factors for postoperative complications, whereas pyriform aperture and periorbital plate placements reduce the risk.

scholarly journals Assessment of postoperative complications using E-PASS and APACHE II in patients undergoing oral and maxillofacial surgery

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Kiyohide Ishihata ◽  
Yasuyuki Kakihana ◽  
Takuya Yoshimura ◽  
Juri Murakami ◽  
Soichiro Toyodome ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Maxillofacial Surgery ◽  
Apache Ii ◽  
Oral And Maxillofacial Surgery

scholarly journals Prevention of Inflammatory Complications upon Surgeries in Maxillofacial Region

2017 ◽  
Vol 1 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Oleksii Tymofieiev ◽  
Natalia Ushko ◽  
Oleksandr Tymofieiev ◽  
Maria Yarifa ◽  
Ievgen Fesenko
Keyword(s):  
Postoperative Complications ◽  
Antibiotic Therapy ◽  
Maxillofacial Surgery ◽  
Prophylactic Antibiotic ◽  
Infectious Complications ◽  
Oral And Maxillofacial Surgery ◽  
Maxillofacial Region ◽  
Surgical Interventions ◽  
Oral Microflora ◽  
Prophylactic Antibiotic Therapy

Conducting of prophylactic antibiotic therapy in patient after surgical interventions in oral and maxillofacial surgery reduces the incidence of postoperative infectious complications. The analysis of the clean, conditionally clean, dirty (potentially infected), and purulent surgeries is performed. The general questions of prophylaxis of infection complications in plastic, orthognathic, purulent surgeries, and oral microflora are considered. Consecutive cases of postoperative complications and purulent conditions at the head and neck areas are presented. Recommendations on the antibiotic prophylaxis in oral and maxillofacial surgery are given.

scholarly journals Effects of glucose-insulin infusion during major oral and maxillofacial surgery on postoperative complications and outcomes

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Akina Tohya ◽  
Atsushi Kohjitani ◽  
Sachi Ohno ◽  
Kaoru Yamashita ◽  
Yozo Manabe ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Insulin Infusion ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery

scholarly journals The relationship between clinical findings and therapeutic approach in the treatment of fractured frontal sinus walls

2007 ◽  
Vol 135 (11-12) ◽  
pp. 639-644
Author(s):  
Zoran Pesic ◽  
Dragan Petrovic ◽  
Sladjana Petrovic ◽  
Nikola Buric
Keyword(s):  
Frontal Sinus ◽  
Traffic Accidents ◽  
Clinical Investigation ◽  
Maxillofacial Surgery ◽  
Clinical Findings ◽  
Injured Region ◽  
Therapeutic Procedures ◽  
Low Incidence ◽  
The Relationship

Introduction The incidence of fractured frontal sinus walls vary from 6% to 12% of all craniofacial injuries. Objective Estimated relation between clinical findings and performed therapeutic procedures in treating fractured frontal sinus walls. To estimate success in performed therapeutic procedures, according to the incidence of postoperative complications and the integrity of injured regions from the functional and esthetical aspect. Method We analyzed, by retrospective clinical investigation, 19 patients with fractured frontal sinus walls and dislocated fragments, treated at the Department for Maxillofacial Surgery, Clinic of Dentistry in Nis, in the period March 1995 - March 2006. The success of therapy was estimated based on the incidence and type of complications and esthetical results in relation to preoperative findings. Results Predominant etiological factor in fractures of frontal sinus walls is trauma sustained in traffic accidents, which occurred in 52.6% of patients in our investigation. In clinical findings, the impression was the predominant sign, present in 16 patients. In 6 cases soft tissue access through already present lacerations or their extensions was employed, in 4 cases it was done by supraciliary access and in 9 by bicoronal access. As a therapeutic measure, drainage was performed in 5 cases, cranialisation in one, ostheoneogenetic access in 11 cases and a simple reposition of fragments in 2 patients with fractured frontal sinus walls. Infection as a complication was absent. All patients were satisfied with postoperative esthetical appearance of the injured region. Conclusion The infection, the lacerations and the direction of fractured lines are dominant factors in the determination of therapeutic procedures used to treat fractured frontal sinus walls. This will result in the low incidence of infection as a postoperative complication and in patient?s satisfaction with postoperative esthetical result of the injured region.

scholarly journals Postoperative Complications in Genioplasty and Their Association with Age, Gender, and Type of Genioplasty

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Muslim Khan ◽  
Nigam Sattar ◽  
Mahwish Erkin
Keyword(s):  
Postoperative Complications ◽  
Orthognathic Surgery ◽  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Facial Asymmetry ◽  
Oral And Maxillofacial Surgery ◽  
Common Complication ◽  
Age Range ◽  
Neurosensory Disturbance ◽  
Rotation Advancement

Objective. The objective of our study was to determine the incidence of postoperative complications associated with different kinds of genioplasties done with or without concomitant orthognathic surgeries. Materials and Methods. Patients in whom facial asymmetry was corrected by genioplasty with age ranging from 16 to 55 at the Department of Oral and Maxillofacial Surgery were included in the study. Patients with facial asymmetry due to congenital problems were excluded. Results. 59 patients were included, of which 38 were males and 21 were females with the age range of 16–55 (mean: 27.3729, Std. deviation: 4.70472). Advancement genioplasty was performed in 15.3%, reduction genioplasty was done in 16.9%, and advancement genioplasty with rotation was performed in 67.8% cases. In 28.8% cases, genioplasty was performed as an adjunct procedure with orthognathic surgery, and in 71.2% cases, genioplasty was performed alone. 3.4% patients developed infection, 8.5% had hematoma, and 6.8% had temporary numbness. Postoperative complications were seen more in men than in women. Correction of chin asymmetry by rotation/advancement showed the highest number of complications (84%). Conclusion. Temporary neurosensory disturbance of the inferior alveolar nerve is the most common complication that occurs after genioplasty. Patients shall be counselled preoperatively, and informed consent shall be obtained prior to surgery.

scholarly journals Common postoperative complications after general anesthesia in oral and maxillofacial surgery

2021 ◽  
Vol 12 (2) ◽  
pp. 206
Author(s):  
ParveenAkhter Lone ◽  
NisarAhmed Wani ◽  
Qurratul Ain ◽  
Abha Heer ◽  
Ranjna Devi ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
General Anesthesia ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery

scholarly journals Clinical and Histological Comparison of Polyglycolic Acid Suture with Black Silk Suture after Minor Oral Surgical Procedure

2012 ◽  
Vol 13 (4) ◽  
pp. 521-527 ◽  
Author(s):  
R Balamurugan ◽  
Masroor Mohamed ◽  
Hari Krishna Rao Katikaneni ◽  
KR Ashok Kumar
Keyword(s):  
Surgical Procedure ◽  
Suture Material ◽  
Maxillofacial Surgery ◽  
Polyglycolic Acid ◽  
Tissue Reaction ◽  
Oral And Maxillofacial Surgery ◽  
Silk Suture ◽  
Handling Characteristics ◽  
Oral Surgical Procedure ◽  
Histological Results

ABSTRACT Any suture material, absorbable or nonabsorbable, elicits a kind of inflammatory reaction within the tissue. Nonabsorbable black silk suture and absorbable polyglycolic acid suture were compared clinically and histologically on various parameters. Materials and methods This study consisted of 50 patients requiring minor surgical procedure, who were referred to the Department of Oral and Maxillofacial Surgery. Patients were selected randomly and sutures were placed in the oral cavity 7 days preoperatively. Polyglycolic acid was placed on one side and black silk suture material on the other. Seven days later, prior to surgical procedure the sutures will be assessed. After the surgical procedure the sutures will be placed postoperatively in the same way for 7 days, after which the sutures will be assessed clinically and histologically. Results The results of this study showed that all the sutures were retained in case of polyglycolic acid suture whereas four cases were not retained in case of black silk suture. As far as polyglycolic acid suture is concerned 25 cases were mild, 18 cases moderate and seven cases were severe. Black silk showed 20 mild cases, 21 moderate cases and six severe cases. The histological results showed that 33 cases showed mild, 14 cases moderate and three cases severe in case of polyglycolic acid suture. Whereas in case of black silk suture 41 cases were mild. Seven cases were moderate and two cases were severe. Black silk showed milder response than polyglycolic acid suture histologically. Conclusion The polyglycolic acid suture was more superior because in all 50 patients the suture was retained. It had less tissue reaction, better handling characteristics and knotting capacity. How to cite this article Balamurugan R, Mohamed M, Pandey V, Katikaneni HKR, Kumar KRA. Clinical and Histological Comparison of Polyglycolic Acid Suture with Black Silk Suture after Minor Oral Surgical Procedure. J Contemp Dent Pract 2012;13(4):521-527.

Dental students’ perceptions of oral and maxillofacial surgery as a specialty

2019 ◽  
pp. 266-271
Author(s):  
Ibrahim Almutairi ◽  
Abdullah AlQarni ◽  
Mohammad Alharbi ◽  
Ahmed Almutairi ◽  
Mohammed Aldohan ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery
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