Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study.
Adolescent
Adult
Anti-Bacterial Agents
/ administration & dosage
Drainage
/ methods
Female
Follow-Up Studies
Humans
Male
Middle Aged
Orthognathic Surgery
/ methods
Orthognathic Surgical Procedures
/ adverse effects
Osteomyelitis
/ etiology
Retrospective Studies
Risk Factors
Severity of Illness Index
Surgical Wound Infection
/ drug therapy
Treatment Outcome
Young Adult
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
21 07 2020
21 07 2020
Historique:
received:
19
09
2019
accepted:
23
06
2020
entrez:
23
7
2020
pubmed:
23
7
2020
medline:
22
12
2020
Statut:
epublish
Résumé
Surgical site infections (SSI) occur in 1.4% to 33.4% of cases after orthognathic surgery. This type of complication is a major concern to surgical teams, but there is no consensus for the prevention and treatment of SSI in orthognathic surgery. The purpose of this descriptive study was to evaluate the severity and the consequences of postoperative infections. The charts of all the patients operated on by the orthognathic surgery team between January 2015 and July 2017 were collected. All types of orthognathic procedures (Le Fort I maxillary osteotomy, bilateral sagittal split mandibular osteotomy, and genioplasty) were screened, and patients diagnosed with SSI were included. Demographic data, timing and severity of the infection, as well as long-term complications were recorded. Five hundred and twelve patients were screened. Forty-one patients (8%) presenting with SSI were included. There were 18 men and 23 women. The site of the infection was mandibular for 38 patients (92.7%) and maxillary for 3 patients (7.3%). The average time between surgery and infection was 31.5 days. Twenty-four patients received isolated oral antibiotics for inflammatory cellulitic reaction (58.8%), 15 patients had a localized collection treated by incision and drainage under local anesthesia (36.6%), and 2 patients had an extensive collection requiring surgical drainage under general anesthesia (4.9%). Five patients (12.2%) needed hardware removal for plate loosening, and 2 patients (4.9%) developed chronic osteomyelitis. Infection following orthognathic surgery is easily treated most of the time with no long-term complications. In cases of patients with potential risk factors for severe infection, antibiotics may be given with curative intents.
Identifiants
pubmed: 32694715
doi: 10.1038/s41598-020-68968-2
pii: 10.1038/s41598-020-68968-2
pmc: PMC7374733
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
12015Références
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