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Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study

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...

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Autores principales: Cousin, Anne-Sabine, Bouletreau, Pierre, Giai, Joris, Ibrahim, Badr, Louvrier, Aurélien, Sigaux, Nicolas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7374733/
https://www.ncbi.nlm.nih.gov/pubmed/32694715
http://dx.doi.org/10.1038/s41598-020-68968-2
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author Cousin, Anne-Sabine
Bouletreau, Pierre
Giai, Joris
Ibrahim, Badr
Louvrier, Aurélien
Sigaux, Nicolas
author_facet Cousin, Anne-Sabine
Bouletreau, Pierre
Giai, Joris
Ibrahim, Badr
Louvrier, Aurélien
Sigaux, Nicolas
author_sort Cousin, Anne-Sabine
collection PubMed
description 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.
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spelling pubmed-73747332020-07-22 Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study Cousin, Anne-Sabine Bouletreau, Pierre Giai, Joris Ibrahim, Badr Louvrier, Aurélien Sigaux, Nicolas Sci Rep Article 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. Nature Publishing Group UK 2020-07-21 /pmc/articles/PMC7374733/ /pubmed/32694715 http://dx.doi.org/10.1038/s41598-020-68968-2 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Cousin, Anne-Sabine
Bouletreau, Pierre
Giai, Joris
Ibrahim, Badr
Louvrier, Aurélien
Sigaux, Nicolas
Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study
title Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study
title_full Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study
title_fullStr Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study
title_full_unstemmed Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study
title_short Severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study
title_sort severity and long-term complications of surgical site infections after orthognathic surgery: a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7374733/
https://www.ncbi.nlm.nih.gov/pubmed/32694715
http://dx.doi.org/10.1038/s41598-020-68968-2
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