Complications and the Time to Repair of Mandible Fractures

Biller, Jason A.; Pletcher, Steven D.; Goldberg, Andrew N.; Murr, Andrew H.

doi:10.1097/01.mlg.0000157328.10583.a7

Cited by 89 publications

(97 citation statements)

References 12 publications

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“…The other reasons of delay were unavoidable, such as time to referral from other institutions. This is comparable with the literature [7][8][9][10].…”

Section: Discussionsupporting

confidence: 92%

“…However, the complication rate we encountered (16.7%) in the delayed group is acceptable. It is in the range of results reported by other teams, whether the patients were treated with early or delayed ORIF [7,[11][12][13][14]. We found no statistical significance between an increased delay from trauma to surgery and occurrence of complication.…”

Section: Discussionsupporting

confidence: 45%

“…The results found in the literature are conflicting [15]. Most of the authors report no relation between delay and complications [7,8,10,12,14,[16][17][18]. Some studies even suggest that a slight delay (3-4 days) could allow for better results, as the surgical exposure may be easier after decrease of the facial oedema.…”

Section: Discussionmentioning

confidence: 99%

“…The only variable that we found to be statistically significant was smoking. Many studies emphasize the importance of substance abuse (tobacco, alcohol, illegal drugs) in complication occurrence [5,7,8,12,17,18,21], as they influence the physiological healing process. In addition, they may compromise Are open mandibular fractures still an emergency?…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Are open mandibular fractures still an emergency?

Zrounba¹,

Hoarau²,

Zweifel³

et al. 2015

Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chiru

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“…The other reasons of delay were unavoidable, such as time to referral from other institutions. This is comparable with the literature [7][8][9][10].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Are open mandibular fractures still an emergency?

Zrounba¹,

Hoarau²,

Zweifel³

et al. 2015

Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chiru

View full text Add to dashboard Cite

“…On the other hand, patients who did not report any substance abuse had a 6.2% complication rate (9). Billar et al (13) reported only 34.5% of their patients were substance free. All patients with infectious complications and one-half of the patients with technical complications were substance abusers.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Outcomes Between Immediate and Delayed Repair of Mandibular Fractures

Webb¹,

Makhijani

Khanna

et al. 2009

Canadian Journal of Plastic Surgery

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Medical records of patients treated with surgical repair of mandible fractures by the otolaryngology and plastic surgery departments at a level 1 trauma centre were obtained and reviewed. Two study groups were compared: patients treated within 72 h of the injury and those treated after this time period. Patient demographics, time to repair, fracture types, substance abuse history, etiology, surgical management, complications and length of hospital stay were assessed. The complication rate was 41% (n=7) within the immediate group and 38% (n=6) within the delayed group (P=0.56). Complications were prevalent in patients with history of substance abuse in both groups. Complication rates did not increase when repair of mandible fractures was delayed beyond 72 h, while substance abuse was a factor in increasing complications rates. Outpatient triage with elective repair of isolated mandibular fractures appears to be more cost-effective than admission with inpatient management.

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