Skip to main content

Advertisement

Log in

Risk Factors for Post-operative Infection Following Single Piece Osteotomy

  • Research Paper
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objective

The aim of this retrospective study was to identify the significant risk factors that contribute towards postoperative infection in patients recovering from orthognathic surgery.

Methods

Retrospective records of 522 patients who underwent orthognathic surgery over 9 year period were evaluated for postoperative infection within 3 months of surgery and after 3 months of surgery. The variables of interest included age, gender, habits like smoking and alcohol consumption and incidence of postoperative infection.

Results

The overall infection rate was 4.60%. Patients who underwent bilateral sagittal split osteotomy to advance the mandible had an infection rate of 10.4%. Statistically significant predictor variables (P < 0.05) included patients who had the smoking habit, and those that received bone grafts in both the time periods.

Conclusion

In conclusion, the occurrence of infection after orthognathic surgery is influenced by multiple factors, among which are the type of osteotomy, smoking habit and bone grafting procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Alpha C, O’Ryan F, Silva A, Poor D (2006) The incidence of postoperative wound healing problems following sagittal ramus osteotomies stabilized with miniplates and monocortical screws. J Oral Maxillofac Surg 64:659–668

    Article  PubMed  Google Scholar 

  2. Bhatt V, Langford RJ (2003) Removal of miniplates in maxillofacial surgery: University Hospital Birmingham experience. J Oral Maxillofac Surg 61:553

    Article  PubMed  Google Scholar 

  3. Kuhlefelt M, Laine P, Suominen-Taipale L, Ingman T, Lindqvist C, Thoren H (2010) Risk factors contributing to sympotomatic miniplate removal: a retrospective study of 153 bilateral sagittal split osteotomy patients. Int J Oral Maxillofac Surg 39:430–435

    Article  CAS  PubMed  Google Scholar 

  4. Spaey YJE, Bettens RMA, Mommaerts MY, Adriaens J, van Landuyt HW, Abeloos JVS, de Clercq CAS, Lamoral PRB, Neyt LF (2005) A prospective study on infectious complications in orthognathic surgery. J Cranio Maxillofac Surg 33:24–29

    Article  Google Scholar 

  5. Uhthoff HK, Bardow DI, Liskova-Kiar M (1981) The advantages of titanium alloy over stainless steel plates for the fixation of fractures: an experimental study in dogs. J Bone Joint Surg Br 63-B(3):427–484

    CAS  PubMed  Google Scholar 

  6. Ellis E, Graham J (2002) Use of a 2.0-mm locking plate/screw system for mandibular fracture surgery. J Oral Maxillofac Surg 60:642–645

    Article  PubMed  Google Scholar 

  7. Falter B, Schepers S, Vrielinck L, Lambrichts I, Politis C (2011) Plate removal after orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:737–743

    Article  PubMed  Google Scholar 

  8. Kuhlefelt M, Laine P, Suominen AL, Lindqvist C, Thoren H (2012) Smoking as a siginificant risk factor for infections after orthognatic surgery. J Oral Maxillofac Surg 70:1643–1647

    Article  PubMed  Google Scholar 

  9. Wahab PUA, Narayanan V, Nathan S, Madhulaxmi (2013) Antibiotic prophylaxis for bilateral sagittal split osteotomies: a randomised, double blind clinical study. Int J Oral Maxillofac Surg 42:352–355

    Article  CAS  PubMed  Google Scholar 

  10. Whiteford L (2003) Nicotine, CO and HCN: the detrimental effects on smoking on wound healing. Br J Community Nurs 8:22

    Article  Google Scholar 

  11. Sloan A, Hussain I, Maqsood M et al (2010) The effects of smoking on fracture healing. Surg 8:111–116

    CAS  Google Scholar 

  12. Larrazabal C, Garcia B, Penarrocha M, Pennarocha M (2010) Influence of oral hygiene and smoking on pain and swelling after surgical extraction of impacted mandibular third molars. J Oral Maxillofac Surg 68:43–46

    Article  PubMed  Google Scholar 

  13. Garcia B, Penarrocha M, Marti E, Gay-Escodad C, von Arx T (2007) Pain and swelling after periapical surgery related to oral hygiene and smoking. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:271–276

    Article  PubMed  Google Scholar 

  14. O’Connell J, Murphy C, Ikeagwuani O, Adley C, Kearns G (2009) The fate of titanium miniplates and screws used in maxillofacial surgery: a 10 year retrospective study. Int J Oral Maxillofac Surg 38:731–735

    Article  PubMed  Google Scholar 

  15. Thoren H, Snail J, Kormi E, Lindqvist C, Suominen-Taipale L, Tornwall J (2010) Symptomatic plate removal after treatment of facial fractures. J Cranio Maxillofac Surg 38:505–510

    Article  Google Scholar 

  16. Manor Y, Chaushu G, Taicher S (1999) Risk factors contributing to symptomatic plate removal in orthognathic surgery patients. J Oral Maxillofac Surg 57:679–682

    Article  CAS  PubMed  Google Scholar 

  17. Baqain ZH, Hyde N, Patrikidou A, Harris M (2004) Antibiotic prophylaxis for orthognathic surgery: a prospective, randomised clinical trial. Br J Oral Maxillofac Surg 42:506–510

    Article  PubMed  Google Scholar 

  18. Norholt SE, Pedersen TK, Jensen J (2004) Lefort 1 miniplate osteosynthesis: a randomised, prospective study comparing resorbable PLLA/PGA with titanium. Int J Oral Maxillofac Surg 33:245–252

    Article  CAS  PubMed  Google Scholar 

  19. Turvey TA, Bell RB, Tejera TJ, Profitt WR (2002) The use of self-reinforced biodegradable bone plates and screws in orthognathic surgery. J Oral Maxillofac Surg 60:59–65

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. U. Abdul Wahab.

Ethics declarations

Conflict of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abdul Wahab, P.U., Senthil Nathan, P., Madhulaxmi, M. et al. Risk Factors for Post-operative Infection Following Single Piece Osteotomy. J. Maxillofac. Oral Surg. 16, 328–332 (2017). https://doi.org/10.1007/s12663-016-0983-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-016-0983-6

Keywords

Navigation