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A 4-Year Multicentre Audit of Complications Following ORIF Treatment of Mandibular Fractures

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Purpose

To ascertain the complications arising from open reduction and internal fixation of mandibular fractures and to elucidate if different osteosynthesis plating systems vary in treatment outcome.

Materials and Methods

This is a retrospective study. Parameters such as patient data, injury details, osteosynthesis implant system information, stability of fracture fragments, occlusion and complications were evaluated at different time intervals and logistic regression applied to determine the association of these factors with complications.

Results

Five hundred and ninety-three patients with mandibular fractures were included in this study (male 87.9% and female 12.1%), age range of 13–72 years (median = 22 years). Most fractures were caused by motor vehicle accidents (85.8%), assault (6.2%) and falls (4.7%). Parasymphyseal fractures were the most common (50.1%), followed by angle (35.2%) and body of mandible (25%). Median time interval between injury and intervention was 7 days (IQR 4–10). Median duration of follow-up from date of surgery was 72 days (IQR 30–230). 76.9% (456) were completely free of complications. Most complications (46%) occurred in the intermediate post-surgical period (1–6 weeks). Median interval period between surgery and complication was 15 days (IQR 7–67.5). Nerve injury and surgical site infection were the most common complications at 6.7% and 5.7%, respectively. There was a significant difference between the plating system in terms of complication outcome (p = 0.017).

Conclusion

Whilst the miniplate dimensions may be similar across different manufacturers, the complication outcome may differ between systems.

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Acknowledgements

The authors also wish to acknowledge and thank the Director General, Ministry of Health of Malaysia, for his support and consent to conduct and publish this study.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Sultanah Nora Ismail Batu Pahat Hospital, Ministry of Health Malaysia (Johor), Jalan Korma, Taman Soga, 83000, Batu Pahat, Johor, Malaysia

    Sathesh Balasundram

  2. Department of Oral and Maxillofacial Surgery, Taiping Hospital, Ministry of Health Malaysia (Perak), Taiping, Malaysia

    Ferdinand J. Kovilpillai

  3. Department of Oral and Maxillofacial Surgery, Malacca Hospital, Ministry of Health Malaysia (Malacca), Malacca, Malaysia

    Stephen J. Royan & Dharmindra Rajah Gunarajah

  4. Department of Oral and Maxillofacial Surgery, Sultanah Aminah Hospital, Ministry of Health Malaysia (Johor), Johor Bahru, Malaysia

    Bee Chai Ma

  5. Clinical Research Centre, Kuala Lumpur Hospital, Ministry of Health Malaysia, Kuala Lumpur, Malaysia

    Tassha Hilda Adnan

Authors
  1. Sathesh Balasundram
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  2. Ferdinand J. Kovilpillai
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  3. Stephen J. Royan
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  4. Bee Chai Ma
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  6. Tassha Hilda Adnan
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Correspondence to Sathesh Balasundram.

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We have no conflict of interest.

Ethical Approval

This study was approved by the ethical committee of the Medical Research and Ethics Committee of Ministry of Health of Malaysia; approval ID: NMRR-12-1430-14308.

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Balasundram, S., Kovilpillai, F.J., Royan, S.J. et al. A 4-Year Multicentre Audit of Complications Following ORIF Treatment of Mandibular Fractures. J. Maxillofac. Oral Surg. 19, 289–297 (2020). https://doi.org/10.1007/s12663-019-01204-1

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  • DOI: https://doi.org/10.1007/s12663-019-01204-1

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