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Comparative Postoperative Infection Rates in Midfacial Trauma Using Intermaxillary Fixation, Wire Fixation, and Rigid Internal Fixation Implants

Comparative Postoperative Infection Rates in Midfacial Trauma Using Intermaxillary Fixation, Wire... Abstract • The use of rigid internal fixation implants in the repair of midfacial fractures requires more extensive bone exposure, soft-tissue manipulation, and operative time. We wished to determine the relative contribution of this method of repair to postoperative infection rates. Midfacial trauma cases occurring between the years 1984 and 1991 at the University of Iowa Hospitals and Clinics, Iowa City, were reviewed. Patients were grouped according to method of repair (intermaxillary fixation, open reduction with wire fixation, or open reduction with rigid internal fixation plates). postoperative infection data (wound infections, sinusitis, etc) were obtained by chart review and telephone interview. Minimum follow-up for inclusion in the study was 3 months, with an average follow-up for all groups of 28.8 months. We found no significant difference in the rate, or the type, of postoperative infections in all three groups. We conclude that rigid internal fixation implants do not contribute increased postoperative infection rates in midfacial trauma. (Arch Otolaryngol Head Neck Surg. 1993;119:308-309) References 1. Duckert LG. Management of middle third facial fractures . Otolaryngol Clin North Am. 1991;24:103-118. 2. Tessier P. Complications of facial trauma . Ann Plast Surg. 1986;17: 411-420.Crossref 3. Zingg M, Chowdhury K, Ladrach K, Vuillemin T, Sutter F, Raveh J. Treatment of 813 zygomatic-lateral orbital complex fractures . Arch Otolaryngol Head Neck Surg. 1991;117:611-620.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Comparative Postoperative Infection Rates in Midfacial Trauma Using Intermaxillary Fixation, Wire Fixation, and Rigid Internal Fixation Implants

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1993.01880150064009
Publisher site
See Article on Publisher Site

Abstract

Abstract • The use of rigid internal fixation implants in the repair of midfacial fractures requires more extensive bone exposure, soft-tissue manipulation, and operative time. We wished to determine the relative contribution of this method of repair to postoperative infection rates. Midfacial trauma cases occurring between the years 1984 and 1991 at the University of Iowa Hospitals and Clinics, Iowa City, were reviewed. Patients were grouped according to method of repair (intermaxillary fixation, open reduction with wire fixation, or open reduction with rigid internal fixation plates). postoperative infection data (wound infections, sinusitis, etc) were obtained by chart review and telephone interview. Minimum follow-up for inclusion in the study was 3 months, with an average follow-up for all groups of 28.8 months. We found no significant difference in the rate, or the type, of postoperative infections in all three groups. We conclude that rigid internal fixation implants do not contribute increased postoperative infection rates in midfacial trauma. (Arch Otolaryngol Head Neck Surg. 1993;119:308-309) References 1. Duckert LG. Management of middle third facial fractures . Otolaryngol Clin North Am. 1991;24:103-118. 2. Tessier P. Complications of facial trauma . Ann Plast Surg. 1986;17: 411-420.Crossref 3. Zingg M, Chowdhury K, Ladrach K, Vuillemin T, Sutter F, Raveh J. Treatment of 813 zygomatic-lateral orbital complex fractures . Arch Otolaryngol Head Neck Surg. 1991;117:611-620.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Mar 1, 1993

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