Analysis of results in early versus late midface fracture repair

To evaluate the complication rate in relation to the timing of surgical repair of midface fractures. Retrospective chart review at a level 1 trauma center. Thirty-four patients were evaluated. Overall complication rate was 23.5% with no significant difference between the early repair (21.1%) and lat...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2008-04, Vol.138 (4), p.464-464
Main Authors: Janus, Seth C., MacLeod, Stephen P.R., Odland, Rick
Format: Article
Language:English
Subjects:
Blood Loss, Surgical - statistics & numerical data
Bone Screws
Facial Bones - injuries
Female
Fracture Fixation, Internal
Fractures, Bone - surgery
Humans
Male
Orthopedic Procedures - methods
Retrospective Studies
Time Factors
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Summary:To evaluate the complication rate in relation to the timing of surgical repair of midface fractures. Retrospective chart review at a level 1 trauma center. Thirty-four patients were evaluated. Overall complication rate was 23.5% with no significant difference between the early repair (21.1%) and late repair (26.7%) groups. The scope of facial fracture repair was similar between the two groups as measured by the number of screws used and through an injury quantifying system. The only variable that tended toward significance was intraoperative blood loss, which was greater in the early repair group ( P = 0.06). There is no clear consensus with respect to timing of midface trauma repair. Early repair may result in greater blood loss. Further study is needed to help establish a more precise recommendation for the timing of midface trauma repair.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2007.12.024