Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 4 , Pages 659-668 , April 2006

The Incidence of Postoperative Wound Healing Problems Following Sagittal Ramus Osteotomies Stabilized With Miniplates and Monocortical Screws

  • Craig Alpha, DDS

      Affiliations

    • Senior Resident, Highland General Hospital-Pacific Medical Center, Oakland, CA
    • ,
  • Felice O’Ryan, DDS

      Affiliations

    • Director, Maxillofacial Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr O’Ryan: Division of Maxillofacial Surgery, Kaiser Permanente Northern California, Oakland Medical Center, 280 West MacArthur Blvd, Oakland, CA 94611
    • ,
  • Alessandro Silva, DDS

      Affiliations

    • Formerly, Research Fellow, Division of Maxillofacial Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA; Currently, Private Practice, Sao Paulo, Brazil
    • ,
  • David Poor, DMD

      Affiliations

    • Assistant Director, Maxillofacial Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA

References 

  1. Acebal-Bianco F , Vuylsteke PL , Mommaerts MY , et al.   Perioperative complications in corrective facial orthopedic surgery (A 5-year retrospective study) . J Oral Maxillofac Surg . 2000;58:754
  2. Bentley KC , Head TW , Aiello GA . Antibiotic prophylaxis in orthognathic surgery (A 1-day versus 5-day regimen) . J Oral Maxillofac Surg . 1999;57:226
  3. Gallagher DM , Epker BN . Infection following intraoral surgical correction of dentofacial deformities (A review of 140 consecutive cases) . J Oral Surg . 1980;38:117
  4. Panula K , Finne K , Oikarinen K . Incidence of complications and problems related to orthognathic surgery (A review of 655 patients) . J Oral Maxillofac Surg . 2001;59:1128
  5. Manor Y , Chaushu G , Taicher S . Risk factors contributing to symptomatic plate removal in orthognathic surgery patients . J Oral Maxillofac Surg . 1999;57:679
  6. Lacey MS , Colcleugh RG . Infected screws in patients treated by mandibular sagittal split osteotomy . J Oral Maxillofac Surg . 1995;53:510
  7. Orringer JS , Barcelona V , Buchman SR . Reasons for removal of rigid internal fixation devices in craniofacial surgery . J Craniofac Surg . 1998;9:40
  8. Ruggles JE , Hann JR . Antibiotic prophylaxis in intraoral orthognathic surgery . J Oral Maxillofac Surg . 1984;42:797
  9. Peterson LJ , Booth DF . Efficacy of antibiotic prophylaxis in intraoral orthognathic surgery . J Oral Surg . 1976;34:1088
  10. Zijderveld SA , Smeele LE , Kostense PJ , et al.   Preoperative antibiotic prophylaxis in orthognathic surgery (A randomized, double-blind, and placebo-controlled clinical study) . J Oral Maxillofac Surg . 1999;57:1403
  11. Epker BN . Modifications in the sagittal osteotomy of the mandible . J Oral Surg . 1977;35:157
  12. Wilson APR , Gibbons C , Reeves BC , et al.   Surgical wound infection as a performance indicator (Agreement of common definitions of wound infection in 4773 patients) . BMJ . 2004;329:720
  13. Wilson AP , Treasure T , Sturridge MF , et al.   A scoring method (ASEPSIS) for postoperative wound infections for use in clinical trials of antibiotic prophylaxis . Lancet . 1986;1:311
  14. Garner JS , Jarvis WR , Emori TG , et al.   CDC definitions for nosocomial infections, 1988 [Erratum in: Am J Infect Control 16:177, 1988] . Am J Infect Control . 1988;16:128
  15. Horan TC , Gaynes RP , Martone WJ , et al.   CDC definitions of nosocomial surgical site infections, 1992 (A modification of CDC definitions of surgical wound infections) . Am J Infect Control . 1992;20:271
  16. Bruce J , Russell EM , Jollison J , et al.   The quality of measurement of surgical wound infection as the basis for monitoring (A systematic review) . J Hosp Infect . 2001;49:99
  17. Mosbah MR , Oloyede D , Koppel DA , et al.   Miniplate removal in trauma and orthognathic surgery–A retrospective study . Int J Oral Maxillofac Surg . 2003;32:148
  18. Peterson LJ . Antibiotic prophylaxis against wound infections in oral and maxillofacial surgery . J Oral Maxillofac Surg . 1990;48:617
  19. Yrastorza JA . Indications for antibiotics in orthognathic surgery . J Oral Surg . 1976;34:514
  20. Paterson JA , Cardo VA , Stratigos GT . An examination of antibiotic prophylaxis in oral and maxillofacial surgery . J Oral Surg . 1970;28:753
  21. Lazzarini L , Brunello M , Padula E , et al.   Prophylaxis with cefazolin plus clindamycin in clean-contaminated maxillofacial surgery . J Oral Maxillofac Surg . 2004;62:567
  22. Lindeboom JA , Baas EM , Kroon FH . Prophylactic single-dose administration of 600 mg clindamycin versus 4-time administration of 600 mg clindamycin in orthognathic surgery (A prospective randomized study in bilateral mandibular sagittal ramus osteotomies) . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2003;95:145
  23. Heit JM , Farhood VW , Edwards RC . Survey of antibiotic prophylaxis for intraoral orthognathic surgery . J Oral Maxillofac Surg . 1991;49:340
  24. Harada K , Kikuchi T , Morishima S , et al.   Changes in bite force and dentoskeletal morphology in prognathic patients after orthognathic surgery . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2003;95:649
  25. Zarrinkelk HM , Throckmorton GS , Ellis E , et al.   Functional and morphologic changes after combined maxillary intrusion and mandibular advancement surgery . J Oral Maxillofac Surg . 1996;54:828
  26. Zarrinkelk HM , Throckmorton GS , Ellis E , et al.   A longitudinal study of changes in masticatory performance of patients undergoing orthognathic surgery . J Oral Maxillofac Surg . 1995;53:777
  27. Iwase M , Sugimori M , Kurachi Y , et al.   Changes in bite force and occlusal contacts in patients treated for mandibular prognathism by orthognathic surgery . J Oral Maxillofac Surg . 1998;56:850
  28. Mehra P , Castro V , Freitas RZ , et al.   Complications of the mandibular sagittal split ramus osteotomy associated with the presence or absence of third molars . J Oral Maxillofac Surg . 2001;59:854
  29. Jones JK , Triplett RG . The role of bacterial-laden biofilms in infections of maxillofacial biomaterials . J Oral Maxillofac Surg . 1988;46:19
  30. Hirabayashi M , Motoyoshi M , Ishimaru T , et al.   Stress in mandibular cortical bone during mastication (Biomechanical considerations using a three-dimensional finite element method) . J Oral Science . 2002;44:1
  31. Ellis E , Walker L . Treatment of mandibular angle fractures using two noncompression miniplates . J Oral Maxillofac Surg . 1994;52:1032
  32. Maurer P , Knoll WD , Schubert J . Comparative evaluation of two osteosynthesis methods on stability following sagittal split ramus osteotomy . J Craniomaxillofac Surg . 2003;31:284
  33. Murphy MT , Haug RH , Barber JE . An in vitro comparison of the mechanical characteristics of three sagittal ramus osteotomy fixation techniques . J Oral Maxillofac Surg . 1997;55:489
  34. Tharanon W . Comparison between the rigidity of bicortical screws and a miniplate for fixation of a mandibular setback after a simulated bilateral sagittal split osteotomy . J Oral Maxillofac Surg . 1998;56:1055
  35. Blomqvist JE , Isaksson S . Skeletal stability after mandibular advancement (A comparison of two rigid internal fixation techniques) . J Oral Maxillofac Surg . 1994;52:1133
  36. Wall G , Rosenquist B . Radiographic stereophotogrammetric evaluation of intersegmental stability after mandibular sagittal split osteotomy and rigid fixation . J Oral Maxillofac Surg . 2001;59:1427
  37. Epker BN . Vascular considerations in orthognathic surgery . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1984;57:467
  38. Grammer FC , Meyer MW , Richter KJ . A radioisotope study of the vascular response to sagittal split osteotomy of the mandibular ramus . J Oral Surg . 1974;32:578
  39. Bell WH , Schendel SA . Biologic basis for modification of the sagittal ramus split operation . J Oral Surg . 1977;35:362
  40. Stoelinga PJW , Borstlap WA . The fixation of sagittal split osteotomies with miniplates (The versatility of a technique) . J Oral Maxillofac Surg . 2003;61:1471
  41. Chuong CJ , Borotikar B , Schwartz-Dabney C , et al.   Mechanical characteristics of the mandible after bilateral sagittal split ramus osteotomy (Comparing 2 different fixation techniques) . J Oral Maxillofac Surg . 2005;63:68
  42. Lundskog J . Heat and bone tissue. An experimental investigation of the thermal properties of bone and threshold levels for thermal injury . Scand J Plast Reconstr Surg . 1972;9:1
  43. Eriksson A , Albrektsson T , Grane B , et al.   Thermal injury to bone. A vital-microscopic description of heat effects . Int J Oral Surg . 1982;11:115
  44. Eriksson RA , Adell R . Temperature during drilling for the placement of implants using the osseointegration technique . J Oral Maxillofac Surg . 1986;44:4
  45. Brisman DL . The effect of speed, pressure, and time on bone temperature during the drilling of implant sites . Int J Oral Maxillofac Implants . 1996;11:35
  46. Krause WR , Bradbury DW , Kelly JE , et al.   Temperature elevations in orthopaedic cutting operations . J Biomechanics . 1982;15:267
  47. Davidson SR , James DF . Drilling in bone (Modeling head generation and temperature distribution) . J Biomech Eng . 2003;125:305
  48. Hillery MT , Shuaib I . Temperature effects in the drilling of human and bovine bone . J Mat Proc Tech . 1999; 92-93:302

PII: S0278-2391(05)01993-2

doi: 10.1016/j.joms.2005.12.013

Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 4 , Pages 659-668 , April 2006

Article Tools

* Image Usage & Resolution