A1 Refereed original research article in a scientific journal
Need for Redo Surgery of Maxillofacial Fractures
Authors: Thorén, Hanna; Suojanen, Sami; Suominen, Anna Liisa; Puolakkainen, Tero; Toivari, Miika; Snall, Johanna
Publisher: MDPI
Publishing place: BASEL
Publication year: 2025
Journal: Craniomaxillofacial trauma & reconstruction
Journal name in source: CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION
Journal acronym: CRANIOMAX TRAUM REC
Article number: 19
Volume: 18
Issue: 1
Number of pages: 13
ISSN: 1943-3875
eISSN: 1943-3883
DOI: https://doi.org/10.3390/cmtr18010019
Web address : https://doi.org/10.3390/cmtr18010019
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/498491375
The purpose of the present study was to describe the demographic and clinical features of patients having undergone redo surgery for mandibular and/or midfacial fractures and to identify factors that increase the odds of redo surgery. Included were the files of all patients who had undergone open reduction and fixation of one or more mandibular and/or midfacial fracture or orbital reconstructions at the Department of Oral and Maxillofacial Surgery, Helsinki University Hospital, Helsinki, Finland, between 1 January 2013-31 October 2020. Patients having undergone redo surgery were identified, and descriptive characteristics were calculated. In the data analysis, the association between redo surgery and explanatory variables was analyzed. Altogether, 1176 patients were identified for the analysis. Of these, 25 (2.1%) underwent redo surgery for 28 fracture sites. The most common reasons for redo surgery were inadequate fracture reductions of the zygomatic process or the mandible (19 patients) and inadequate orbital reconstructions (four patients). Compared with surgery of only the mandible, combined surgery of the mandible and midface had almost four times greater odds of redo surgery (95% CI 3.8, 0.8-18.4), but the finding was not statistically significant. Although redo surgery was required fairly infrequently, the findings highlight the relevance of surgical competence to treatment success; suboptimal surgical procedure was the most common reason for redo surgery. The literature supports the use of intraoperative CT scanning as a useful tool in association with the treatment of complex midfacial fractures in general and orbital fractures in particular. The success of orbital reconstruction can be promoted by using patient-specific implants.
Downloadable publication This is an electronic reprint of the original article. |  |
Funding information in the publication:
This research received no external funding.
