Barriers to Repair in Maxillofacial Trauma

JAMA Facial Plastic Surgery
J Paul RadabaughThomas J Gal

Abstract

Multiple factors can be associated with the delayed repair of maxillofacial injuries that may be associated with increased morbidity. To assess factors affecting timing of repair and barriers which may exist in the management of maxillofacial trauma. This retrospective cohort study at a tertiary care facility used the Current Procedural Terminology coding to identify adult patients undergoing operative repair of maxillofacial injuries between January 2010 and December 2013. Demographic information, presence and severity of concomitant injuries, as well as fracture-specific data including fracture type(s), mechanism of injury, and documented complications were recorded. Identifiable delays for medical, logistical, or other reasons were also documented. Multivariate regression modeling was used to determine factors associated with increased time to repair. A comparative analysis was used to identify association between complications and time to operative repair. Time to operative repair from date of presentation; association of known operative delay and perioperative complications. Overall, 780 patients were included in the study. Of patients meeting inclusion criteria, mean (SD) age was 36.7 (14.2) years (range, 18-88 years), an...Continue Reading

References

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Citations

Jan 8, 2019·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Maximilian GoedeckePeer W Kämmerer
Sep 29, 2019·The Annals of Otology, Rhinology, and Laryngology·Jason E CohnOneida A Arosarena
Jul 10, 2020·Craniomaxillofacial Trauma & Reconstruction·Jason E CohnSeth Zwillenberg
May 1, 2021·Journal of Maxillofacial and Oral Surgery·Karthik RamakrishnanJanani Narayanan

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