Analysis of results in early versus late midface fracture repair
Poster presentation at the Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery, Toronto, Ontario, 2006.
Received 24 October 2007; received in revised form 17 December 2007; accepted 19 December 2007.
Objective
To evaluate the complication rate in relation to the timing of surgical repair of midface fractures.
Study Design and Subjects
Retrospective chart review at a level 1 trauma center.
Results
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).
Conclusions
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.
ABSTRACT