Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8698919 | Journal of Cranio-Maxillofacial Surgery | 2018 | 20 Pages |
Abstract
Over a period of 10 years (2003-2012) we could identify 1543 patients, of whom 553 had fractures of the facial skull. 168 of the facial fracture patients were operated on their fractures, 97Â at a time later than 72Â h. Despite the delayed time of operation, the patients showed fewer complications (21.6% vs 25.4%). This resulted in fewer additional stays in hospital (9.3% vs 11.3%), and also in fewer plate removals (23.7% vs 33.8%). We conclude that delayed operative fracture treatment does not lead to more complications. The optimal time for operative treatment has to be determined individually as the earliest point at which no adverse effects from comorbidities are expected.
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Authors
Rene Rothweiler, Joerg Bayer, Joern Zwingmann, Norbert P. Suedkamp, Johannes Kalbhenn, Rainer Schmelzeisen, Ralf Gutwald,