Evaluation of the Variations in the Levels of Perioperative Inflammatory Markers After Open Reduction and Internal Fixation of Maxillofacial Fractures
Introduction Postoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early diagnosis of infectious processes is the key in preventing morbidity/mortality which could be in the form of loss of hardware and sepsis. T...
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Published in | Journal of maxillofacial and oral surgery Vol. 20; no. 1; pp. 138 - 143 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
New Delhi
Springer India
01.03.2021
Springer Nature B.V |
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Abstract | Introduction
Postoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early diagnosis of infectious processes is the key in preventing morbidity/mortality which could be in the form of loss of hardware and sepsis. To prevent these, various markers of inflammation have been studied in different disciplines of surgery but are found scarce in maxillofacial practice.
Material and method
The present study was designed to evaluate the perioperative variations in the levels of inflammatory markers. We analysed temperature, TLC, DLC, ALT, AST and CRP in 50 patients of ORIF. Their values were recorded preoperatively as well as at 24 h, 48 h, third day and seventh day postoperatively. The correlation of inflammatory markers with the type of anaesthesia and length of surgery were also analysed.
Results
The ranges of various markers in the perioperative phase were: temperature (97.6 ºF–99.2 ºF), TLC (5100/mm
3
–18200/mm
3
), neutrophils (51–91%), AST (12–86 IU/L), ALT (12–96 IU/L) and CRP (1.2–150 mg/L). Mean values of all the inflammatory markers achieved their peak values within 24 h postoperatively. These values showed a decline thereafter, with the day 3 and day 7 values being even lower than their preoperative values. This fall in the values was highly significant (
p
< 0.001) except ALT where the fall was significant (
p
< 0.05). The data obtained could be used as a reference range by the surgeons for monitoring the recovery of the patient. It could also help in timely interception and expeditious management of an infectious episode in the postoperative phase. |
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AbstractList | Introduction
Postoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early diagnosis of infectious processes is the key in preventing morbidity/mortality which could be in the form of loss of hardware and sepsis. To prevent these, various markers of inflammation have been studied in different disciplines of surgery but are found scarce in maxillofacial practice.
Material and method
The present study was designed to evaluate the perioperative variations in the levels of inflammatory markers. We analysed temperature, TLC, DLC, ALT, AST and CRP in 50 patients of ORIF. Their values were recorded preoperatively as well as at 24 h, 48 h, third day and seventh day postoperatively. The correlation of inflammatory markers with the type of anaesthesia and length of surgery were also analysed.
Results
The ranges of various markers in the perioperative phase were: temperature (97.6 ºF–99.2 ºF), TLC (5100/mm
3
–18200/mm
3
), neutrophils (51–91%), AST (12–86 IU/L), ALT (12–96 IU/L) and CRP (1.2–150 mg/L). Mean values of all the inflammatory markers achieved their peak values within 24 h postoperatively. These values showed a decline thereafter, with the day 3 and day 7 values being even lower than their preoperative values. This fall in the values was highly significant (
p
< 0.001) except ALT where the fall was significant (
p
< 0.05). The data obtained could be used as a reference range by the surgeons for monitoring the recovery of the patient. It could also help in timely interception and expeditious management of an infectious episode in the postoperative phase. Postoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early diagnosis of infectious processes is the key in preventing morbidity/mortality which could be in the form of loss of hardware and sepsis. To prevent these, various markers of inflammation have been studied in different disciplines of surgery but are found scarce in maxillofacial practice. The present study was designed to evaluate the perioperative variations in the levels of inflammatory markers. We analysed temperature, TLC, DLC, ALT, AST and CRP in 50 patients of ORIF. Their values were recorded preoperatively as well as at 24 h, 48 h, third day and seventh day postoperatively. The correlation of inflammatory markers with the type of anaesthesia and length of surgery were also analysed. The ranges of various markers in the perioperative phase were: temperature (97.6 ºF-99.2 ºF), TLC (5100/mm -18200/mm ), neutrophils (51-91%), AST (12-86 IU/L), ALT (12-96 IU/L) and CRP (1.2-150 mg/L). Mean values of all the inflammatory markers achieved their peak values within 24 h postoperatively. These values showed a decline thereafter, with the day 3 and day 7 values being even lower than their preoperative values. This fall in the values was highly significant ( < 0.001) except ALT where the fall was significant ( < 0.05). The data obtained could be used as a reference range by the surgeons for monitoring the recovery of the patient. It could also help in timely interception and expeditious management of an infectious episode in the postoperative phase. INTRODUCTIONPostoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early diagnosis of infectious processes is the key in preventing morbidity/mortality which could be in the form of loss of hardware and sepsis. To prevent these, various markers of inflammation have been studied in different disciplines of surgery but are found scarce in maxillofacial practice. MATERIAL AND METHODThe present study was designed to evaluate the perioperative variations in the levels of inflammatory markers. We analysed temperature, TLC, DLC, ALT, AST and CRP in 50 patients of ORIF. Their values were recorded preoperatively as well as at 24 h, 48 h, third day and seventh day postoperatively. The correlation of inflammatory markers with the type of anaesthesia and length of surgery were also analysed. RESULTSThe ranges of various markers in the perioperative phase were: temperature (97.6 ºF-99.2 ºF), TLC (5100/mm3-18200/mm3), neutrophils (51-91%), AST (12-86 IU/L), ALT (12-96 IU/L) and CRP (1.2-150 mg/L). Mean values of all the inflammatory markers achieved their peak values within 24 h postoperatively. These values showed a decline thereafter, with the day 3 and day 7 values being even lower than their preoperative values. This fall in the values was highly significant (p < 0.001) except ALT where the fall was significant (p < 0.05). The data obtained could be used as a reference range by the surgeons for monitoring the recovery of the patient. It could also help in timely interception and expeditious management of an infectious episode in the postoperative phase. |
Author | Dhillon, Guneet Sharma, Parveen Bali, Rishi Kumar Gaba, Shivani Kaur, Avneet |
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Cites_doi | 10.1111/j.1749-6632.1982.tb22153.x 10.1080/17453670710015355 10.3949/ccjm.56.2.126 10.1302/0301-620X.89B11.19478 10.1007/s12663-011-0278-x 10.1007/s00134-002-1209-6 10.1136/jcp.36.2.203 10.1097/SCS.0b013e31826bf030 10.1302/0301-620X.78B3.0780431 10.1046/j.1365-2168.1998.00770.x 10.1186/1471-2253-12-12 10.1097/00003086-199202000-00035 10.1097/00003086-198404000-00015 |
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Copyright | The Association of Oral and Maxillofacial Surgeons of India 2018. corrected publication, May 2020 The Association of Oral and Maxillofacial Surgeons of India 2018, corrected publication, May 2020. The Association of Oral and Maxillofacial Surgeons of India 2018. corrected publication, May 2020. The Association of Oral and Maxillofacial Surgeons of India 2018, corrected publication, May 2020 |
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J contributor: fullname: M Hussain – volume: 9 start-page: 81 issue: 2 year: 2008 ident: 1174_CR10 publication-title: West J Emerg Med contributor: fullname: A Santucci – volume: 389 start-page: 406 year: 1982 ident: 1174_CR14 publication-title: Ann N Y Acad Sci doi: 10.1111/j.1749-6632.1982.tb22153.x contributor: fullname: JJ Morley |
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Snippet | Introduction
Postoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An... Postoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early diagnosis... IntroductionPostoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early... INTRODUCTIONPostoperative infectious complications are commonly encountered in open reduction and internal fixation (ORIF) of maxillofacial fractures. An early... |
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StartPage | 138 |
SubjectTerms | Age groups Dentistry Fractures Infections Inflammation Leukocytes Medicine Medicine & Public Health Neutrophils Oral and Maxillofacial Surgery Original Original Article Otorhinolaryngology Plastic Surgery Surgery Trauma |
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Title | Evaluation of the Variations in the Levels of Perioperative Inflammatory Markers After Open Reduction and Internal Fixation of Maxillofacial Fractures |
URI | https://link.springer.com/article/10.1007/s12663-018-1174-4 https://www.ncbi.nlm.nih.gov/pubmed/33584055 https://www.proquest.com/docview/2919543569/abstract/ https://search.proquest.com/docview/2489596135 https://pubmed.ncbi.nlm.nih.gov/PMC7855112 |
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