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Postoperative infections in craniofacial reconstructive procedures.

J A Fialkov¹, C Holy, C R Forrest

¹Division of Plastic Surgery, Sunnybrook and Women's College Health Science Center, University of Toronto, Ontario, Canada. Jeff.Fialkov@swchsc.on.ca

The Journal of Craniofacial Surgery

|August 3, 2001

Summary

Postoperative craniofacial infection occurred in 8.2% of cases, with the mandible being the most common site. Gunshot wounds and porous polyethylene implants via transoral routes significantly increased infection risk.

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Area of Science:

Craniofacial surgery
Infectious disease epidemiology

Background:

Postoperative craniofacial infection rates and risk factors are not well-defined.
Understanding these factors is crucial for improving patient outcomes in complex reconstructive procedures.

Purpose of the Study:

To determine the incidence of postoperative craniofacial infection.
To identify significant risk factors associated with these infections.

Main Methods:

Retrospective review of 349 craniofacial skeletal procedures (1996-1999).
Infection diagnosis based on clinical confirmation plus antibiotic treatment, surgical intervention, or microbiological confirmation.
Correlation analysis with implant use, operative site, and cause of deformity.

Main Results:

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An overall infection rate of 8.2% (23/280 cases) was observed.
The mandible had the highest infection rate (16.7%).
Gunshot wounds (odds ratio not provided) and transoral porous polyethylene implantation were significant predictors of infection.

Conclusions:

Craniofacial surgery carries a notable risk of postoperative infection, particularly involving the mandible.
Trauma (gunshot wounds) and specific implant materials/approaches (transoral porous polyethylene) necessitate careful consideration to mitigate infection risk.