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Complications in paediatric craniofacial surgery: an initial four year experience
B M Jones1, P Jani, R M Bingham
1Craniofacial Centre, Hospitals for Sick Children, London.
British Journal of Plastic Surgery
|April 1, 1992
Summary
Craniofacial surgery in children had no deaths or permanent issues. Most complications were minor, but serious risks like hemorrhage and infection were noted, especially in infants with monoblock advancements or tracheostomies.
Area of Science:
- Pediatric Surgery
- Craniofacial Surgery
- Surgical Complications
Background:
- Craniofacial surgery is complex and carries potential risks.
- Understanding complication rates is crucial for improving patient outcomes.
- The craniofacial team's initial 4-year experience provides valuable data.
Purpose of the Study:
- To assess the incidence and types of complications in pediatric craniofacial surgery.
- To identify risk factors associated with adverse events.
- To evaluate the safety profile of transcranial craniofacial procedures.
Main Methods:
- Retrospective review of 107 children undergoing craniofacial surgery.
- Analysis of complication data over a 4-year period.
- Categorization of complications by severity (life-threatening, serious, minor).
Main Results:
- No deaths or permanent adverse sequelae were reported.
- 53 complications occurred in 42 patients (39.3% overall).
- Potentially life-threatening complications occurred in 9.3%, serious in 12.1%, and minor in 28%.
Conclusions:
- While generally safe, pediatric craniofacial surgery has a notable complication rate.
- Hemorrhage, vasovagal shock, and post-operative infection are key serious risks.
- Infants undergoing monoblock frontofacial advancements and those with tracheostomies are at higher risk.