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Risk of surgical glove perforation in oral and maxillofacial surgery

N Kuroyanagi1, T Nagao, H Sakuma

  • 1Department of Maxillofacial Surgery, Aichi-Gakuin University School of Dentistry, Aichi, Japan.

International Journal of Oral and Maxillofacial Surgery
|March 27, 2012
PubMed

Insights

Oral and maxillofacial surgery poses a high risk of glove perforation, especially during orthognathic surgery. Double gloving significantly enhances protection against cross-contamination in high-risk procedures.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Infection Control
  • Surgical Safety

Background:

  • Oral and maxillofacial surgery utilizes sharp instruments and fixation materials, increasing the risk of cross-contamination.
  • Perforated surgical gloves are a known concern, but the frequency of glove perforations in this specialty is not well-documented.

Purpose of the Study:

  • To determine the frequency of surgical glove perforations in various oral and maxillofacial surgery procedures.
  • To identify specific procedures and surgical roles with the highest risk of glove perforation.

Main Methods:

  • The hydroinsufflation technique was used to assess glove perforation frequency.
  • 1436 surgical gloves from 150 oral and maxillofacial surgeries were analyzed.
  • Data was collected on different surgical procedures, including orthognathic surgery, and surgical team roles.

Main Results:

  • Orthognathic surgery exhibited the highest glove perforation rate (91.1%), followed by cleft lip and palate surgery (55.0%), oral soft tumor excision (54.5%), and dental implantation (50.0%).
  • Scrub nurses had the highest perforation rate (63.4%), followed by surgeons/first assistants (44.4%) and second assistants (16.3%).
  • Double gloving in orthognathic surgery provided a 95.2% protection rate.

Conclusions:

  • Orthognathic surgery should be classified as a highest-risk category for glove perforation due to the frequent use of sharp objects.
  • Implementing enhanced protective measures, such as double gloving, is crucial for oral and maxillofacial surgeons, particularly in high-risk procedures.

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