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Updated: Aug 15, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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Measuring Adherence to Antibiotic Use Guidelines in Managing Mandible Fractures.

Thomas O Beckstrom1, Thomas B Dodson2, Melanie S Lang3

  • 1Resident, Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, Seattle, WA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
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Summary

Surgical Infection Society (SIS) antibiotic guidelines for facial fractures show high adherence (>90%) in isolated mandibular fracture cases. Factors like operative treatment and drug use were linked to deviations, necessitating further research for improved compliance.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Infectious Diseases
  • Clinical Practice Guidelines

Background:

  • Variability in practice patterns for facial fracture management.
  • Surgical Infection Society (SIS) released guidelines in June 2020 for antibiotic use in facial fractures.

Purpose of the Study:

  • Measure adherence to SIS guidelines for isolated mandibular fractures.
  • Identify factors associated with deviations from SIS guidelines.

Main Methods:

  • Retrospective cohort study of 114 patients with isolated mandibular fractures.
  • Data collected from June 2020 to October 2021.
  • Bivariate statistics used to analyze adherence and associated variables.

Main Results:

  • High adherence rate of 91.2% to SIS antibiotic protocol.
  • Deviations associated with operative treatment, current drug use (excluding marijuana), and transfer status from outside facilities.

Conclusions:

  • SIS antibiotic guidelines for mandible fractures are well-implemented (>90% compliance).
  • Further research needed to understand how treatment choice, drug exposure, and transfer status impact adherence.