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Does Training Background Influence Outcomes after Coronal Scalp Incision for Treating Craniomaxillofacial Injuries?:

Poramate Pitak-Arnnop1, Keskanya Subbalekha2, Chatpong Tangmanee3

  • 1Department of Oral and Craniomaxillofacial Plastic Surgery, UKGM GmbH, University Hospital Marburg, Faculty of Medicine, Philipps-University of Marburg, Baldingerstr., 35043 Marburg, Germany.

Journal of Maxillofacial and Oral Surgery
|May 1, 2023
PubMed
Summary

Oral-maxillofacial or craniofacial plastic surgery residents (OMFS/CFPS-Rs) and trauma surgery residents (TS-Rs) had similar outcomes for craniomaxillofacial (CMF) fractures using the coronal approach. Length of hospital stay and flap complications were comparable between groups.

Keywords:
ComplicationCoronal incisionCraniomaxillofacial injurySurgical education

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Area of Science:

  • Craniomaxillofacial Surgery
  • Surgical Education
  • Trauma Surgery

Background:

  • The coronal approach is utilized for craniomaxillofacial (CMF) fractures.
  • Evaluating surgical outcomes based on resident training background is crucial for optimizing CMF fracture treatment.
  • Understanding potential differences in outcomes between oral-maxillofacial/craniofacial plastic surgery residents (OMFS/CFPS-Rs) and trauma surgery residents (TS-Rs) is important.

Purpose of the Study:

  • To compare the outcomes of CMF fractures treated via the coronal approach performed by OMFS/CFPS-Rs versus TS-Rs.
  • To identify any significant differences in treatment results between these two resident groups.

Main Methods:

  • A retrospective cohort study was conducted on adult CMF fracture patients treated with the coronal approach.
  • Patients were grouped based on the operating resident's training background: OMFS/CFPS-Rs (n=5) vs. TS-Rs (n=5).
  • Key outcomes assessed included length of hospital stay (LHS) and coronal flap-related complications (CFRCs).

Main Results:

  • No significant differences were observed in operative time, LHS, CFRCs, readmission rates, or emergency room visits between the OMFS/CFPS-R and TS-R groups.
  • The majority of CFRCs (60%) involved visible scarring or alopecia.
  • The number needed to treat for short LHS was 44, and the number needed to harm for CFRCs was 14.

Conclusions:

  • The coronal flap procedure for CMF fractures by OMFS/CFPS-Rs showed no apparent benefit over TS-Rs regarding LHS and CFRCs up to six months post-operation.
  • Residents from various surgical specialties can achieve independence in CMF trauma surgical sub-steps with favorable outcomes.
  • Further research with larger cohorts is recommended to validate these preliminary findings.