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Related Experiment Video

Updated: Mar 11, 2026

Title Cell Encapsulation by Droplets
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Published on: October 1, 2007

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Carmen E Paterson, Matthew Fay, George Forrest

    Journal (Canadian Dental Association)
    |March 10, 2026
    PubMed
    Summary

    Open reduction and internal fixation (ORIF) for mandibular fractures in a nonhospital surgical facility (NHSF) is efficient and safe for selected patients. This approach proved more cost-effective than traditional hospital treatment, with no major complications reported.

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Surgical Outcomes Research
    • Health Economics

    Background:

    • Mandibular fractures frequently require open reduction and internal fixation (ORIF).
    • ORIF is typically performed in hospitals, either as inpatient or day surgery.
    • Nonhospital surgical facilities (NHSFs) present an alternative setting for ORIF procedures.

    Purpose of the Study:

    • To evaluate the outcomes of ORIF for mandibular fractures performed in an NHSF.
    • To assess the safety, efficiency, and cost-effectiveness of ORIF in an NHSF compared to hospital settings.

    Main Methods:

    • Retrospective chart analysis of 69 patients undergoing ORIF for mandibular fracture in an Edmonton, Alberta NHSF (2019-2024).
    • Data collected included patient/injury variables, procedural times, complication rates (nausea, vomiting, pain, bleeding), and follow-up.

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  • A comparative cost analysis was performed.

    • Main Results:

    • All 69 patients were discharged on the same day with no surgical or anesthesia complications requiring hospital transfer.
    • Mean times from injury to ORIF and diagnosis to ORIF were 6.0 and 2.5 days, respectively.
    • ORIF in an NHSF was found to be more cost-effective than in a hospital setting.

    Conclusions:

    • ORIF for selected mandibular fractures in an NHSF is efficient, safe, and cost-effective.
    • Stringent patient selection and postoperative protocols are crucial for successful outcomes in NHSFs.
    • These findings represent the first Canadian data supporting NHSF use for ORIF in mandibular fractures.