The impact of delayed surgical intervention following high velocity maxillofacial injuries
Abstract Our study compares the number of postoperative complications of Syrian patients admitted to the Galilee Medical Center (GMC) over a 5-year period (May 2013–May 2018) for treatment after initial high-velocity maxillofacial injuries sustained during the Syrian civil war. Specifically, we eval...
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2021-01-01
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doaj-a6ff74a2031d4c5bae5002d0b561873a2021-01-17T12:39:34ZengNature Publishing GroupScientific Reports2045-23222021-01-011111710.1038/s41598-021-80973-7The impact of delayed surgical intervention following high velocity maxillofacial injuriesDaniel Oren0Amiel A. Dror1Adeeb Zoabi2Adi Kasem3Lior Tzadok4Fares Kablan5Nicole G. Morozov6Enssaf Safory7Eyal Sela8Samer Srouji9Oral and Maxillofacial Department, Galilee Medical CenterDepartment of Otolaryngology, Head and Neck Surgery, Galilee Medical CenterOral and Maxillofacial Department, Galilee Medical CenterOral and Maxillofacial Department, Galilee Medical CenterOral and Maxillofacial Department, Galilee Medical CenterOral and Maxillofacial Department, Galilee Medical CenterThe Sackler Faculty of Medicine, Tel Aviv UniversityOral and Maxillofacial Department, Galilee Medical CenterDepartment of Otolaryngology, Head and Neck Surgery, Galilee Medical CenterOral and Maxillofacial Department, Galilee Medical CenterAbstract Our study compares the number of postoperative complications of Syrian patients admitted to the Galilee Medical Center (GMC) over a 5-year period (May 2013–May 2018) for treatment after initial high-velocity maxillofacial injuries sustained during the Syrian civil war. Specifically, we evaluated complication rates of patients arriving “early,” within 24 h, to the GMC versus those who arrived “late,” or 14–28 days following high-velocity maxillofacial injuries. Both groups of patients received definitive surgical treatment within 48 h of admission to our hospital with a total of 60 patients included in this study. The mean age was 26 ± 8 years (range: 9–50) and all except one were male. Postoperative complications in the early group were found to be significantly higher compared to the delayed arrival group (p = 0.006). We found that unintentionally delayed treatment may have contributed to a critical revascularization period resulting in improved healing and decreased postoperative morbidity and complications. We discuss potential mechanisms for complication rate variations, including critical vascularization periods. Our study may add to a growing body of work demonstrating the potential benefit of delayed surgical treatment for high-velocity maxillofacial injuries.https://doi.org/10.1038/s41598-021-80973-7 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Daniel Oren Amiel A. Dror Adeeb Zoabi Adi Kasem Lior Tzadok Fares Kablan Nicole G. Morozov Enssaf Safory Eyal Sela Samer Srouji |
spellingShingle |
Daniel Oren Amiel A. Dror Adeeb Zoabi Adi Kasem Lior Tzadok Fares Kablan Nicole G. Morozov Enssaf Safory Eyal Sela Samer Srouji The impact of delayed surgical intervention following high velocity maxillofacial injuries Scientific Reports |
author_facet |
Daniel Oren Amiel A. Dror Adeeb Zoabi Adi Kasem Lior Tzadok Fares Kablan Nicole G. Morozov Enssaf Safory Eyal Sela Samer Srouji |
author_sort |
Daniel Oren |
title |
The impact of delayed surgical intervention following high velocity maxillofacial injuries |
title_short |
The impact of delayed surgical intervention following high velocity maxillofacial injuries |
title_full |
The impact of delayed surgical intervention following high velocity maxillofacial injuries |
title_fullStr |
The impact of delayed surgical intervention following high velocity maxillofacial injuries |
title_full_unstemmed |
The impact of delayed surgical intervention following high velocity maxillofacial injuries |
title_sort |
impact of delayed surgical intervention following high velocity maxillofacial injuries |
publisher |
Nature Publishing Group |
series |
Scientific Reports |
issn |
2045-2322 |
publishDate |
2021-01-01 |
description |
Abstract Our study compares the number of postoperative complications of Syrian patients admitted to the Galilee Medical Center (GMC) over a 5-year period (May 2013–May 2018) for treatment after initial high-velocity maxillofacial injuries sustained during the Syrian civil war. Specifically, we evaluated complication rates of patients arriving “early,” within 24 h, to the GMC versus those who arrived “late,” or 14–28 days following high-velocity maxillofacial injuries. Both groups of patients received definitive surgical treatment within 48 h of admission to our hospital with a total of 60 patients included in this study. The mean age was 26 ± 8 years (range: 9–50) and all except one were male. Postoperative complications in the early group were found to be significantly higher compared to the delayed arrival group (p = 0.006). We found that unintentionally delayed treatment may have contributed to a critical revascularization period resulting in improved healing and decreased postoperative morbidity and complications. We discuss potential mechanisms for complication rate variations, including critical vascularization periods. Our study may add to a growing body of work demonstrating the potential benefit of delayed surgical treatment for high-velocity maxillofacial injuries. |
url |
https://doi.org/10.1038/s41598-021-80973-7 |
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