イシハマ　タカノリ   Takanori Ishihama   石濱　嵩統    所属   川崎医科大学  医学部 臨床医学　歯科総合口腔医療学    職種   臨床助教８年
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Risk factors for postoperative infection after bilateral sagittal split ramus osteotomy: A retrospective analysis.
掲載誌名	正式名：Journal of stomatology, oral and maxillofacial surgery 略　 称：J Stomatol Oral Maxillofac Surg ISSNコード：24687855/24687855
掲載区分	国外
巻・号・頁	124(6 Suppl 2),pp.101613
著者・共著者	Shintaro Sukegawa, Fumi Nakai, Yasuhiro Nakai, Ryo Miyazaki, Takanori Ishihama, Minoru Miyake
発行年月	2023/12
概要	BACKGROUND:This retrospective clinical study investigated risk factors for infection following bilateral sagittal split ramus osteotomy (BSSO) as orthognathic surgery, including the patients' general condition, local factors, and surgical factors.PATIENTS AND METHODS:The cases of 160 mandibular sites of 80 Japanese patients (26 males, 54 females; mean ± SD age: 25.3 ± 7.7 years, range 16-55 yrs) with a jaw deformity who underwent BSSO orthognathic surgery at our Department of Oral and Maxillofacial Surgery between Jan. 2017 and Dec. 2022 were analyzed. Potential risk factors were classified as clinical predictive variables. Descriptive and univariate statistics were computed. A multivariate analysis was performed with logistic regression.RESULTS:Fifteen mandibular sites (9.4 %) were complicated with postoperative infection. The multivariate analysis revealed significant differences in facial asymmetry (OR 24.0, p = 0.0002) and the amount of mandibular movement (OR 0.664, p = 0.011) between the sites with and without infection.CONCLUSIONS:Among clinical variables, facial asymmetry was the strongest risk factor for post-BSSO infection, followed by the amount of mandibular movement.
DOI	10.1016/j.jormas.2023.101613
PMID	37797811