Evaluation Of Open Reduction And Internal Fixation Of Maxillofacial Fractures

1559 WordsNov 30, 20167 Pages
Evaluation of perioperative variations in the levels of inflammatory markers in open reduction and internal fixation of maxillofacial fractures INTRODUCTION Infectious complications are commonly encountered following ORIF (Open reduction and internal fixation) ever since it has been adopted as a treatment modality for maxillofacial fractures. Early detection of infection can be difficult in the postoperative phase as many signs and symptoms may actually mimic a SIRS (Systemic inflammatory response syndrome). There is a wealth of literature supporting the use of various inflammatory markers in diagnosis and monitoring of treatment of infectious complications in post-operative patients[1-4]. Various authors have studied markers including (Total leucocyte count) TLC, CRP(C-reactive protein), AST (Aspartate Transaminase) and ALT (Alanine Transaminase) in patients with SIRS and sepsis [5]. Behaviour of inflammatory markers and their correlation to infection in the postoperative phase have been evaluated in various disciplines of surgery. However, similar studies in maxillofacial surgery have been found to be very scarce. We therefore designed a study to evaluate perioperative variations in the levels inflammatory markers in Open Reduction and Internal Fixation (ORIF) of maxillofacial fractures. An attempt was made to establish an acceptable range of variations in the values of inflammatory markers in ORIF and co-relate these variations to the length of surgery, type of

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