Matches in SemOpenAlex for { <https://semopenalex.org/work/W3008592330> ?p ?o ?g. }
- W3008592330 endingPage "375" @default.
- W3008592330 startingPage "365" @default.
- W3008592330 abstract "To evaluate the intra- and post-operative complications of tooth-borne anterior maxillary distraction in management of cleft maxillary hypoplasia over a 12-year period, and to establish whether the procedure involves a learning curve. All patients with cleft maxillary hypoplasia satisfying the inclusion and exclusion criteria and undergoing anterior maxillary distraction with a tooth-borne palatal distractor between June 2007 to June 2018 were retrospectively studied by retrieving their individual medical records, which included radiographic (lateral cephalogram analysis at three different intervals) and speech assessment records. The presence of intra- and post-operative complications developing in this study period was noted. Furthermore, the frequency of intra- and post-operative complications occurring from years 2007–2018 were evaluated to study whether there was a decrease in the frequency of complications with increasing time. This was done to establish whether there was a learning curve associated with the surgical procedure. The results thus obtained were tabulated using SPSS 25.0 (SPSS Inc., Chicago, IL) and subjected to statistical analysis using the chi-squared test. A p value of less than 0.05 was considered statistically significant. Out of the 458 patients included in the study, 78.82 % (n = 361) had no complications. In the remaining 97 patients, a total of 137 complications (46 intra-operative and 91 post-operative) were observed, making up for a complication rate of 21.17%. The intra-operative complications noted were appliance dislodgement (n = 19), palatal mucosal tears (n = 12), hemorrhage (n = 8), dental injuries (n = 6) and inadvertent fracture of the anterior segment (n = 1). The post-operative complications noted were anterior open bite (n = 24), gingival inflammation (n = 14), appliance dislodgement (n = 13), dental injuries (n = 10), relapse (n = 8), hemorrhage (n = 5), soft tissue infections (n = 4), palatal fistula (n = 3), speech impairment (n = 3), wound dehiscence not related to infection (n = 3), need for re-operation (n = 2), avascular necrosis of the anterior segment (n = 1) and maxillary sinusitis (n = 1). A statistically significant decrease (p < 0.001) in the frequency of complications with each passing year from 2007 to 2018 was observed. Most complications were seen to occur in the first 4 years (i.e. 2007–2010; a total of 74 complications in 54 patients), making up 11.79% of the complications. In the following 8 years (i.e. 2011–2018), 63 complications were noted in 43 patients, making up the remaining 9.38 % of the complications. These observations indicate that a learning curve was involved before carrying out the procedure without many complications. Tooth-borne anterior maxillary distraction in managing cleft maxillary hypoplasia is associated with a wide range of complications: some avoidable and related to surgeon's experience; some related to the surgical procedure itself; and some unavoidable and related to the distractor appliance. Understanding potential complications allows the surgeon to ensure safe care through early intervention and to correctly inform the patient in the pre-operative discussion. The procedure involves a learning curve before it can be accomplished safely without many complications." @default.
- W3008592330 created "2020-03-06" @default.
- W3008592330 creator A5011023092 @default.
- W3008592330 creator A5051964438 @default.
- W3008592330 date "2020-04-01" @default.
- W3008592330 modified "2023-10-18" @default.
- W3008592330 title "A retrospective analysis of complications associated with tooth-borne anterior maxillary distraction for managing cleft maxillary hypoplasia: A 12-year experience" @default.
- W3008592330 cites W1965321209 @default.
- W3008592330 cites W1976968789 @default.
- W3008592330 cites W1977347138 @default.
- W3008592330 cites W1984962197 @default.
- W3008592330 cites W1993035335 @default.
- W3008592330 cites W2005482815 @default.
- W3008592330 cites W2019330290 @default.
- W3008592330 cites W2022055441 @default.
- W3008592330 cites W2025242350 @default.
- W3008592330 cites W2025804953 @default.
- W3008592330 cites W2027964881 @default.
- W3008592330 cites W2030772541 @default.
- W3008592330 cites W2034284915 @default.
- W3008592330 cites W2034293357 @default.
- W3008592330 cites W2035633441 @default.
- W3008592330 cites W2055610059 @default.
- W3008592330 cites W2057119890 @default.
- W3008592330 cites W2063386009 @default.
- W3008592330 cites W2069605817 @default.
- W3008592330 cites W2085723081 @default.
- W3008592330 cites W2113847331 @default.
- W3008592330 cites W2122134578 @default.
- W3008592330 cites W2134801214 @default.
- W3008592330 cites W2168126363 @default.
- W3008592330 cites W2173625121 @default.
- W3008592330 cites W2176176722 @default.
- W3008592330 cites W2227309328 @default.
- W3008592330 cites W2278572561 @default.
- W3008592330 cites W2517322040 @default.
- W3008592330 cites W2773727240 @default.
- W3008592330 cites W2793110637 @default.
- W3008592330 cites W2901670708 @default.
- W3008592330 cites W2922444534 @default.
- W3008592330 cites W4253237756 @default.
- W3008592330 doi "https://doi.org/10.1016/j.jcms.2020.02.014" @default.
- W3008592330 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32151516" @default.
- W3008592330 hasPublicationYear "2020" @default.
- W3008592330 type Work @default.
- W3008592330 sameAs 3008592330 @default.
- W3008592330 citedByCount "6" @default.
- W3008592330 countsByYear W30085923302021 @default.
- W3008592330 countsByYear W30085923302023 @default.
- W3008592330 crossrefType "journal-article" @default.
- W3008592330 hasAuthorship W3008592330A5011023092 @default.
- W3008592330 hasAuthorship W3008592330A5051964438 @default.
- W3008592330 hasConcept C141071460 @default.
- W3008592330 hasConcept C167135981 @default.
- W3008592330 hasConcept C169760540 @default.
- W3008592330 hasConcept C195910791 @default.
- W3008592330 hasConcept C199343813 @default.
- W3008592330 hasConcept C2776378700 @default.
- W3008592330 hasConcept C2776819169 @default.
- W3008592330 hasConcept C2779533009 @default.
- W3008592330 hasConcept C2780327212 @default.
- W3008592330 hasConcept C29694066 @default.
- W3008592330 hasConcept C53940066 @default.
- W3008592330 hasConcept C71924100 @default.
- W3008592330 hasConcept C81182388 @default.
- W3008592330 hasConcept C86803240 @default.
- W3008592330 hasConceptScore W3008592330C141071460 @default.
- W3008592330 hasConceptScore W3008592330C167135981 @default.
- W3008592330 hasConceptScore W3008592330C169760540 @default.
- W3008592330 hasConceptScore W3008592330C195910791 @default.
- W3008592330 hasConceptScore W3008592330C199343813 @default.
- W3008592330 hasConceptScore W3008592330C2776378700 @default.
- W3008592330 hasConceptScore W3008592330C2776819169 @default.
- W3008592330 hasConceptScore W3008592330C2779533009 @default.
- W3008592330 hasConceptScore W3008592330C2780327212 @default.
- W3008592330 hasConceptScore W3008592330C29694066 @default.
- W3008592330 hasConceptScore W3008592330C53940066 @default.
- W3008592330 hasConceptScore W3008592330C71924100 @default.
- W3008592330 hasConceptScore W3008592330C81182388 @default.
- W3008592330 hasConceptScore W3008592330C86803240 @default.
- W3008592330 hasIssue "4" @default.
- W3008592330 hasLocation W30085923301 @default.
- W3008592330 hasLocation W30085923302 @default.
- W3008592330 hasOpenAccess W3008592330 @default.
- W3008592330 hasPrimaryLocation W30085923301 @default.
- W3008592330 hasRelatedWork W1997544581 @default.
- W3008592330 hasRelatedWork W2012362233 @default.
- W3008592330 hasRelatedWork W2121067329 @default.
- W3008592330 hasRelatedWork W2419514906 @default.
- W3008592330 hasRelatedWork W2581661844 @default.
- W3008592330 hasRelatedWork W2617650662 @default.
- W3008592330 hasRelatedWork W2983084909 @default.
- W3008592330 hasRelatedWork W3205544015 @default.
- W3008592330 hasRelatedWork W4229810715 @default.
- W3008592330 hasRelatedWork W4251850944 @default.
- W3008592330 hasVolume "48" @default.
- W3008592330 isParatext "false" @default.
- W3008592330 isRetracted "false" @default.