The Prevalence of Surgical Wound Infection in Post-Mandibular Resection of Ameloblastoma Patients

Dani Ginanjar, A. Yuza, Winarno Priyanto
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Abstract

Ameloblastoma, a common form of odontogenic tumor, is usually treated by surgery. However, wound infections remain a significant source of postoperative morbidity, accounting for about a quarter of the total number of nosocomial conditions. Surgical wound infection (SWI) is common after surgery, and in particular, wound infection has been linked with an intraoral surgical opening in 20–40-year-old patients. Common incisional closure complications in oral and maxillofacial surgery include postoperative wound infection, dehiscence, formation of hematomas, and skin flap necrosis, which lead to delayed healing of the incision. The data relating to the incidence of post-mandible resection SWI in Dr. Hasan Sadikin Bandung Hospital are not yet known. Therefore, the objective of this research was to assess the incidence of SWI in ameloblastoma patients after mandible resection treatment. This research adopted an observational and descriptive approach. Based on the inclusion and exclusion criteria, the research subjects were recruited between January 2018 and December 2019. This study showed the occurrence of SWI in 7 patients (2 men and five women) who had mandibular resection treatment for ameloblastoma and whose age range was 30–40 years. The results also revealed that the surgical openings in these patients were intraoral. In conclusion, findings demonstrated a higher prevalence of SWI in women after mandibular resection treatment than in men.
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下颌成釉细胞瘤切除术后手术伤口感染的发生率
成釉细胞瘤是一种常见的牙源性肿瘤,通常通过手术治疗。然而,伤口感染仍然是术后发病率的一个重要来源,约占院内疾病总数的四分之一。外科伤口感染(SWI)在手术后很常见,特别是在20 - 40岁的患者中,伤口感染与口腔内手术开放有关。口腔颌面外科手术中常见的切口闭合并发症包括术后伤口感染、裂开、血肿形成、皮瓣坏死,导致切口愈合延迟。关于Hasan Sadikin万隆医院下颌骨切除术后SWI发生率的数据尚不清楚。因此,本研究的目的是评估成釉细胞瘤患者下颌骨切除术后SWI的发生率。本研究采用观察与描述相结合的方法。根据纳入和排除标准,研究对象于2018年1月至2019年12月招募。本研究显示,7例(2男5女)因成釉细胞瘤行下颌骨切除术的患者发生SWI,年龄范围为30-40岁。结果还显示,这些患者的手术开口是在口腔内。总之,研究结果表明,女性下颌骨切除术后SWI的患病率高于男性。
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