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Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities

Paediatric craniomaxillofacial (CMF) surgery requires a multidisciplinary team approach to ensure the optimal and holistic management of children with craniofacial deformities. The aim of this retrospective study was to analyse the complications following functional interventions among 34 CMF deform...

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Main Authors:	Hariri, F., Abdullah, M. F., Adam, K. B. C., Bahuri, N. F. A., Kulasegarah, J., Nathan, A. M., Ismail, F., Khaliddin, N., May, C. M., Chan, L., Keong, T. M., Ganesan, D., Rahman, Z. A. A.
Format:	Article
Published:	Elsevier 2021
Subjects:	R Medicine (General)
Online Access:	http://eprints.um.edu.my/34512/
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spelling	my.um.eprints.345122022-06-01T07:04:08Z http://eprints.um.edu.my/34512/ Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities Hariri, F. Abdullah, M. F. Adam, K. B. C. Bahuri, N. F. A. Kulasegarah, J. Nathan, A. M. Ismail, F. Khaliddin, N. May, C. M. Chan, L. Keong, T. M. Ganesan, D. Rahman, Z. A. A. R Medicine (General) Paediatric craniomaxillofacial (CMF) surgery requires a multidisciplinary team approach to ensure the optimal and holistic management of children with craniofacial deformities. The aim of this retrospective study was to analyse the complications following functional interventions among 34 CMF deformity patients in a single multidisciplinary craniofacial centre. Electronic data including patient demographic characteristics and clinical entry were analysed. Inclusion criteria were all paediatric patients with CMF deformities who underwent various functional interventions. A total of 64 interventions (48 intermediate and 16 definitive) were conducted. Based on the Sharma classification of complications, 20.3% were type I, 4.7% were type II, 1.6% were type III, and 4.7% were type IV . Most complications were type I, which included local infection (3.1%) and premature opening of tarsorrhaphy (3.1%). More serious complications (types III and IV) included temporary visual loss (1.6%) and intraoperative haemorrhage (1.6%). Although a low complication rate was observed in intermediate interventions, a higher complication rate was observed in more complex definitive interventions such as monobloc distraction osteogenesis. Although most complications were manageable, effective prevention remains mandatory, as serious complications may lead to permanent damage and mortality. This analysis highlights the importance of a multidisciplinary team approach to optimize the outcomes in CMF patient management. Elsevier 2021-04 Article PeerReviewed Hariri, F. and Abdullah, M. F. and Adam, K. B. C. and Bahuri, N. F. A. and Kulasegarah, J. and Nathan, A. M. and Ismail, F. and Khaliddin, N. and May, C. M. and Chan, L. and Keong, T. M. and Ganesan, D. and Rahman, Z. A. A. (2021) Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities. International Journal of Oral and Maxillofacial Surgery, 50 (4). pp. 457-462. ISSN 0901-5027, DOI https://doi.org/10.1016/j.ijom.2020.08.002 <https://doi.org/10.1016/j.ijom.2020.08.002>. 10.1016/j.ijom.2020.08.002
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine (General)
spellingShingle	R Medicine (General) Hariri, F. Abdullah, M. F. Adam, K. B. C. Bahuri, N. F. A. Kulasegarah, J. Nathan, A. M. Ismail, F. Khaliddin, N. May, C. M. Chan, L. Keong, T. M. Ganesan, D. Rahman, Z. A. A. Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities
description	Paediatric craniomaxillofacial (CMF) surgery requires a multidisciplinary team approach to ensure the optimal and holistic management of children with craniofacial deformities. The aim of this retrospective study was to analyse the complications following functional interventions among 34 CMF deformity patients in a single multidisciplinary craniofacial centre. Electronic data including patient demographic characteristics and clinical entry were analysed. Inclusion criteria were all paediatric patients with CMF deformities who underwent various functional interventions. A total of 64 interventions (48 intermediate and 16 definitive) were conducted. Based on the Sharma classification of complications, 20.3% were type I, 4.7% were type II, 1.6% were type III, and 4.7% were type IV . Most complications were type I, which included local infection (3.1%) and premature opening of tarsorrhaphy (3.1%). More serious complications (types III and IV) included temporary visual loss (1.6%) and intraoperative haemorrhage (1.6%). Although a low complication rate was observed in intermediate interventions, a higher complication rate was observed in more complex definitive interventions such as monobloc distraction osteogenesis. Although most complications were manageable, effective prevention remains mandatory, as serious complications may lead to permanent damage and mortality. This analysis highlights the importance of a multidisciplinary team approach to optimize the outcomes in CMF patient management.
format	Article
author	Hariri, F. Abdullah, M. F. Adam, K. B. C. Bahuri, N. F. A. Kulasegarah, J. Nathan, A. M. Ismail, F. Khaliddin, N. May, C. M. Chan, L. Keong, T. M. Ganesan, D. Rahman, Z. A. A.
author_facet	Hariri, F. Abdullah, M. F. Adam, K. B. C. Bahuri, N. F. A. Kulasegarah, J. Nathan, A. M. Ismail, F. Khaliddin, N. May, C. M. Chan, L. Keong, T. M. Ganesan, D. Rahman, Z. A. A.
author_sort	Hariri, F.
title	Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities
title_short	Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities
title_full	Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities
title_fullStr	Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities
title_full_unstemmed	Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities
title_sort	analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities
publisher	Elsevier
publishDate	2021
url	http://eprints.um.edu.my/34512/
_version_	1735409610824613888
score	13.211869

Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities

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