A randomized controlled trial on cross infection control in maxillofacial trauma surgery a comparison of intermaxillary fixation techniques
Keywords:
Intermaxillary fixation, cross-infection, blood-borne infectionAbstract
Aim: The purpose of the present research was to evaluate the intermaxillary fixation techniques in maxillofacial trauma surgery in terms of cross infection control. Methodology: A randomized controlled trial which included 120 patients with fractures of the mandible requiring open reduction and fixation. The participants were allocated either to the study group and treated with intraoperative Rapid IMF or to the control group and managed with intraoperative eyelet wire ties. Results: Rapid IMF group had significantly fewer glove perforations than the traditional method (0.67 per operation compared with 1.5), (P < 0.0001). The incidence of skin-penetrating injuries was the same in both groups (rate 0.02/ procedure). The application of Rapid IMF was significantly faster than wiring (P < 0.0001). Minor intraoperative complications were noted in both groups, but more in the Rapid IMF group. Most concerned loosening or fracture of the anchorage ties but the surgical outcome was not affected. Conclusion: Rapid IMF is a safer alternative to wiring methods with significant reduction in glove perforation rates and is quicker to apply than conventional wiring techniques.
Downloads
References
Centres for Disease Control Prevention. Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. MMWR 1991: 40: 1–9.
Beltrami EM, Williams IT, Shapiro GN, Chamberland ME. Risk and management of blood borne infections in health care workers. Clin Microbiol Rev 2000: 13: 385–407.
Gooch BF, Siew C, Cleveland JL, Gruninger SE, Lockwood SA, Joy ED. Occupational blood exposure and HIV infection among oral and maxillofacial surgeons. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998: 85: 128– 134.
Avery CME, Johnson PA. Surgical glove perforation and maxillofacial trauma: to plate or wire? Br J Oral Maxillofac Surg 1992: 30: 31–35.
Avery CME, Taylor J, Johnson PA (1999) Double gloving and a system for identifying glove perforations in maxillofacial trauma surgery. Br J Oral Maxillofac Surg 37:316–319
CDC and prevention (2001) Recommendations for post-exposure prophylaxis (PEP) for exposure to HBV, HCV, and HIV. MMWR 50:22
Avery CME, Hjort A, Walsh S, Johnson PA (1998) Glove perforation during surgical extraction of wisdom teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:23–25
Bali R, Sharma P, Garg A (2010) Incidence and patterns of needlestick injuries during intermaxillary fixation. Br J Oral Maxillofac Surg 49:221–224
Gaujac C, Ceccheti MM, Yonezaki F, Garcia IR Jr, Peres MP (2007) Comparative analysis of 2 techniques of double-gloving protection during arch bar placement for intermaxillary fixation. J Oral Maxillofac Surg 65:1922–1925.
Beltrami EM, Williams IT, Shapiro GN, Chamberland ME (2000) Risk and management of blood borne infections in health care workers. Clin Microbiol Rev 13:385–407
Pieper SP, Schimmele SR, Johnson JA, Harper JL (1995) A prospective study of the efficacy of various gloving techniques in the application of Erich arch bars. J Oral Maxillofac Surg 53:1174–1176
Pigadas N, Whitley SP, Roberts SA, McAlister K, Ameerally P, Avery CME (2008) A randomized controlled trial on crossinfection control in maxillofacial trauma surgery: a comparison of intermaxillary fixation techniques. Int J Oral Maxillofac Surg 37:716–722
Centres for Disease Control Prevention (1991) Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. MMWR 40:1–9
Centres for Disease Control Prevention (1998) Recommendations for follow up of health-care workers after occupational exposure to hepatitis C virus. MMWR 47:603–606.
Beltrami EM, Williams IT, Shapiro GN, Chamberland ME. Risk and management of blood borne infections in health care workers. Clin Microbiol Rev 2000: 13: 385–407.
Bennett NT, Howard RJ. Quantity of blood inoculated in a needlestick injury from suture needles. J Am Coll Surg 1994: 178: 107–110.
Martinez-Gimeno C, Acero-Sanz J, Martin-Sastre R, Navarro-Vila C. Maxillofacial trauma: influence of HIV infection. J Craniomaxillofac Surg 1992: 20: 297–302.
Fordyce AM, Lalani Z, Songra AK, Hildreth AJ, Carton ATM, Hawkesford JE. Intermaxillary fixation is not usually necessary to reduce mandibular fractures. Br J Oral Maxillofac Surg 1999: 37: 52–57.
Smith JR, Grant JM. Does wearing two pairs of gloves protects against skin contamination ? BMJ 1988: 297: 1193.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.