PURPOSE: @entity78 paste is used in mandibular lengthening surgery to avoid unesthetic notching at the lower border and to help stabilize the segments when osteosynthesis slippage is a concern. The aim of this study was to investigate whether the hardened paste increases the incidence of @entity281 . MATERIALS AND METHODS: This was a retrospective cohort study of medical charts of all @entity1 who underwent a bilateral sagittal split osteotomy from February 2012 through July 2015. The outcome and predictor variables were @entity86 and @entity78 paste use, respectively. Other study variables included age, gender, @entity286 use, type of fixation, type of surgery, antibiotic prophylaxis regimen, third molar extraction, and medical comorbidities. Variables were analyzed using the @entity16043 exact test and logistic regression. RESULTS: The sample included 196 @entity1 (115 female and 81 male) 9 to 57  years old. The overall @entity281 rate was 12.2%. Of the 102 @entity1 who received @entity78 paste, 18.6% developed an @entity281 compared with 5.3% in the control group. The difference in @entity281 rate was statistically significant (odds ratio  = 0.14; 95% confidence interval [CI], 0.04-0.48; P  = .002) after adjusting for the other variables. Of the 392 surgical sites, 204 had received @entity78 paste, of which 10.3% became infected. Of the 188 sites without defect reconstruction, 6 (3.2%) became infected (P  = .008 by bivariate analysis). There was a statistically significant association between third molar @entity281 (odds  ratio  = 8.01; 95% CI, 1.28-50.1; P  = .026) and between the use of @entity115 plus @entity798 and the use of @entity7048 (odds ratio  = 3.92; 95% CI, 0.87-17.63; P  = .07). CONCLUSION: There was a relevant trend of @entity281 with @entity78 paste use. Third molar removal also was identified as a risk factor. Prospective studies after procedural modifications are recommended to determine whether the benefits of using @entity78 paste outweigh the risks.

Early Complications From the Use of XXXX Paste in Mandibular Lengthening Surgery. A Retrospective Study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity286 :: ('4097', 'Species') :: ['tobacco'] @entity7048 :: ('MESH:D002437', 'Chemical') :: ['cefazolin'] @entity115 :: ('MESH:D000658', 'Chemical') :: ['amoxicillin'] @entity78 :: ('MESH:C020243', 'Chemical') :: ['calcium phosphate', 'Calcium phosphate'] @entity798 :: ('MESH:D019818', 'Chemical') :: ['clavulanate'] @entity281 :: ('MESH:D007239', 'Disease') :: ['increased infection', 'infection', 'infections', 'removal and infections'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative infection'] @entity16043 :: ('76720', 'Species') :: ['Fisher']
@entity78 :: (MESH:C020243,Chemical) :: ['Calcium Phosphate']
