Oral and Maxillofacial Department, Galilee Medical Center, Nahariya, Israel.
The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Sci Rep. 2021 Jan 14;11(1):1379. doi: 10.1038/s41598-021-80973-7.
Our study compares the number of postoperative complications of Syrian patients admitted to the Galilee Medical Center (GMC) over a 5-year period (May 2013-May 2018) for treatment after initial high-velocity maxillofacial injuries sustained during the Syrian civil war. Specifically, we evaluated complication rates of patients arriving "early," within 24 h, to the GMC versus those who arrived "late," or 14-28 days following high-velocity maxillofacial injuries. Both groups of patients received definitive surgical treatment within 48 h of admission to our hospital with a total of 60 patients included in this study. The mean age was 26 ± 8 years (range: 9-50) and all except one were male. Postoperative complications in the early group were found to be significantly higher compared to the delayed arrival group (p = 0.006). We found that unintentionally delayed treatment may have contributed to a critical revascularization period resulting in improved healing and decreased postoperative morbidity and complications. We discuss potential mechanisms for complication rate variations, including critical vascularization periods. Our study may add to a growing body of work demonstrating the potential benefit of delayed surgical treatment for high-velocity maxillofacial injuries.
我们的研究比较了 5 年来（2013 年 5 月至 2018 年 5 月）在叙利亚内战期间初次遭受高速颌面损伤后，到加利利医疗中心（GMC）接受治疗的叙利亚患者的术后并发症数量。具体来说，我们评估了在 GMC 接受治疗的患者中，那些在受伤后 24 小时内“早期”到达的患者与那些在受伤后 14-28 天“晚期”到达的患者的并发症发生率。这两组患者在入院后 48 小时内均接受了确定性手术治疗，共有 60 名患者纳入本研究。患者的平均年龄为 26±8 岁（范围：9-50 岁），除 1 人外均为男性。与晚期到达组相比，早期组的术后并发症发生率显著更高（p=0.006）。我们发现，非故意的延迟治疗可能导致了关键的再血管化期，从而改善了愈合并降低了术后发病率和并发症。我们讨论了并发症发生率变化的潜在机制，包括关键的血管化期。我们的研究可能为越来越多的工作增添了新的内容，这些工作表明，对于高速颌面损伤，延迟手术治疗可能具有潜在的益处。
