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Analysis of Complications Following Multidisciplinary Functional Intervention in Paediatric Craniomaxillofacial Syndromes

Chi Adam, Khairul Bariah and Hariri, Firdaus and Abdullah, Faizal (2020) Analysis of Complications Following Multidisciplinary Functional Intervention in Paediatric Craniomaxillofacial Syndromes. International Journal of Oral & Maxillofacial Surgery, 50 (4). pp. 457-462. ISSN 0901-5027

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Abstract

Paediatric craniomaxillofacial (CMF) surgery requires multidisciplinary team approach to obtain optimal and holistic management of children with complex craniofacial deformities. As various interventions to address different functional discrepancies are often indicated, complications associated with these interventions have been reported. The aim of this study was to analyse the complications following functional interventions among syndromic CMF paediatric patients in University of Malaya Medical Centre (UMMC) Kuala Lumpur, Malaysia. This is a retrospective study involving 34 syndromic CMF patients with the current age ranged from 8 months to 15 years old. Electronic data comprising of patients’ demographic, clinical, operational and review entry were analysed. Inclusion criteria includes all paediatric patients with CMF syndromes who have had various interventions performed. Complications were categorized into type I to type IV classification. A total of 63 interventions (48 intermediate and 15 definitive) were conducted. These interventions involved various procedures from craniofacial team UMMC. Complications reported were 19% for type I, 4.76% for type II, 1.58% for type III and 4.76% for type IV. Most common complication was type I and manageable. However, other serious complications (type III and IV) have been documented and this includes mortality. The published rate of complications is beneficial in intervention decision making process and consent taking. Multiple team approach is needed for optimum treatment.

Item Type: Article (Journal)
Uncontrolled Keywords: craniofacial surgery; craniofacial syndromes; craniomaxillofacial; complications; morbidities
Subjects: R Medicine > RK Dentistry > RK529 Oral Surgery-General Works
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): UNSPECIFIED
Depositing User: dr khairul bariah
Date Deposited: 19 Aug 2021 16:16
Last Modified: 19 Aug 2021 16:16
URI: http://irep.iium.edu.my/id/eprint/91627

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