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...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English English |
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Elsevier
2020
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| Online Access: | http://irep.iium.edu.my/82182/ http://irep.iium.edu.my/82182/8/1-s2.0-S0901502720303003-main%20%281%29.pdf http://irep.iium.edu.my/82182/15/82182%20Analysis%20of%20complications%20following%20multidisciplinary%20functional%20intervention%20SCOPUS.pdf |
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| author | Hariri, Firdaus Abdullah, M.F. Chi Adam, Khairul Bariah Ahmad Bahuri, Nor Faizal Kulasegarah, Jeyanthi Nathan, A.M. Ismail, Fazliana Khaliddin, Nurliza May, C.M. Chan, L. Keong, T.M. Ganesan, D Abdul Rahman, Zainal Ariff |
| author_facet | Hariri, Firdaus Abdullah, M.F. Chi Adam, Khairul Bariah Ahmad Bahuri, Nor Faizal Kulasegarah, Jeyanthi Nathan, A.M. Ismail, Fazliana Khaliddin, Nurliza May, C.M. Chan, L. Keong, T.M. Ganesan, D Abdul Rahman, Zainal Ariff |
| author_sort | Hariri, Firdaus |
| building | IIUM Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-14T17:53:47Z |
| format | Article |
| id | iium-82182 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:53:47Z |
| publishDate | 2020 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-821822020-09-25T03:27:24Z http://irep.iium.edu.my/82182/ Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities Hariri, Firdaus Abdullah, M.F. Chi Adam, Khairul Bariah Ahmad Bahuri, Nor Faizal Kulasegarah, Jeyanthi Nathan, A.M. Ismail, Fazliana Khaliddin, Nurliza May, C.M. Chan, L. Keong, T.M. Ganesan, D Abdul Rahman, Zainal Ariff RD Surgery RK529 Oral Surgery-General Works 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 2020 Article PeerReviewed application/pdf en http://irep.iium.edu.my/82182/8/1-s2.0-S0901502720303003-main%20%281%29.pdf application/pdf en http://irep.iium.edu.my/82182/15/82182%20Analysis%20of%20complications%20following%20multidisciplinary%20functional%20intervention%20SCOPUS.pdf Hariri, Firdaus and Abdullah, M.F. and Chi Adam, Khairul Bariah and Ahmad Bahuri, Nor Faizal and Kulasegarah, Jeyanthi and Nathan, A.M. and Ismail, Fazliana and Khaliddin, Nurliza and May, C.M. and Chan, L. and Keong, T.M. and Ganesan, D and Abdul Rahman, Zainal Ariff (2020) Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities. International Journal of Oral Maxillofacial Surgery. ISSN 0901-5027 (In Press) https://www.ijoms.com/article/S0901-5027(20)30300-3/fulltext#secsect0005 10.1016/j.ijom.2020.08.002 |
| spellingShingle | RD Surgery RK529 Oral Surgery-General Works Hariri, Firdaus Abdullah, M.F. Chi Adam, Khairul Bariah Ahmad Bahuri, Nor Faizal Kulasegarah, Jeyanthi Nathan, A.M. Ismail, Fazliana Khaliddin, Nurliza May, C.M. Chan, L. Keong, T.M. Ganesan, D Abdul Rahman, Zainal Ariff Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities |
| title | 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_short | Analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities |
| title_sort | analysis of complications following multidisciplinary functional intervention in paediatric craniomaxillofacial deformities |
| topic | RD Surgery RK529 Oral Surgery-General Works |
| url | http://irep.iium.edu.my/82182/ http://irep.iium.edu.my/82182/ http://irep.iium.edu.my/82182/ http://irep.iium.edu.my/82182/8/1-s2.0-S0901502720303003-main%20%281%29.pdf http://irep.iium.edu.my/82182/15/82182%20Analysis%20of%20complications%20following%20multidisciplinary%20functional%20intervention%20SCOPUS.pdf |