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Clinical Advances into Oral and Maxillofacial Surgery
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Clinical Advances into Oral and Maxillofacial Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: closed (20 April 2025) | Viewed by 194

Special Issue Editor

Prof. Dr. Filippo Giovannetti

E-Mail Website
Guest Editor
Department of Life, Health and Environmental Science, University of L’Aquila, L’Aquila, Italy
Interests: skullbase; nasal endiscopy; endoscopic skull-base surgery

Special Issue Information

Dear Colleagues,

Innovation in technology for the diagnosis and treatment of head and neck pathologies continues to rapidly progress and increase in quality. Given this, this Special Issue aims to gather clinical studies and reviews on innovation in oral and maxillofacial surgery, with the aim of updating clinicians on the available possibilties of improving therapy quality.

In particular, this Special Issue welcomes papers whose aims align with those of Sustainable Developmental Goals 3 (health and wellbeing), 5 (gender equality), and 10 (reduced inequalities).

Prof. Dr. Filippo Giovannetti
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • skull base
  • endoscopy
  • sinus surgery
  • tumor
  • pediatric skull base

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

13 pages, 339 KiB  
Article
Incidence and Risk Factors for Postoperative Complications in Patients Undergoing Extraoral Drainage for Maxillofacial Abscess: A Retrospective Cohort Study
by Gregoire Longchamp, Harald Essig, Valerian Dirr, Marc M. Precht, Maximilian E. H. Wagner and Raphael Ferrari
J. Clin. Med. 2025, 14(10), 3368; https://doi.org/10.3390/jcm14103368 - 12 May 2025
Abstract
Background: The standard treatment for maxillofacial abscesses is surgical drainage combined with antibiotics, a frequent procedure in maxillofacial surgery departments. However, postoperative complications following this surgery are poorly described in the literature. Identifying their incidence and risk factors could help improve patient outcomes [...] Read more.
Background: The standard treatment for maxillofacial abscesses is surgical drainage combined with antibiotics, a frequent procedure in maxillofacial surgery departments. However, postoperative complications following this surgery are poorly described in the literature. Identifying their incidence and risk factors could help improve patient outcomes and healthcare planning. Objectives: The primary aim was to identify postoperative complications within 30 days after maxillofacial abscess surgery; the secondary aim was to explore their associated risk factors. Methods: A monocentric retrospective cohort study included patients with maxillofacial abscesses who underwent extraoral incision and drainage under general anesthesia at the Department of Cranio-Maxillofacial and Oral Surgery at a tertiary hospital in Switzerland between January 2012 and August 2023. Postoperative complications within 30 days were recorded and classified according to the validated Dindo–Clavien classification system. Univariable and multivariable logistic regression analyses were conducted to identify risk factors for postoperative complications. Results: A total of 253 participants were analyzed. The overall complication rate was 24.1%, with 15.8% major complications (Dindo–Clavien grade ≥3). The most common minor complications (Dindo–Clavien grade <3) were hypokalemia and lower-extremity edema, with an incidence of 6.4%. The most common major complications were persistent and recurrent abscesses, with an incidence rate of 10.4%. These complications occurred in the early (median range 1–5 days) and delayed (median range 14–15 days) postoperative courses, respectively. Overall, the mortality rate was 0.4%. On multivariable analysis, an American Society of Anesthesiologists (ASA) score >2 was associated with overall and major postoperative complications (odds ratio [OR], 3.38; 95% CI 1.75–6.51; p < 0.001 and OR, 3.76; 95% CI 1.83–7.72; p < 0.001, respectively). Additionally, female sex (OR, 1.97; 95% CI 1.05–3.70; p = 0.036) and C-reactive protein level >50 mg/L (OR, 2.25; 95% CI 1.01–4.98; p = 0.046) were associated with overall postoperative complications. Conclusions: This study introduces a novel application of the Dindo–Clavien classification to maxillofacial abscess surgery, providing a standardized framework for assessing postoperative complication severity. Through this approach, we identified ASA score >2, female sex, and CRP level >50 mg/L as risk factors for postoperative complications. Our findings highlight the importance of close monitoring during the first five postoperative days to detect early complications, such as persistent abscesses, and recommend standardized outpatient follow-up for at least two weeks to identify delayed complications, like recurrence. Full article
(This article belongs to the Special Issue Clinical Advances into Oral and Maxillofacial Surgery)
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