RISK FACTORS ANALYSIS AND MODERN APPROACHES TO THE PREVENTION OF INFECTIOUS COMPLICATIONS IN MANDIBULAR FRACTURES

Authors

  • NORQULOV Muslim Muhiddin ugli

Keywords:

mandibular fractures, osteomyelitis, infectious complications, osteosynthesis, risk factors

Abstract

Mandibular fractures are among the most common injuries in maxillofacial trauma and are frequently complicated by infectious and inflammatory processes. Despite advancements in surgical treatment techniques and antimicrobial therapy, the incidence of infectious complications, including osteomyelitis, remains high. This article presents an analysis of risk factors, mechanisms, and clinical features of infection-related complications in mandibular fractures. Particular attention is paid to microbial contamination, timing of surgical intervention, dental status, and general somatic conditions. The article summarizes the importance of accurate diagnostics, timely surgical management, and comprehensive prevention strategies in minimizing complications.

References

Van der Cruyssen F., Depypere M., Hoekstra H., et al. (2025). Fracture-related infection: a systematic review and meta-analysis of risk factors and management strategies. J Oral Maxillofac Surg, 83(2), 123–134.

Santos P. A., Rodrigues L. M., Carvalho R. A., et al. (2025). Chronic osteomyelitis of the jaws: treatment approaches and outcomes in specialized centers. Int J Oral Maxillofac Surg, 54(1), 11–20.

Sejati B. P., Wibisono F. R., Kurniawan R. (2025). Postoperative complications following miniplate fixation in mandibular fractures: a decade of evidence. Oral Surg Oral Med Oral Pathol Oral Radiol, 130(4), 405–414. (in Russ)

Hashemi H., Ranjbar Omrani M., Ghasemi M., et al. (2025). Mandibular fracture treatment outcomes in academic medical centers: a retrospective study. J Craniofac Surg, 36(1), 71–78.

Drobyshev A. Yu., Malyi A. Yu., et al. (2016). Klinicheskie rekomendatsii: Perelom nizhney chelyusti. Moskva: Sovet StAR. (In Russ)

Tomashpolsky V. D. (2005). Sovremennye metody shinirovaniya i immobilizatsii zubov pri chelyustno-licevoy travme. Stomatologiya, 84(3), 29–34. (In Russ)

Moriarty T. F., Kuehl R., Coenye T., et al. (2022). Fracture-related infection (FRI): defining the pathophysiology and clinical implications. Bone Joint J, 104-B(5), 579–586.

Andreasen J. O., Bakland L. K., Flores M. T., et al. (2006). Antibiotics in oral and maxillofacial surgery: a systematic review of prophylactic efficacy. Dent Traumatol, 22(3), 95–101.

Sorensen L. T. (2012). Wound healing and infection in surgery: the clinical impact of smoking and smoking cessation. Arch Surg, 147(4), 373–383.

Ellis E. (2002). Outcomes of teeth retained versus removed in the line of mandibular fractures. J Oral Maxillofac Surg, 60(8), 918–922.

Published

2026-05-20