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TITLE:

TO KNOW CAUSES AND RISK FACTORS OF DELAYED MAXILLOFACIAL REGION SURGICAL WOUNDS HEALING (A PROSPECTIVE STUDY)

AUTHORS:

Dr Zunaira Asif, Dr.Muhammad Yasir Zulfiqar, Dr Ifrah Ashraf

ABSTRACT:

Objective: This prospective study was undertaken to identify specific risk factors that provided delayed incisional healing on the 7th day in the maxillofacial region. Study Design: A Prospective Study. Place and Duration: In the Maxillofacial Department of Punjab Dental Hospital, Lahore for one year duration from April 2018 to May 2019. Methods: Six risk factors for wound healing in the late maxillofacial region were studied. 32 patients in the study group were compared with risk factors (mean age 43.5 years) and healthy subjects without risk factors in the control group (mean age 45.9). Post-operative clinical evaluation of the wound was performed on days 3, 5, 7, 9 and 11, and tissue samples (skin, crown and oral mucosa) were histologically performed on days 0 and 7 based on histological parameters. The tissue sample taken perioperatively from the margins of healthy tissue was used as a control of tissue healing on postoperative 7th day. Findings: There was a statistically significant relationship between the collagen tissue pattern and the collagen tissue mature and early amount (p <0.05) between the study and control groups on the seventh day after the operation. There was also a strong correlation with histological recovery status in the clinical evaluation. Conclusion: Patients with risk factors were found to have weaker injuries than those without risk factors. Key words: Risk groups, Delayed wound healing, maxillofacial region.

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