| THE BULLETIN OF TOKYO DENTAL COLLEGE | |
| Vol. 50 No. 1 February 2009 | |
| ISSN: 0040-8891 UBIC: 66 | |
| Abstract | |
| Symptoms of Systemic Inflammatory Response Syndrome (SIRS) presenting immediately after surgery have lately been regarded as potential warnings
of impending postoperative complications and multiple organ failure. Reports discussing the relationship between operative stress and SIRS are found in the field of
digestive surgery, but not in that of oral surgery. Sixty-five patients with jaw deformity who had undergone maxillaryand mandibular orthognathic surgery (Le Fort I
osteotomy and sagittal splitting ramus osteotomy) between September 2003 and October 2006 were involved in this study. A search based on the SIRS diagnostic criteria
resulted in assignment of 33 cases to the SIRS group and 32 cases to the non-SIRS group. Postoperative complications occurred in 27.3% of the SIRS group and 0.0% of
the non-SIRS group (p<0.01). In four cases, a postoperative fluctuation in IL-6 level evaluated. These results suggest the importance of careful management of
postoperative SIRS patients in preventing complications.
Key words: Systemic Inflammatory Response Syndrome (SIRS) - Postoperative complication - Jaw deformity- Orthognathic surgery- Interleukin 6. |
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