Abstract
PURPOSE: To estimate the screening test value of routine radiography after arch bar wire removal by assessing the incidence of retained wires and the importance of their sequelae.
MATERIALS AND METHODS: This was a retrospective medical record review. Records of arch bar removal procedures were examined and divided into those screened with radiography after removal (screen group) and those that were not screened (comparison group). The incidence of retained wire was calculated for each group. Study variables included wire-related radiographic or clinical findings.
RESULTS: Records of 546 mandible fractures were reviewed; 95 met the study criteria. Most exclusions were due to lack of arch bars, missing postoperative radiographs, or insufficient postoperative documentation. Of the 55 records in the screen group, 1 wire was detected (2%); of the 40 records in the comparison group, 1 wire was detected (3%). The total incidence of retained wire findings was not statistically different between the 2 groups and there were no adverse wire-related sequelae reported by any of the 95 patients.
CONCLUSION: Because of the low incidence of retained wires and wire-related sequelae, routine imaging after wire removal is probably not an effective screening test for retained wire and should be limited to situations in which there is clinical suspicion of retained wire.
| Original language | English (US) |
|---|---|
| Journal | Journal of Oral and Maxillofacial Surgery |
| Volume | 74 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 1 2016 |
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ASJC Scopus subject areas
- Surgery
- Oral Surgery
- Medicine(all)
- Otorhinolaryngology
Cite this
Routine Screening Radiography for Retained Wire Following Arch Bar Removal Is Not Indicated. / Gelesko, Savannah; Wahlstrom, Devin; Engelstad, Mark.
In: Journal of Oral and Maxillofacial Surgery, Vol. 74, No. 4, 01.04.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Routine Screening Radiography for Retained Wire Following Arch Bar Removal Is Not Indicated
AU - Gelesko, Savannah
AU - Wahlstrom, Devin
AU - Engelstad, Mark
PY - 2016/4/1
Y1 - 2016/4/1
N2 - PURPOSE: To estimate the screening test value of routine radiography after arch bar wire removal by assessing the incidence of retained wires and the importance of their sequelae.MATERIALS AND METHODS: This was a retrospective medical record review. Records of arch bar removal procedures were examined and divided into those screened with radiography after removal (screen group) and those that were not screened (comparison group). The incidence of retained wire was calculated for each group. Study variables included wire-related radiographic or clinical findings.RESULTS: Records of 546 mandible fractures were reviewed; 95 met the study criteria. Most exclusions were due to lack of arch bars, missing postoperative radiographs, or insufficient postoperative documentation. Of the 55 records in the screen group, 1 wire was detected (2%); of the 40 records in the comparison group, 1 wire was detected (3%). The total incidence of retained wire findings was not statistically different between the 2 groups and there were no adverse wire-related sequelae reported by any of the 95 patients.CONCLUSION: Because of the low incidence of retained wires and wire-related sequelae, routine imaging after wire removal is probably not an effective screening test for retained wire and should be limited to situations in which there is clinical suspicion of retained wire.
AB - PURPOSE: To estimate the screening test value of routine radiography after arch bar wire removal by assessing the incidence of retained wires and the importance of their sequelae.MATERIALS AND METHODS: This was a retrospective medical record review. Records of arch bar removal procedures were examined and divided into those screened with radiography after removal (screen group) and those that were not screened (comparison group). The incidence of retained wire was calculated for each group. Study variables included wire-related radiographic or clinical findings.RESULTS: Records of 546 mandible fractures were reviewed; 95 met the study criteria. Most exclusions were due to lack of arch bars, missing postoperative radiographs, or insufficient postoperative documentation. Of the 55 records in the screen group, 1 wire was detected (2%); of the 40 records in the comparison group, 1 wire was detected (3%). The total incidence of retained wire findings was not statistically different between the 2 groups and there were no adverse wire-related sequelae reported by any of the 95 patients.CONCLUSION: Because of the low incidence of retained wires and wire-related sequelae, routine imaging after wire removal is probably not an effective screening test for retained wire and should be limited to situations in which there is clinical suspicion of retained wire.
UR - http://www.scopus.com/inward/record.url?scp=84981287255&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84981287255&partnerID=8YFLogxK
U2 - 10.1016/j.joms.2015.03.070
DO - 10.1016/j.joms.2015.03.070
M3 - Article
C2 - 25936941
AN - SCOPUS:84981287255
VL - 74
JO - Journal of Oral and Maxillofacial Surgery
JF - Journal of Oral and Maxillofacial Surgery
SN - 0278-2391
IS - 4
ER -