Analysis of wound healing and influencing factors of maxillofacial soft tissue Ⅱ surgery in elderly patients

WANG Jun; GU Ai-ling; WANG Hui-min

doi:10.19749/j.cn.cjgd.1672-2973.2023.05.003

Abstract：Objective To investigate the wound healing of maxillofacial soft tissue type II surgery in elderly patients and its influencing factors.Methods The clinical data of 140 elderly patients with oral and maxillofacial soft tissue injury underwent surgical treatment in Stomatology Department of Puyang People's Hospital from January 2021 to January 2023 were retrospectively analyzed,all of which were Class II surgical incisions.According to the wound healing condition 2 weeks after surgery,the group was divided into good healing group and poor healing group.The general data of the two groups were compared,and the influencing factors of postoperative incision healing were analyzed by multivariate Logistic regression analysis.Results There were statistically significant differences in age,ASA grading,wound depth,incision length,operation time,hospital stay,smoking history,diabetes mellitus,HBV infection and serum albumin and fibrinogen levels between good healing group and poor healing group(P＜0.05).Multiple Logistic regression analysis showed that smoking history,diabetes mellitus,HBV infection,Albumin decreased and fibrinogen increased were independent risk factors for poor wound healing(P＜0.05).Conclusion There are many factors affecting wound healing in elderly patients with type II incision for oral and maxillofacial soft tissue There are many factors influencing wound healing in elderly patients with oral and maxillofacial soft tissue injury,including age,diabetes mellitus,HBV infection,decreased albumin,elevated fibrinogen,etc.