Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/59755
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Type: Journal article
Title: Temperature course after transcranial surgery for Apert Syndrome: A possible indicator for postoperative complication
Author: Tamada, I.
David, D.
Anderson, P.
Citation: Journal of Craniofacial Surgery, 2010; 21(1):50-53
Publisher: Lippincott Williams & Wilkins
Issue Date: 2010
ISSN: 1049-2275
1536-3732
Statement of
Responsibility: 
Tamada Ikkei, David David J. and Anderson, Peter J.
Abstract: Background: Pyrexia after surgical procedure is a commonly observed phenomenon. However, it is not easy to distinguish pyrexia related to a postoperative complication from the normal temperature increase after surgery. The aims of this study were to establish a normal template for postoperative temperature course after transcranial surgery in patients with Apert syndrome and to investigate the correlation between the pattern of temperature increase and etiological factors. Methods: Seventy-seven sequential case notes of patients with Apert syndrome were retrospectively reviewed to collect postoperative temperature courses. The mean change of temperature was plotted on a graph with trend line to compare the feature of the course in each possible factor. A separate group of those who underwent fronto-orbital advancement was independently evaluated. Results: The temperature course had a bimodal distribution during the first 48 hours. However, those who underwent longer surgery, fronto-facial advancement, or those accompanied by complication seemed to have the more obvious third temperature peak around 50 hours postoperatively. This finding was also true in the independent fronto-orbital advancement group. Temperature courses without postoperative complication seemed to have bimodal distribution of temperature course; on the other hand, those with postoperative complication seemed to have the obvious third temperature peak around postoperative 50 hours. Conclusions: Together with our previous study, it was concluded that pyrexia after transcranial surgery had a bimodal distribution as a normal course within the first 48 hours postoperatively. Moreover, it was suggested that the third temperature peak around 50 hours postoperatively could be an indicator for a postoperative complication.
Keywords: Humans; Acrocephalosyndactylia; Postoperative Complications; Fever; Body Temperature; Craniotomy; Risk Factors; Retrospective Studies; Reference Values; Child, Preschool; Infant; Female; Male
Rights: Copyright © 2010 Lippincott Williams & Wilkins - All Rights Reserved
RMID: 0020100202
DOI: 10.1097/SCS.0b013e3181c3b2da
Appears in Collections:Medicine publications

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