What is the role of nutrition counseling in the management of isolated mandible fractures?

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 128; no. 5; pp. 464 - 471
• Main Authors: Ludwig, David C., Huang, Kevin, Lynch, Sara, Koceja, Lorren, Tressel, William, Dillon, Jasjit K.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-11-2019
• Subjects: Adult; Counseling; Dentistry; Female; Humans; Male; Mandible; Mandibular Fractures - rehabilitation; Middle Aged; Nutritional Status; Retrospective Studies; Young Adult
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2018.12.005

Providing perioperative nutrition counseling may improve operative outcomes. It is unclear, however, whether this benefit translates to oral and maxillofacial surgery patients. The purpose of this study was to measure the effect of nutrition counseling on operative outcomes and patient satisfaction in those undergoing surgery for mandible fractures.
The investigators implemented a retrospective cohort study. The predictor variable was perioperative nutrition counseling by a registered dietitian (RD). The main outcome variables were weight change, postoperative complications, and results of a survey that evaluated the perioperative experience.
Statistical analyses were conducted on a sample of 200 patients (mean age: 34 ± 14 years; 87% males). Overall, there was no difference in percent weight change between those who received nutrition counseling and those who did not (P = .46). Those who received nutrition counseling had fewer postoperative complications (3% vs 11%; adjusted P = .038). Patients who received nutrition counseling from an RD were more satisfied with the nutrition advice they received (P = .0375).
The results suggest that perioperative nutrition counseling by an RD in the management of isolated mandible fractures has no effect on weight change but is associated with decreased postoperative complications and increased patient satisfaction with the nutrition advice they receive.