Complications Associated with Monocortical Titanium Miniplate used in Rigid Fixation of Mandibular Fractures

하악골 골절의 견고고정에 사용된 monocortical titanium miniplate와 관련된 감염증에 관한 연구

  • Kim, Young-Kyun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Yeo, Hwan-Ho (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Lee, Hyo-Bin (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Kyung-Weon (Dept. of Dentistry, College of Medicine, Chungbug National University)
  • 김영균 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 여환호 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 이효빈 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김경원 (충북대학교 의과대학 치과학교실)
  • Published : 1994.12.31

Abstract

Eighty-nine patients with mandibular fracture were treated by open reduction and internal fixation using the monocortical titanium miniplate(Leibinger Co.). Postsurgical intermaxillary fixation was carried out for 2 to 18 days according to the patient's status. Seven patients developed infections postoperatively(7.9%). Five patients were favorably treated by incision and drainage and/or saucerization. But two patients were not controlled by early surgical intervention and should have been followed by plate removal, saucerization and secondary reconstruction including the bone graft. This article reports the postoperative infection associated with miniplate fixation of mandibular fractures and discuss the incidence, cause, treatment and prognosis with careful case analyses.

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