DOI QR코드

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Mini-plate removal in maxillofacial trauma patients during a five-year retrospective study

  • Park, Hyun-Chun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • You, Jae-Seek (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Won-Gi (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
  • 투고 : 2015.04.29
  • 심사 : 2015.06.26
  • 발행 : 2016.08.31

초록

Objectives: The purpose of this study was to analyze the incidence of indications for the removal of mini-plates over a five-year period in maxillofacial trauma patients. Materials and Methods: The medical records of 530 patients who underwent treatment with mini-plate fixation after maxillofacial trauma were reviewed for a five-year period (May 2007 to May 2012). Patients were evaluated concerning the number of mini-plates removed, age and gender distributions, time between insertion and removal, indication for removal, and site of removal. Results: The plates of 120 patients were removed (26 females and 94 males). The removal rate was 22.6%. The most frequent indication for removal was patient demand (81.7%), followed by tooth extraction (7.5%), and pain (3.3%). The most frequent removal site was the mandible (95.0%). Conclusion: The number of mini-plates removed was small, and the most common indication for removal was patient demand. There is no evidence to support a recommendation for the routine removal of titanium mini-plates.

키워드

참고문헌

  1. Haug RH. Retention of asymptomatic bone plates used for orthognathic surgery and facial fractures. J Oral Maxillofac Surg 1996;54:611-7. https://doi.org/10.1016/S0278-2391(96)90644-8
  2. Champy M, Lodde JP, Schmitt R, Jaeger JH, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 1978;6:14-21. https://doi.org/10.1016/S0301-0503(78)80062-9
  3. Breme J, Steinhauser E, Paulus G. Commercially pure titanium Steinhauser plate-screw system for maxillofacial surgery. Biomaterials 1988;9:310-3. https://doi.org/10.1016/0142-9612(88)90024-5
  4. Alpert B, Seligson D. Removal of asymptomatic bone plates used for orthognathic surgery and facial fractures. J Oral Maxillofac Surg 1996;54:618-21. https://doi.org/10.1016/S0278-2391(96)90645-X
  5. Cawood JI. Small plate osteosynthesis of mandibular fractures. Br J Oral Maxillofac Surg 1985;23:77-91. https://doi.org/10.1016/0266-4356(85)90057-9
  6. Michelet FX, Deymes J, Dessus B. Osteosynthesis with miniaturized screwed plates in maxillo-facial surgery. J Maxillofac Surg 1973;1:79-84. https://doi.org/10.1016/S0301-0503(73)80017-7
  7. Bhatt V, Chhabra P, Dover MS. Removal of miniplates in maxillofacial surgery: a follow-up study. J Oral Maxillofac Surg 2005;63:756-60. https://doi.org/10.1016/j.joms.2005.02.005
  8. Brown JS, Trotter M, Cliffe J, Ward-Booth RP, Williams ED. The fate of miniplates in facial trauma and orthognathic surgery: a retrospective study. Br J Oral Maxillofac Surg 1989;27:306-15. https://doi.org/10.1016/0266-4356(89)90043-0
  9. Matthew IR, Frame JW. Policy of consultant oral and maxillofacial surgeons towards removal of miniplate components after jaw fracture fixation: pilot study. Br J Oral Maxillofac Surg 1999;37:110-2. https://doi.org/10.1054/bjom.1997.0084
  10. Islamoglu K, Coskunfirat OK, Tetik G, Ozgentas HE. Complications and removal rates of miniplates and screws used for maxillofacial fractures. Ann Plast Surg 2002;48:265-8. https://doi.org/10.1097/00000637-200203000-00006
  11. Nagase DY, Courtemanche DJ, Peters DA. Plate removal in traumatic facial fractures: 13-year practice review. Ann Plast Surg 2005;55:608-11. https://doi.org/10.1097/01.sap.0000189666.13860.c0
  12. Rallis G, Mourouzis C, Papakosta V, Papanastasiou G, Zachariades N. Reasons for miniplate removal following maxillofacial trauma: a 4-year study. J Craniomaxillofac Surg 2006;34:435-9. https://doi.org/10.1016/j.jcms.2006.07.001
  13. Spiessl B. Internal fixation of the mandibule: a manual of AO/ASIF principles. Berlin: Springer-Verlag; 1989.
  14. Rosenberg A, Gratz KW, Sailer HF. Should titanium miniplates be removed after bone healing is complete? Int J Oral Maxillofac Surg 1993;22:185-8. https://doi.org/10.1016/S0901-5027(05)80249-8
  15. Mosbah MR, Oloyede D, Koppel DA, Moos KF, Stenhouse D. Miniplate removal in trauma and orthognathic surgery--a retrospective study. Int J Oral Maxillofac Surg 2003;32:148-51. https://doi.org/10.1054/ijom.2002.0344
  16. Langford RJ, Frame JW. Surface analysis of titanium maxillofacial plates and screws retrieved from patients. Int J Oral Maxillofac Surg 2002;31:511-8. https://doi.org/10.1054/ijom.2002.0283
  17. Winzenburg SM, Imola MJ. Internal fixation in pediatric maxillofacial fractures. Facial Plast Surg 1998;14:45-58. https://doi.org/10.1055/s-0028-1085301
  18. Haug RH, Cunningham LL, Brandt MT. Plates, screws, and children: their relationship in craniomaxillofacial trauma. J Long Term Eff Med Implants 2003;13:271-87.
  19. Chaushu G, Manor Y, Shoshani Y, Taicher S. Risk factors contributing to symptomatic plate removal in maxillofacial trauma patients. Plast Reconstr Surg 2000;105:521-5. https://doi.org/10.1097/00006534-200002000-00006

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  5. Do mandibular miniplates increase the risk of complex fracture in facial trauma recurrence? Case series vol.49, pp.7, 2016, https://doi.org/10.1016/j.jcms.2020.07.009