Browse > Article
http://dx.doi.org/10.1186/s40902-015-0003-7

Bioabsorbable osteofixation for orthognathic surgery  

Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.37, no., 2015 , pp. 6.1-6.9 More about this Journal
Abstract
Orthognathic surgery requires stable fixation for uneventful healing of osteotomized bony segments and optimal remodeling. Titanium plates and screws have been accepted as the gold standard for rigid fixation in orthognathic surgery. Although titanium osteofixation is the most widely used approach, the use of bioabsorbable devices has been increasing recently. Biodegradation of bioabsorbable devices eliminates the need for a second operation to remove metal plates and screws. However, long-term stability and relapse frequency in bioabsorbable osteofixation are still insufficiently studied, especially in cases of segmental movements of great magnitude or segmental movements to a position where bony resistance exists. This paper reviews the background, techniques, and complications of bioabsorbable osteofixation and compares bioabsorbable and titanium osteofixation in orthognathic surgery in terms of skeletal stability.
Keywords
Orthognathic surgery; Bioabsorbable plate; Biodegradation; Skeletal stability;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Paeng JY, Hong J, Kim CS, Kim MJ (2012) Comparative study of skeletal stability between bicortical resorbable and titanium screw fixation after sagittal split ramus osteotomy for mandibular prognathism. J Craniomaxillafac Surg 40:660-664   DOI
2 Ueki K, Nakagawa K, Marukawa K, Takazakura D, Shimada M, Takatsuka S, Yamamoto E (2005) Changes in condylar long axis and skeletal stability after bilateral sagittal split ramus osteotomy with poly-L-lactic acid or titanium plate fixation. Int J Oral Maxillofac Surg 34:627-634   DOI
3 Costa F, Robiony M, Zorzan E, Zerman N, Politi M (2006) Stability of skeletal Class III malocclusion after combined maxillary and mandibular procedures: titanium versus resorbable plates and screws for maxillary fixation. J Oral Maxillofac Surg 64:642-651   DOI
4 Park JM, Park YW (2010) Postoperative stability of fixation with absorbables in simultaneous maxillomandibular orthognathic surgery. J Korean Assoc Maxillofac Plast Reconstr Surg 32:126-131
5 Lee JY, Kim YK, Yun PY, Lee NK, Kim JW, Choi JH (2014) Evaluation of stability after orthognathic surgery with minimal orthodontic preparation: comparison according to 3 types of fixation. J Craniofac Surg 25:911-915   DOI
6 Landes CA, Ballon A (2006) Skeletal stability in bimaxillary orthognathic surgery: P(L/DL)LA-resorbable versus titanium osteofixation. Plast Reconstr Surg 118:703-721   DOI
7 Landes CA, Ballon A, Sader R (2007) Segment stability in bimaxillary orthognathic surgery after resorbable Poly(L-lactide-co-glycolide) versus titanium osteosyntheses. J Craniofac Surg 18:1216-1229   DOI
8 Moure C, Qassemyar Q, Dunaud O, Neiva C, Testelin S, Devauchelle B (2012) Skeletal stability and morbidity with self-reinforced P (L/DL) LA resorbable osteosynthesis in bimaxillary orthognathic surgery. J Craniomaxillofac Surg 40:55-60   DOI
9 Lalor PA, Revell PA, Gray AB, Wright S, Railton GT, Freemen MA (1991) Sensitivity to titanium: a cause of implant failure? Br J Bone Joint Surg 73:25-28
10 Haug RH (1996) Retention of asymptomatic bone plates used for orthognathic surgery and facial fractures. J Oral Maxillofac Surg 54:611-617   DOI
11 France TJ, Birely BC, Ringelman PR, Manson PN (1992) The fate of plates and screws after facial fracture reconstructioin. Plast Reconstr Surg 90:568-573   DOI
12 Schmidt BL, Perrott DH, Mahan D, Kearns G (1998) The removal of plates and screws after Le Fort I osteotomy. J Oral Maxillofac Surg 56:184-188   DOI
13 Ji B, Wang C, Liu L, Long J, Tian W, Wang H (2010) A biomechanical analysis of titanium miniplates used for treatment of mandibular symphyseal fractures with the finite element method. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109:e21-e27   DOI
14 Edwards RC, Kiely KD, Eppley BL (2001) Fixation of bimaxillary osteotomies with resorbable plates and screws: Experience in 20 consecutive cases. J Oral Maxillofac Surg 59:271-276   DOI
15 Tuovinen V, Suuronen R, Teittinen M, Nurmenniemi P (2010) Comparison of the stability of bioabsorbable and titanium osteosynthesis materials for rigid internal fixation in orthognathic surgery. A prospective randomized controlled study in 101 patients with 192 osteotomies. Int J Oral Maxillofac Surg 39:1059-1065   DOI
16 Matthews NS, Khambay BS, Ayoub AF, Koppel D, Wood G (2003) Preliminary assessment of skeletal stability after sagittal split mandibular advancement using a bioresorbable fixation system. Br J Oral Maxillofac Surg 41:179-184   DOI
17 Kwon TK, Kim YD, Shin SH, Kim WK, Kim JR, Chung IK (2005) Stability after surgical correction of mandibular prognathism using bilateral saggital split ramus osteotomy and fixation with poly-L/DL-lactide copolymer screws (BiosorbTMFX). J Korean Assoc Maxillofac Plast Reconstr Surg 2:160-163
18 Eppley BL (2007) Bioabsorbable plate and screw fixation in orthognathic surgery. J Craniofac Surg 18:818-825   DOI
19 Kulkarni RK, Pani KC, Neuman C, Leonard F (1966) Polylactic acid for surgical implants. Arch Surg 93:839-843   DOI
20 Cutright DE, Hunsuck EE, Beasley JD (1971) Fracture reduction using a biodegradable material, polylactic acid. J Oral Surg 29:393-397
21 Suuronen R, Kallela I, Lindqvist C (2000) Bioabsorbable plates and screws: Current state of the art in facial fracture repair. J Craniomaxillofac Trauma 6:19-27
22 Ylikontiola L, Sundqvuist K, Sandor GK, Tormala P, Ashammakhi N (2004) Self-reinforced bioresorbable poly-L/DL-lactide [SR-P(L/DL)LA] 70/30 miniplates and miniscrews are reliable for fixation of anterior mandibular fractures: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:312-317   DOI
23 Peltoniemi HH, Tulamo RM, Toivonen T, Hallikainen D, Tormala P, Waris T (1999) Biodegradable semirigid plate and miniscrew fixation compared with rigid titanium fixation in experimental calvarial osteotomy. J Neurosurg 90:910-917   DOI
24 Choi J, Kim JR, Ha TJ, Yu JB, Kim IK (2005) The prognosis of fixation of mandibular fractures with biodegradable plates and screws. J Korean Assoc Maxillofac Plast Reconstr Surg 1:32-38
25 Mohamed-Hashem IK, Mitchell DA (2000) Resorbable implants (plates and screws) in orthognathic surgery. J Orthod 27:198-199   DOI
26 Turvey TA, Bell RB, Tejera TJ, Proffit WR (2002) The use of self-reinforced biodegradable bone plates and screws in orthognathic surgery. J Oral Maxillofac Surg 60:59-65
27 Bergsma EJ, de Bruijn WC, Rozema FR, Bos RR, Boering G (1995) Late degradation tissue response to poly (L-lactide) bone plates and screws. Biomaterials 16:25-31   DOI
28 Bergsma EJ, Rozema FR, Bos RR, de Bruijn WC (1993) Foreign body reaction to resorbable poly (L-lactide) bone plates and screws used for the fixation of unstable zygomatic fractures. J Oral Maxillofac Surg 51:666-670   DOI
29 Surronen R, Haers PE, Lindqvist C, Sailer HF (1999) Update on bioresorbable plates in maxillofacial surgery. Facial Plast Surg 15:61-72   DOI
30 Wiltfang J, Merten HA, Schultze-Mosgau S, Schrell U, Wenzel D, Kessler P (2000) Biodegradable miniplates (LactoSorb): long-term results in infant minipigs and clinical results. J Craniofac Surg 11:239-243   DOI
31 Hochuli-Vieira E, Cabrini Gabrielli MA, Pereira-Filho VA, Gabrielli MF, Padilha JG (2005) Rigid internal fixation with titanium versus bioresorbable miniplates in the repair of mandibular fractures in rabbits. Int J Oral Maxillofac Surg 34:167-173
32 Edwards RC, Kiely KD, Eppley BL (2001) The fate of resorbable poly-L-lactic/ polyglycolic acid (LactoSorb) bone fixation devices in orthognathic surgery. J Oral Maxillofac Surg 59:19-25   DOI
33 Mazzonetto R, Paza AO, Spagnoli DB (2004) A retrospective evaluation of rigid fixation in orthognathic surgery using a biodegradable self-reinforced (70 L:30DL) polylactide. Int J Oral Maxillofac Surg 33:664-669   DOI
34 Kim BC, Padwa BL, Park HS, Jung YS (2011) Stability of maxillary position after Le Fort I osteotomy using self-reinforced biodegradable poly-70 L/30DL-lactide miniplates and screws. J Oral Maxillofac Surg 69:1442-1446   DOI
35 Shikinami Y, Okuno M (1999) Bioresorbable devices made of forged composites of hydroxyapatite (HA) particles and poly L-lactide (PLLA): part I. Basic characteristics. Biomaterials 20:859-877   DOI
36 Shikinami Y, Okuno M (2001) Bioresorbable devices made of forged composites of hydroxyapatite (HA) particles and poly L-lactide (PLLA): part II. Practical properties of miniscrews and miniplates. Biomaterials 22:3179-3211   DOI
37 Shikinami Y, Matsuse Y, Nakamura T (2005) The complete process of bioresorption and bone replacement using devices made of forged composites of raw hydroxyapatite particles/poly L-lactide (F-u-HA/PLLA). Biomaterials 26:5542-5551   DOI
38 Maurer P, Holweg S, Knoll WD, Schubert J (2002) Study by finite element method of the mechanical stress of selected biodegradable osteosynthesis screws in sagittal ramus osteotomy. Br J Oral Maxillofac Surg 40:76-83.   DOI
39 Landes CA, Ballon A, Tran A, Ghanaati S, Sader R (2014) Segmental stability in orthognathic surgery: Hydroxyapatite/poly L-lactide osteoconductive composite versus titanium miniplate osteosynthesis. J Craniomaxillofac Surg 41:930-942
40 Ballon A, Laudemann K, Sader R, Landes CA (2012) Segmental stability of resorbable P(L/DL)LA-TMC osteosynthesis versus titanium miniplates in orthognatic surgery. J Craniomaxillofac Surg 40:e408-e414   DOI
41 Kallela I, Laine P, Suuronen R, Lindqvist C, Iizuka T (2005) Assessment of material-and technique-related complications following sagittal split osteotomies stabilized by biodegradable polylactide screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99:4-10   DOI
42 Ueki K, Marukawa K, Shimada M, Nakagawa K, Alam S, Yamamoto E (2006) Maxillary stability following Le Fort I osteotomy in combination with sagittal split ramus osteotomy and intraoral vertical ramus osteotomy: a comparative study between titanium miniplate and poly-L-lactic acid plate. J Oral Maxillofac Surg 64:74-80
43 Kim YK, Kim YJ, Yun PY, Kim JW (2009) Evaluation of skeletal and surgical factors related to relapse of mandibular setback surgery using the bioabsorbable plate. J Craniomaxillofac Surg 37:63-68   DOI
44 Ko EW, Huang CS, Lo LJ, Chen YR (2013) Alteration of masticatory electromyographic activity and stability of orthognathic surgery in patients with skeletal class III malocclusion. J Oral Maxillofac Surg 71:1249-1260   DOI
45 Kim MK, Park YW (2009) Post-operative skeletal stability of the maxilla treated with Le Fort I and U-shaped osteotomies in simultaneous maxillomandibular orthognathic surgery. J Korean Assoc Maxillofac Plast Reconstr Surg 31:485-491
46 Ueki K, Okabe K, Miyazaki M, Munozawa A, Mori A, Marukawa K, Nakagawa K, Yamamoto E (2011) Skeletal stability after mandibular setback surgery: comparisons among unsintered hydroxyapatite/poly-L-lactic acid plate, poly-L-lactic acid plate, and titanium plate. J Oral Maxillofac Surg 69:1464-1468   DOI
47 Sittitavornwong S, Waite PD, Dann JJ, Kohn MW (2006) The stability of maxillary osteotomies fixated with biodegradable mesh in orthognathic surgery. J Oral Maxillofac Surg 64:1631-1634   DOI
48 Meara DJ, Knoll MR, Holmes JD, Clark DM (2012) Fixation of Le Fort I osteotomies with poly-DL-lactic acid mesh and ultrasonic welding-a new technique. J Oral Maxillofac Surg 70:1139-1144   DOI
49 Landes CA, Kriener S (2003) Resorbable plate osteosynthesis of sagittal split osteotomies with major bone movement. Plast Reconstr Surg 111:1828-1840   DOI
50 Cheung LK, Chow LK, Chiu WK (2004) A randomized controlled trial of resorbable versus titanium fixation for orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:386-397   DOI
51 van Bakelen NB, Buijs GJ, Jansma J, de Visscher JG, Hoppenreijs TJ, Bergsma JE, Stegenga B, Bos RR (2013) Comparison of biodegradable and titanium fixation in maxillofacial surgery: a two-year multi-center randomized controlled trial. J Dent Res 92:1100-1105   DOI
52 Shand JM, Heggie AA (2000) Use of a resorbable fixation system in orthognathic surgery. Br J Oral Maxillofac Surg 38:335-337   DOI
53 Laine P, Kontio R, Lindqvist C, Suuronen R (2004) Are there any complications with bioabsorbable fixation devices? A 10 year review in orthognathic surgery. Int J Oral Maxillofac Surg 33:240-244   DOI
54 Turvey TA, Proffit WP, Phillips C (2011) Biodegradable fixation for craniomaxillofacial surgery: a 10-year experience involving 761 operations and 745 patients. Int J Oral Maxillofac Surg 40:244-249   DOI
55 Haers PE, Sailer HF (1998) Biodegradable self-reinforced poly-L/DL-lactide plates and screws in bimaxillary orthognathic surgery: short term skeletal stability and material related failures. J Craniomaxillofac Surg 26:363-372   DOI
56 Ahn YS, Kim SG, Baik SM, Kim BO, Kim HK, Moon SY, Lim SH, Kim YK, Yun PY, Son JS (2010) Comparative study between resorbable and nonresorbable plates in orthognathic surgery. J Oral Maxillofac Surg 68:287-292   DOI
57 Landes CA, Ballon A (2006) Five-year experience comparing resorbable to titanium miniplate osteosynthesis in cleft lip and palate orthognathic surgery. Cleft Palate Craniofac J 43:67-74   DOI
58 Turvey TA, Bell RB, Phillips C, Proffit WR (2006) Self-reinforced biodegradable screw fixation compared with titanium screw fixation in mandibular advancement. J Oral Maxillofac Surg 64:40-46
59 Stockmann P, Bohm H, Driemel O, Muhling J, Pistner H (2010) Resorbable versus titanium osteosynthesis devices in bilateral sagittal split ramus osteotomy of the mandible-the results of a two centre randomized clinical study with an eight-year follow-up. J Craniomaxillafac Surg 38:522-528   DOI