Association between plate location and plate removal following facial fracture repair

Kubota, Yoshitaka; Kuroki, Tomoaki; Akita, Shinsuke; Koizumi, Tomoe; Hasegawa, Masakazu; Rikihisa, Naoaki; Mitsukawa, Nobuyuki; Satoh, Kaneshige

doi:10.1016/j.bjps.2011.09.040

Cited by 25 publications

(22 citation statements)

References 32 publications

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“…A variety of studies have investigated the accuracy of ZMC reduction surgery on the hard tissue and the majority reported satisfactory results26,27. However, patients perceive facial asymmetry in their soft tissue.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of soft tissue asymmetry using cone-beam computed tomography after open reduction and internal fixation of zygomaticomaxillary complex fracture

Kim

Lee

et al. 2014

J Korean Assoc Oral Maxillofac Surg

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ObjectivesIn this study, we assessed soft tissue asymmetry that occurred after open reduction of unilateral zygomaticomaxillary complex (ZMC) fractures. We proposed a simple method to assess soft tissue asymmetry after reduction surgery by evaluating the symmetry between the affected and the unaffected sides. The factors affecting soft tissue contour after surgery were also analyzed.Materials and MethodsSubjects included patients admitted to Wonkwang University Dental Hospital from 2008 to 2013. Cone-beam computed tomography (CBCT) images of asymmetric patients who underwent open reduction at least 3 months prior were compared with healthy patients.ResultsThe degree of asymmetry was measured in both the open reduction and control groups. Landmarks that showed a statistically significant difference between the two groups were zygion (1.73±0.24 mm), bucclae (1.08±0.26 mm), point of cheek (2.05±0.33 mm) and frontozygomatic point (1.30±0.31 mm).ConclusionWhen compared with the normal group, asymmetry can occur in the affected side, which usually shows depression of overlying soft tissue and is statistically significantly different. Evaluation of soft tissue asymmetry with CBCT images after open reduction of ZMC fracture is useful.

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Section: Discussionmentioning

confidence: 99%

Evaluation of soft tissue asymmetry using cone-beam computed tomography after open reduction and internal fixation of zygomaticomaxillary complex fracture

Kim

Lee

et al. 2014

J Korean Assoc Oral Maxillofac Surg

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“…10–12 Additionally, the frontozygomatic area is traditionally used for fixation in the treatment of fractures of the lateral face of the orbital rim; however, this enhances their undesirable effects. 21,22 Kubota et al 21 reported that patients fitted with plates at the frontozygomatic sutures were more likely to undergo plate removal surgery. Nagase et al 23 showed that higher rates of plate discomfort were experienced with plates fitted near the supraorbital, infraorbital, and mental foramina.…”

Section: Discussionmentioning

confidence: 99%

The Clinical Feasibility of Newly Developed Thin Flat-Type Bioresorbable Osteosynthesis Devices for the Internal Fixation of Zygomatic Fractures

Sukegawa

Kanno

Nagano

et al. 2016

Journal of Craniofacial Surgery

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Introduction:In recent years, bioresorbable plates have undergone remarkable development. However, there has been no attendant improvement in their strength, because strength requires thickness, and complications such as palpability are related to the thickness of bioresorbable plate systems. In this clinical study, we compared the surgical management of zygomatic fractures using newly developed thinner bioresorbable materials or conventional titanium miniplates.Methods:Twelve patients with zygomatic fractures were randomly divided equally into 2 groups (6 with new bioresorbable osteosynthesis materials and 6 with standard titanium miniplates). Using computed tomography, we evaluated the thickness of the soft tissue and plate at the zygomaticofrontal sutures in each patient with the help of detailed radiographic computed tomography data at 6 months postoperatively. We compared the amount of soft-tissue volume increase between the uninjured healthy and injured operated sides in each patient.Results:Both groups eventually achieved satisfactory healing, with a favorable restoration of form and function and without any complications, including palpability. The amount of soft-tissue volume increase at the operated side relative to the uninjured healthy side using new thin bioresorbable plates was 131.1% (range: 101.5–165.8). On the other hand, that of titanium miniplates was 126.4% (range: 102.2–167.6). There was no statistically significant difference (P > 0.05).Conclusion:This newly developed thinner flat-type bioresorbable plate system could be considered clinically useful in the treatment of zygomatic fractures even in easily palpated areas, such as the infraorbital rim or zygomaticofrontal sutures, without any healing differences in skeleton as compared with conventional titanium miniplates.

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“…Die symptomatische ME wird bei subjektiven oder objektiven Indikationen vorgenommen [6]. Zu den subjektiven Gründen zählen Schmerzen, Missempfindungen und eine Tastbarkeit der Osteosyntheseplatte [12,17]. Einige Patienten klagen über thermale Dysästhesie im Bereich der operierten Körperregion [6].…”

Section: Indikationen Für Die Entfernung Von Osteosynthesematerialsunclassified

“…Titan ist aufgrund seiner guten Biokompatibilität [11] in der Gesichtstraumatologie das am weitesten verbreitete Osteosynthesematerial (OSM) [12]. Miniplatten aus Titan und entsprechende Schrauben aus einer härteren Titan-Aluminium-Vanadium-Legierung (Ti-6Al-4V) werden in der Osteosynthese von Gesichtsfrakturen seit Jahrzehnten erfolgreich eingesetzt (Abb.…”

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Materialentfernung in der kraniomaxillofazialen Traumatologie

Ebker¹,

Lohse²,

Hanken³

et al. 2016

OP-JOURNAL

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Zusammenfassung Frakturen des Gesichtssch?dels sind eine sehr h?ufige Verletzungsart. Gewaltdelikte z?hlen neben St?rzen, Sportverletzungen und Verkehrsunf?llen zu den f?hrenden Ursachen. Die Therapie der Wahl ist heute in den meisten F?llen die Reposition und Osteosynthese mittels Miniplatten aus Titan. Das Management von eingebrachtem Osteosynthesematerial (OSM) im Gesichtsbereich wird h?ufig durch die Hauspolitik der jeweiligen Klinik bestimmt. Dieser ?bersichtsartikel beschreibt die aktuelle Datenlage zur Entfernung von in situ befindlichem OSM in der kraniomaxillofazialen Chirurgie.

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Association between plate location and plate removal following facial fracture repair

Cited by 25 publications

References 32 publications

Evaluation of soft tissue asymmetry using cone-beam computed tomography after open reduction and internal fixation of zygomaticomaxillary complex fracture

Evaluation of soft tissue asymmetry using cone-beam computed tomography after open reduction and internal fixation of zygomaticomaxillary complex fracture

The Clinical Feasibility of Newly Developed Thin Flat-Type Bioresorbable Osteosynthesis Devices for the Internal Fixation of Zygomatic Fractures

Materialentfernung in der kraniomaxillofazialen Traumatologie

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