Reasons for miniplate removal following maxillofacial trauma: A 4-year study

Rallis, George; Mourouzis, Constantinos; Papakosta, Veronika; Papanastasiou, George; Zachariades, Nicholas

doi:10.1016/j.jcms.2006.07.001

Cited by 70 publications

(85 citation statements)

References 19 publications

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“…This concurs with other authors who found infection to be the main cause of plate removal 3,24,25 . In this study the mean time between plate placement and removal due to infection was 10.4 months.…”

Section: Discussionsupporting

confidence: 92%

“…This compares favourably with previous studies, which report removal rates of 6-10% in trauma patients. 3,14,24,25 The low minplate removal rate in this study may be related to the study population and compliance with treatment. Patients are managed using a strict antibiotic protocol, thus reducing the potential for postoperative infection.…”

Section: Discussionmentioning

confidence: 84%

“…Other studies report miniplate removal rates of 6-14%. 3,5,21,24,25,29 In the maxillofacial trauma group, 800 plates were placed in 434 patients and 31 (4%) plates removed. This compares favourably with previous studies, which report removal rates of 6-10% in trauma patients.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The fate of titanium miniplates and screws used in maxillofacial surgery: A 10 year retrospective study

O'Connell

Murphy

Ikeagwuani

et al. 2009

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 84%

See 1 more Smart Citation

The fate of titanium miniplates and screws used in maxillofacial surgery: A 10 year retrospective study

O'Connell

Murphy

Ikeagwuani

et al. 2009

International Journal of Oral and Maxillofacial Surgery

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“…20 En el caso presentado, una de las causas para la exposición del material mencionado pudo haber sido la extensa resección que se realizó, su situación anatómica, el largo trayecto de la placa, además de la terapia neoadyuvante que el paciente recibió. 21,22 Las placas de titanio han sido utilizadas exitosamente para realizar la fijación rígida en pacientes sometidos a hemimandibulectomias y a los cuales se les haya o no realizado un colgajo libre óseo microvascularizado. No obstante, la mayor parte de estos pacientes deben recibir terapia coadyuvante como radioterapia postoperatoria para complementar el tratamiento ideal de su patología.…”

Section: Discussionunclassified

Exposición Extraoral De Una Placa De Reconstrucción Mandibular: Reporte De Un Caso

Echeverri¹,

Roa²

2014

UstaSalud

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RESUMENLos sistemas de reconstrucción mandibular han sido adaptados a través de los años mediante principios médico-ortopédicos; sin embargo, existen limitaciones y requerimientos mínimos para tener en cuenta, con el fin de evitar complicaciones descritas en la literatura como infección, fracturas del material de osteosíntesis, exposición intra y extraoral del material de osteosíntesis y pérdida de estabilidad de la fijación rígida, entre otros. Es el propósito de este reporte de caso mostrar la exposición extraoral de una placa de osteosíntesis de reconstrucción mandibular de bloqueo, en un paciente sometido a hemimandibulectomía, glosectomía subtotal, gastrostomía temporal y terapia oncológica coadyuvante por un proceso patológico mandibular asociado, y su manejo posretiro de material de osteosíntesis no convencional, lo que hace diferente el tratamiento con respecto a otros descritos en la literatura [Correa PE, Ruiz JM. Exposición extraoral de una placa de reconstrucción mandibular: reporte de un caso. Ustasalud. 2014; 13: 55 -60] Palabras clave: técnicas de fijación de maxilares, glosectomía, neoplasias de la boca. AN EXTRAORAL EXPOSURE OF A MANDIBULAR RECONSTRUCTION PLATE SYSTEM:A CASE REPORT ABSTRACT Mandibular reconstruction systems have been adapted through the years by medical and orthopedic principles, but there are limitations and minimum requirements to be considered in order to avoid complications described in the literature as infection, fracture of the osteosynthesis material, intra and extraoral exposure of osteosynthesis material and loss of stability of the rigid fixation, among others. It is the purpose of this case report to show the extraoral exposure of a osteosynthesis plate for mandibular reconstruction lock in a patient undergoing hemimandibulectomy, subtotal glossectomy, temporary gastrostomy and adjuvant cancer therapy for a mandibular pathological process associated and the unconventional management for the plate removal, which makes a different treatment over other described in the literature.

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“…Implant removal is controversial and not without complications 1 . Clinically, because of excessive torque during removal, surgeons frequently encounter screw stripping at the head and screw breakage at the neck, particularly when long screws are used or the implant has been in place for some time.…”

Section: Introductionmentioning

confidence: 99%