Removal of miniplates in maxillofacial surgery: University Hospital Birmingham experience

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

“…Different studies so far seem to reach controversial conclusion regarding the time, site and reasons for plate removal (Francel et al, 1992;Islamoglu et al, 2002;Bhatt and Langford, 2003;Mosbah et al, 2003). There is a difference in philosophy in relation to the removal of miniplates.…”

“…Nevertheless miniplates also have a complication rate, which varies between different studies. Most papers do not suggest that removal is mandatory and was undertaken only when symptoms dictated (Jackson et al, 1986;Brown et al, 1989;Rosenberg et al, 1993;Islamoglu et al, 2002;Bhatt and Langford, 2003;Mosbah et al, 2003).…”

Risk factors contributing to symptomatic plate removal following sagittal split osteotomy

“…Results quoted in the literature range between 7 and 16%. Unfortunately direct comparison cannot be made as most studies included plate removal rates not only from sagittal split osteotomy sites but also from the maxilla or the chin, and also following trauma which is often a different cohort of patients with regards to oral hygiene and motivation 3,4,6,7 . This series presents the largest number of patients undergoing sagittal split osteotomy when compared to other studies in the literature.…”

Materialien zur Versorgung von Mittelgesichtsfrakturen

“…Nach den Angaben in der Literatur wird bei etwa 10-20% der mit einer Titanosteosynthese versorgten Mittelgesichtsfrakturen (oder Le-Fort-I-Osteotomien) im weiteren klinischen Verlauf eine Plattenentfernung erforderlich [3,9,24], auch wenn andere Autoren höhere Prozentzahlen publiziert haben [19]. Eine Plattenentfernung kann darüber hinaus durch das appositionelle Knochenwachstum um das Implantat zu einer Herausforderung werden, wenn der richtige Zeitpunkt zur Materialentfernung verpasst wurde.…”