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Comparison of resorbable plates and titanium plates for fixation stability of combined mandibular symphysis and angle fractures.

Lim HY, Jung CH, Kim SY, Cho JY, Ryu JY, Kim HM - J Korean Assoc Oral Maxillofac Surg (2014)

Bottom Line: We compared the frequency of wound dehiscence, development of infection, malocclusion, malunion, screw breakage, and any other technical difficulties between the two groups.Moreover, there were no significant differences in the rates of various complications between the two groups.Breakage of 3 screws during the perioperative period was seen in the R group, while no screws or plates were broken in the T group.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Gachon University Gil Medical Center, Incheon, Korea.

ABSTRACT

Objectives: We compared resorbable plates with titanium plates for treatment of combined mandibular angle and symphyseal fractures.

Materials and methods: Patients with mandibular angle and symphysis fractures were divided into two groups. The control (T) group received titanium plates while the experimental (R) group received resorbable plates. All procedures were carried out under general anesthesia using standard surgical techniques. We compared the frequency of wound dehiscence, development of infection, malocclusion, malunion, screw breakage, and any other technical difficulties between the two groups.

Results: Thirteen patients were included in the R group, where 39 resorbable plates were applied. The T group consisted of 16 patients who received 48 titanium plates. The mean age in the R and T groups was 28.29 and 24.23 years, respectively. Primary healing of the fractured mandible was obtained in all patients in both groups. Postoperative complications were minor and transient. Moreover, there were no significant differences in the rates of various complications between the two groups. Breakage of 3 screws during the perioperative period was seen in the R group, while no screws or plates were broken in the T group.

Conclusion: Resorbable plates can be used to stabilize combined mandibular angle and symphysis fractures.

No MeSH data available.


Related in: MedlinePlus

Placement of titanium plates and screws in symphysis (A) and angle area (B).
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Figure 1: Placement of titanium plates and screws in symphysis (A) and angle area (B).

Mentions: The surgery was carried out by the same surgical team and the operation technique was the same for most patients. After access and identification of the fracture, fixation of the bone segments was obtained through two 4-hole miniplates on the symphysis area and a single 4-hole miniplate on the angle area, as described in Champy et al.10.(Figs. 1, 2) Intermaxillary fixation (IMF) using an arch bar or a skeletal anchorage system was carried out in both groups. After surgery, patients were admitted to the ward facilities for two or three days on average. Follow-up visits were carried out at 1 week, 2 weeks, 1 month, and 3 months after surgery with periodic panoramic X-ray views.(Figs. 3, 4) The occurrence of complications was evaluated by clinical assessment.


Comparison of resorbable plates and titanium plates for fixation stability of combined mandibular symphysis and angle fractures.

Lim HY, Jung CH, Kim SY, Cho JY, Ryu JY, Kim HM - J Korean Assoc Oral Maxillofac Surg (2014)

Placement of titanium plates and screws in symphysis (A) and angle area (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279974&req=5

Figure 1: Placement of titanium plates and screws in symphysis (A) and angle area (B).
Mentions: The surgery was carried out by the same surgical team and the operation technique was the same for most patients. After access and identification of the fracture, fixation of the bone segments was obtained through two 4-hole miniplates on the symphysis area and a single 4-hole miniplate on the angle area, as described in Champy et al.10.(Figs. 1, 2) Intermaxillary fixation (IMF) using an arch bar or a skeletal anchorage system was carried out in both groups. After surgery, patients were admitted to the ward facilities for two or three days on average. Follow-up visits were carried out at 1 week, 2 weeks, 1 month, and 3 months after surgery with periodic panoramic X-ray views.(Figs. 3, 4) The occurrence of complications was evaluated by clinical assessment.

Bottom Line: We compared the frequency of wound dehiscence, development of infection, malocclusion, malunion, screw breakage, and any other technical difficulties between the two groups.Moreover, there were no significant differences in the rates of various complications between the two groups.Breakage of 3 screws during the perioperative period was seen in the R group, while no screws or plates were broken in the T group.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Gachon University Gil Medical Center, Incheon, Korea.

ABSTRACT

Objectives: We compared resorbable plates with titanium plates for treatment of combined mandibular angle and symphyseal fractures.

Materials and methods: Patients with mandibular angle and symphysis fractures were divided into two groups. The control (T) group received titanium plates while the experimental (R) group received resorbable plates. All procedures were carried out under general anesthesia using standard surgical techniques. We compared the frequency of wound dehiscence, development of infection, malocclusion, malunion, screw breakage, and any other technical difficulties between the two groups.

Results: Thirteen patients were included in the R group, where 39 resorbable plates were applied. The T group consisted of 16 patients who received 48 titanium plates. The mean age in the R and T groups was 28.29 and 24.23 years, respectively. Primary healing of the fractured mandible was obtained in all patients in both groups. Postoperative complications were minor and transient. Moreover, there were no significant differences in the rates of various complications between the two groups. Breakage of 3 screws during the perioperative period was seen in the R group, while no screws or plates were broken in the T group.

Conclusion: Resorbable plates can be used to stabilize combined mandibular angle and symphysis fractures.

No MeSH data available.


Related in: MedlinePlus