OBJECTIVES: The objectives of this study were to analyze outcomes with miniplates in orthognathic surgery and define risk factors resulting in plate removal. STUDY DESIGN: Clinical files of 570 orthognathic surgery patients operated between 2004 and 2009 were reviewed: 203 had a bimaxillary operation, 310 a lower jaw osteotomy, and 57 an upper jaw osteotomy. Age, sex, and jaw movement were analyzed. Reasons for hardware removal were recorded. RESULTS: Hardware was removed in 157 patients (27.5%). Seventy-eight patients (13.7%) needed removal because of plate-related infection; 66 (11.6%) because of clinical irritation; 5 (0.9%) for dental implant placement; and 8 (1.4%) for other reasons. Average time between operation and removal was 9.9 months. More women (31.7%) than men (20.3%) had plates removed, but age was not a factor except with infection. CONCLUSIONS: More than a quarter of patients developed complications from plates and screws, necessitating their removal, and infection occurred in 13.7%. Prompt removal constituted adequate management.
OBJECTIVES: The objectives of this study were to analyze outcomes with miniplates in orthognathic surgery and define risk factors resulting in plate removal. STUDY DESIGN: Clinical files of 570 orthognathic surgery patients operated between 2004 and 2009 were reviewed: 203 had a bimaxillary operation, 310 a lower jaw osteotomy, and 57 an upper jaw osteotomy. Age, sex, and jaw movement were analyzed. Reasons for hardware removal were recorded. RESULTS: Hardware was removed in 157 patients (27.5%). Seventy-eight patients (13.7%) needed removal because of plate-related infection; 66 (11.6%) because of clinical irritation; 5 (0.9%) for dental implant placement; and 8 (1.4%) for other reasons. Average time between operation and removal was 9.9 months. More women (31.7%) than men (20.3%) had plates removed, but age was not a factor except with infection. CONCLUSIONS: More than a quarter of patients developed complications from plates and screws, necessitating their removal, and infection occurred in 13.7%. Prompt removal constituted adequate management.
Authors: P U Abdul Wahab; P Senthil Nathan; M Madhulaxmi; M R Muthusekhar; Soh Chen Loong; Rajendra Prabhu Abhinav Journal: J Maxillofac Oral Surg Date: 2016-12-01
Authors: B Gareb; N B van Bakelen; G J Buijs; J Jansma; J G A M de Visscher; Th J M Hoppenreijs; J E Bergsma; B van Minnen; B Stegenga; R R M Bos Journal: PLoS One Date: 2017-05-11 Impact factor: 3.240
Authors: Barzi Gareb; Nico B Van Bakelen; Arjan Vissink; Ruud R M Bos; Baucke Van Minnen Journal: Polymers (Basel) Date: 2022-07-07 Impact factor: 4.967