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[Comparison of internal fixation with mini-titanium plate and wire osteosynthesis in midface fractures]
1Department of Stomatology, Second Affiliated Hospital of Hunan Medical University, Changsha, 410011.
Objective:
To compare clinical results of the internal fixation with wire and the internal fixation with mini-titanium plate in midface fractures.
Methods:
By the coronal approach and supplementary incisions, forty patients with midface fractures were treated with wire osteosynthesis or rigid internal fixation (RIF) with mini-titanium plate.
Results:
A good stability can not he obtained with wire osteosynthesis in the treatment of midface fractures. The supporting bony structure of midface can be reconstructed with mini-titanium plate RIF, which results in a sufficient three-dimensional stability of the fractured segments and an ideal facial configuration Mini-titanium plate RIF is more convenient and reliable than wire osteosynthesis in the difficult operation fields of the infraorbital margin and zygomaticomaxillary suture.
Conclusion:
Mini-titanium plate RIF is the best method for treatment of midface fractures.