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Related Experiment Videos

Morbidity by plating in maxillofacial surgery.

L Califano1, G Coscia, A Zupi

  • 1Department of Maxillofacial Surgery, School of Medicine and Surgery, Federico II University of Naples, Naples, Italy.

Minerva Stomatologica
|July 31, 2002
PubMed
Summary

Osteosynthesis plates in the maxillofacial area are most commonly removed due to infection. While complications like nerve palsy and dehiscence occur, plate removal can often be delayed, especially in orthognathic surgery patients.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomaterials Science

Background:

  • Osteosynthesis plates are frequently used in maxillofacial surgery.
  • Understanding their long-term behavior and indications for removal is crucial.

Purpose of the Study:

  • To define the behavior of osteosynthesis plates in the maxillofacial region.
  • To establish criteria for the timely removal of these implants.

Main Methods:

  • Retrospective analysis of 123 patients treated with osteosynthesis plates.
  • Minimum 5-year follow-up for all cases.
  • Exclusion of cases with removal due to surgical errors.

Main Results:

  • Osteosynthesis was performed in 198 mandibular, 146 maxillary, and 23 other sites.

Related Experiment Videos

  • Plate removal occurred in 21 cases.
  • Infection was the primary reason for removal (13 cases), followed by nerve palsy and dehiscence.

    • Conclusions:

    • Infection is the leading cause for osteosynthesis plate removal in the maxillofacial area.
    • While less frequent in orthognathic patients, infection remains the main complication.
    • Dysesthesia and infection are the most common reasons for removal; plate exposure rarely leads to loss of fixation, allowing for delayed removal.