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[Plate related complication after mandibular reconstruction].

Shang-ping Liu1, Zhi-gang Cai1, Jie Zhang1

  • 1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.

Zhonghua Kou Qiang Yi Xue Za Zhi = Zhonghua Kouqiang Yixue Zazhi = Chinese Journal of Stomatology
|January 21, 2014
PubMed
Summary

Bone grafting minimizes titanium plate complications in mandibular reconstruction. Factors like radiation therapy and diabetes increase risks, impacting outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomaterials Science
  • Reconstructive Surgery

Context:

  • Mandibular reconstruction is crucial for restoring function and aesthetics after trauma or cancer resection.
  • Titanium plates are commonly used, but associated complications require careful consideration.

Purpose:

  • To evaluate complications associated with titanium plates in mandibular reconstruction.
  • To identify factors influencing these complications across different reconstruction methods.

Summary:

  • A retrospective analysis of 660 patients revealed a 14.7% overall complication rate.
  • Bone graft reconstruction showed lower complication rates compared to reconstructive plates.
  • Radiation therapy and diabetes were identified as significant risk factors for complications, particularly plate exposure.

Impact:

  • Findings suggest bone grafting may be preferable to minimize plate-related complications.
  • Understanding risk factors like radiation and diabetes can guide surgical planning and patient management.
  • This research contributes to optimizing outcomes in complex mandibular reconstruction procedures.