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[Possible applications for micro-plates in ENT surgery]
1Univ. HNO-Klinik Marburg.
Abstract:
Microplates are smaller and more ductile than miniplates. We used microplates for fixation of fractures in children (seven cases), reconstruction of isolated frontal sinus wall fractures (39 cases), fixation of lateral mid-facial fractures (79 cases), fractures of the nasoethmoidal complex (14 cases), for different osteoplastic procedures (40 cases) and for laryngoplasty (three cases). Thirty fractures of the lateral mid-face were treated only with microplates. In these cases, reposition of the fractured bones was easily achieved and treatment was performed only a few days after the trauma. In 49 cases with unstable fractures after reposition, microplates and miniplates were combined for fixation. It is very important to assess the indications for different types of plates (miniplates or microplates) individually in every case. Because of the excellent biocompatibility of titanium and the low rate of local complications after internal fixation with microplates, it is usually not necessary to remove the plates.
Insights
Microplates offer a versatile solution for various facial fractures and osteoplastic procedures, often eliminating the need for removal due to excellent biocompatibility. Careful case-by-case assessment of plate type is crucial for optimal fixation.
Area of Science:
- Maxillofacial Surgery
- Trauma Surgery
- Biomaterials Science
Context:
- Facial fractures and craniofacial reconstructions present significant surgical challenges.
- The choice between microplates and miniplates impacts surgical outcomes and patient recovery.
- Titanium microplates offer advantages in ductility and biocompatibility.
Purpose:
- To evaluate the efficacy and outcomes of using microplates for internal fixation in a diverse range of craniofacial applications.
- To compare the use of microplates alone versus combined with miniplates for unstable fractures.
- To assess the necessity of plate removal after internal fixation with microplates.
Summary:
- Microplates were utilized in 7 to 79 cases for pediatric fractures, frontal sinus wall reconstruction, lateral mid-facial fractures, nasoethmoidal complex fractures, osteoplastic procedures, and laryngoplasty.
- Thirty lateral mid-face fractures treated solely with microplates demonstrated ease of repositioning and timely intervention.
- Combined microplate and miniplate fixation was employed for 49 unstable fractures, highlighting the importance of individualized plate selection.
Impact:
- Microplate fixation, particularly with titanium, demonstrates excellent biocompatibility and a low rate of local complications, often precluding the need for secondary removal.
- The study underscores the importance of individualized assessment for selecting appropriate fixation devices (microplates or miniplates) in craniofacial surgery.
- Findings contribute to optimizing surgical techniques and patient management in the treatment of complex facial trauma and reconstructive procedures.