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Resorbable fixation of Le Fort I osteotomies
1Department of Oral and Maxillofacial Surgery, 1st Medical Group, Langley Air Force Base, Hampton, VA 23665-2080, USA.
The Journal of Craniofacial Surgery
|August 7, 1998
Summary
Resorbable fixation using plates and screws in Le Fort I osteotomies showed favorable early results. This method offers a viable alternative for maxillary stabilization with no major complications reported.
Area of Science:
- Oral and Maxillofacial Surgery
- Biomaterials in Orthognathic Surgery
Background:
- Le Fort I osteotomy is a common procedure for correcting midface deformities.
- Traditional rigid fixation methods have potential drawbacks.
- Resorbable fixation presents an alternative for bone stabilization.
Purpose of the Study:
- To evaluate the safety and efficacy of resorbable fixation in Le Fort I osteotomies.
- To assess early clinical and radiographic outcomes.
- To determine patient satisfaction with resorbable fixation devices.
Main Methods:
- Prospective review of 29 Le Fort I osteotomies using resorbable plates and screws.
- Surgical evaluation for stability and placement.
- Postoperative assessment of wound healing, stability, infection, and patient satisfaction.
- Clinical exams and radiographic analysis over 12 months.
Main Results:
- No major complications were reported in the study period.
- One instance of a palpable plate resolved spontaneously.
- Favorable early outcomes regarding fixation stability and healing were observed.
- High patient satisfaction was noted.
Conclusions:
- Resorbable fixation is a safe and effective option for Le Fort I osteotomies.
- It provides a viable alternative to traditional fixation methods.
- Further long-term studies may be warranted.