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- Title
Causes and Incidence of Miniplate Removal Following Le Fort I Osteotomy.
- Authors
Haraji, Afshin; Motamedi, Mohammad Hosein Kalantar; Moharamnejad, Nima
- Abstract
Aim: This study assessed the causes and incidence of miniplate removal during a 5-year period after Le Fort I osteotomy. Patients and methods: One hundred forty-two patients had plates inserted for fixation of the maxilla after Le Fort I osteotomy between 2001 and 2004. The Le Fort I segment was rigidly fixed with four 2-mm titanium miniplates and 16 screws. They were followed 1 to 5 years for plate complications and need for plate removal. Results: Fifteen of 142 patients (10.6%), 9 females and 6 males, required plate removal. Theminimum time period between insertion and removal was 4 months and the maximum period was 18 months. Causes for removal were as follows: infection (40%), pain (13.3%); sinusitis (13.3%); sensitivity to temperature change (13.3%); palpability of plate (13.3%); and phobia (6.8%). Conclusion: In this study, the number of miniplates removed was small and required removal no sooner than 4 months postoperatively (after complete bony union), thus not compromising healing. There is no evidence from this study to support the routine removal of titanium miniplate after Le Fort I osteotomy, rather they should be removed when indicated.
- Subjects
DISEASE incidence; OSTEOTOMY; FRACTURE fixation; TITANIUM; TISSUE fixation (Histology); POSTOPERATIVE care; INFECTION; THERAPEUTICS
- Publication
ePlasty: Open Access Journal of Plastic Surgery, 2009, Vol 9, p422
- ISSN
1937-5719
- Publication type
Article