Use of straight and curved 3-dimensional titanium miniplates for fracture fixation at the mandibular angle

Zix, Jürgen; Lieger, Olivier; Iizuka, Tateyuki (2007). Use of straight and curved 3-dimensional titanium miniplates for fracture fixation at the mandibular angle. Journal of oral and maxillofacial surgery, 65(9), pp. 1758-1763. Maryland Heights, Mo.: Elsevier 10.1016/j.joms.2007.03.013

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PURPOSE: The aim of this follow-up study was to evaluate the clinical usefulness of a new type of 3-dimensional (3D) miniplate for open reduction and monocortical fixation of mandibular angle fractures. PATIENTS AND METHODS: In 20 consecutive patients, noncomminuted mandibular angle fractures were treated with open reduction and fixation using a 2 mm 3D miniplate system in a transoral approach. All patients were systematically monitored until 6 months postoperatively. Among the outcome parameters recorded were infection, hardware failure, wound dehiscence, and sensory disturbance of the inferior alveolar nerve. RESULTS: The mean operation time from incision to wound closure was 65 minutes. Two patients had a mucosal wound dehiscence with no consequences. None developed an infection requiring a plate removal. All but 2 patients had normal sensory function 3 months after surgery. Plate fracture occurred in one patient in whom a preceding surgical removal of the third molar had been the reason for the mandibular fracture. In the absence of clinical symptoms, the patient declined plate removal. On final follow-up, fracture healing was considered clinically complete in all patients. CONCLUSIONS: The 3D plating system described here is suitable for fixation of simple mandibular angle fractures and is an easy-to-use alternative to conventional miniplates. The system may be contraindicated in patients in whom insufficient interfragmentary bone contact causes minor stability of the fracture.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Zix, Jürgen; Lieger, Olivier and Iizuka, Tateyuki

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0278-2391

ISBN:

17719394

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:56

Last Modified:

15 Dec 2014 18:01

Publisher DOI:

10.1016/j.joms.2007.03.013

PubMed ID:

17719394

Web of Science ID:

000249174200014

BORIS DOI:

10.7892/boris.23762

URI:

https://boris.unibe.ch/id/eprint/23762 (FactScience: 44303)

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