Comparative Study Between Resorbable and Nonresorbable Plates in Orthognathic Surgery

Comparative Study Between Resorbable and Nonresorbable Plates in Orthognathic Surgery
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DOI:
10.1016/j.joms.2009.07.020
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发表时间:
2010-02-01
影响因子:
1.9
通讯作者:
Son, Jun-Sik
Son, Jun-Sik
中科院分区:
医学4区
文献类型:
--
作者:
Ahn, Yu-Seok;Kim, Su-Gwan;Son, Jun-Sik

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目的:本研究的目的是评估临床应用的可吸收和不可吸收板矫正面部asymmetry.Patients和方法:共272例患者谁经历了正颌外科入组。第1组(n = 152)和第11组(n = 120)分别使用不可吸收钢板和可吸收钢板固定截骨部位。术后并发症包括前牙开牙合、感染、颞下颌关节功能障碍及术后复发。结果:手术成功269例(98.89%)。在152例使用钛板的患者中,13例(8.6%)发生并发症。在120例使用可吸收钢板的患者中,22例(18.3%)发生并发症。在使用可吸收固定板的患者病例中观察到更大程度的术后开咬和复发趋势。术后感染发生在患者与可吸收固定plate.Conclusion:在这些数据的基础上,我们得出的结论是,可吸收固定板,而不是钛固定板在适应症患者。皇冠版权所有(C)2010由爱思唯尔公司代表美国口腔颌面外科医生协会出版。All rights reserved. J Oral Mayillofac Surg 68:287-292,2010
Purpose: The purpose of the present study was to evaluate the clinical application of resorbable and nonresorbable plates for correction of facial asymmetry.Patients and Methods: A total of 272 patients who had undergone orthognathic surgery were enrolled. The site of osteotomy was fixed using a nonresorbable plate in group 1 (n = 152) and using a resorbable plate in group 11(n = 120). The postoperative complications included postoperative anterior open bite, infection, temporomandibular joint dysfunction, and postoperative relapse. The incidence of all complications was examined.Results: The surgical outcome was successful in 269 patients (98.89%). Of the 152 patients with a titanium plate, 13 (8.6%) developed complications. Of the 120 patients with a resorbable plate, 22 (18.3%) developed complications. A greater degree of postoperative open bite and a trend toward relapse were observed in patients' cases in which an absorbable fixation plate was used. Postoperative infection occurred in patients with an absorbable fixation plate.Conclusion: On the basis of these data, we have concluded that an absorbable fixation plate should be used instead of a titanium fixation plate in indicated patients. Crown Copyright (C) 2010 Published by Elsevier Inc on behalf of American Association of Oral and Maxillofacial Surgeons. All rights reserved. J Oral Mayillofac Surg 68:287-292, 2010