Policy of routine titanium miniplate removal after maxillofacial trauma

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Hanna ThorénJyrki Törnwall

Abstract

The literature shows that hardware removal rates after the fixation of maxillofacial fractures with miniplates are not insignificant. The aim of the present survey was to clarify the policies of Finnish oral and maxillofacial consultants for the removal of titanium miniplates after the treatment of facial fractures in adults. Additional aims were to clarify the factors influencing plate removal policy in general, and the reasons for routine plate removal in particular. Twenty-six consultant oral and maxillofacial surgeons responded to a questionnaire about miniplate removal policy after treating 5 types of simple, noncomminuted fractures. Overall, routine plate removal was uncommon. However, 12 consultants (46.2%) routinely removed the plate after treating mandibular angle fractures, and simultaneously extracted the third molar because of an increased risk of infection. Most respondents (88.5%) stated that clinical experience guided their plate-removal policy. A policy of routine plate removal was most infrequent among the consultants who had the most experience. The literature provides no definitive answer to the question of whether routine removal of miniplates could or should be indicated, and in what situations. Considering...Continue Reading

References

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Citations

Oct 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Z Pan, P M Patil
Jan 26, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Benoit SchallerTateyuki Iizuka
Jun 30, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Marcos Kazuo YamamotoJoão Gualberto de Cerqueira Luz
May 23, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Daniel Augusto GaziriCláiton Heitz
Mar 5, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Hanna ThorénJyrki Törnwall
Mar 2, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Roberto PippiMaria Paola Cristalli
Feb 26, 2010·International Journal of Oral and Maxillofacial Surgery·M KuhlefeltH Thorén
Sep 11, 2016·Materials Science & Engineering. C, Materials for Biological Applications·Benoit SchallerTateyuki Iizuka

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