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Plate removal following orthognathic surgery.

Authors
  • Falter, Bart1
  • Schepers, Serge
  • Vrielinck, Luc
  • Lambrichts, Ivo
  • Politis, Constantinus
  • 1 Oral and Maxillofacial Surgery, St. John's Hospital, Genk, Belgium. , (Belgium)
Type
Published Article
Journal
Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
Publication Date
Dec 01, 2011
Volume
112
Issue
6
Pages
737–743
Identifiers
DOI: 10.1016/j.tripleo.2011.01.011
PMID: 21458330
Source
Medline
Language
English
License
Unknown

Abstract

The objectives of this study were to analyze outcomes with miniplates in orthognathic surgery and define risk factors resulting in plate removal. Clinical files of 570 orthognathic surgery patients operated between 2004 and 2009 were reviewed: 203 had a bimaxillary operation, 310 a lower jaw osteotomy, and 57 an upper jaw osteotomy. Age, sex, and jaw movement were analyzed. Reasons for hardware removal were recorded. Hardware was removed in 157 patients (27.5%). Seventy-eight patients (13.7%) needed removal because of plate-related infection; 66 (11.6%) because of clinical irritation; 5 (0.9%) for dental implant placement; and 8 (1.4%) for other reasons. Average time between operation and removal was 9.9 months. More women (31.7%) than men (20.3%) had plates removed, but age was not a factor except with infection. More than a quarter of patients developed complications from plates and screws, necessitating their removal, and infection occurred in 13.7%. Prompt removal constituted adequate management. Copyright © 2011 Mosby, Inc. All rights reserved.

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