Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

THE PROGNOSIS OF FIXATION OF MANDIBULAR FRACTURES WITH BIODEGRADABLE PLATES AND SCREWS

생체 흡수성 고정판을 이용한 하악골 골절치료의 예후

  • Choi, Jin-Ho (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Kim, Ju-Rok (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Ha, Tae-Jin (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Yu, Jang-Bae (Dept. of Dentistry, College of Medicine, Inha University) ;
  • Kim, Il-Kyu (Dept. of Dentistry, College of Medicine, Inha University)
  • 최진호 (인하대학교 의과대학 치과학교실) ;
  • 김주록 (인하대학교 의과대학 치과학교실) ;
  • 하태진 (인하대학교 의과대학 치과학교실) ;
  • 유장배 (인하대학교 의과대학 치과학교실) ;
  • 김일규 (인하대학교 의과대학 치과학교실)
  • Published : 2005.01.31
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Abstract

The efficacy of bioresorbable fixation has recently been described in the osseosynthesis of the oral & maxillofacial region. However, a liitle data exist regarding the use of biodegradable plates and screws for the internal fixation of human mandible fractures. The purpose of this study is to analyze and compare the treatment of mandibular fractures by using a bioresorbable fixation system with conventional titanium system in human mandible fractures. eighteen patients constituted the bioresorbable fixation group and twenty-five patients constituted the titanium fixation group. Both groups underwent open reduction and internal fixation by use of a bioresorbable system or a titanium fixation system. Panoramic radiograph were obtained preoperatively, immediately postoperatively after reduction, at 6 months and at 12 months postoperatively. In the bioresorbable fixation group, complication(infection) occurred in 1 patient(5.6%) and was resolved by incision & drainage, plate removal and antibiotics without untoward sequelae. 2 patients(8.0%) experienced complications in the titanium fixation group and were treated using conservative treatment. There was no statistical difference in complication rates between two groups. Our data supported the use of bioresorbale plate fixation in mandibular fractures as a means of avoiding the potential and well documented problems with rigid titanium fixation systems. In conclusion, the bioresorbable fixation system provide a reliable and sufficient alternative to conventional titanium plate system.

Keywords

References

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