Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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A CLINICAL STUDY OF BIODEGRADABLE PLATES AND SCREWS IN ORAL AND MAXILLOFACIAL SURGERY

구강 악안면 영역의 생체 흡수성 고정판 사용에 관한 임상 연구

  • Kim, Il-Kyu (Department of Oral and Maxillofacial surgery, Department of Dentistry, College of Medicine, In-Ha University) ;
  • Park, Seung-Hoon (Department of Oral and Maxillofacial surgery, Department of Dentistry, College of Medicine, In-Ha University) ;
  • Jang, Keum-Soo (Department of Oral and Maxillofacial surgery, Department of Dentistry, College of Medicine, In-Ha University) ;
  • Yang, Jung-Eun (Department of Oral and Maxillofacial surgery, Department of Dentistry, College of Medicine, In-Ha University) ;
  • Jang, Jae-Won (Department of Oral and Maxillofacial surgery, Department of Dentistry, College of Medicine, In-Ha University) ;
  • Sasikala, Balaraman (Department of Oral and Maxillofacial surgery, Department of Dentistry, College of Medicine, In-Ha University)
  • 김일규 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 박승훈 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 장금수 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 양정은 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 장재원 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 사시카라 바라라만 (인하대학교 의과대학 치과학교실 구강악안면외과)
  • Published : 2009.12.31
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Abstract

Metallic bone plates and screws have been commonly used in oral and maxillofacial surgery for internal fixation. However, there are several disadvantages such as atrophy of cortical bone inherent to excessive rigid fixation systems, growth disturbance in growing individual, allergy reaction, interference with radiographic imaging, palpability, thermal sensitibity and the need for subsequent removal. To overcome these disadvantages and avoid additional surgery of removal of plates and screws, there have been many studies of biodegradable plates and screws. But, It also has complication such as foreign body reactions. We have undertaken a clinical and retrospective study on 140 patients in Dept. of Oral and Maxillofacial Surgery, Inha University Hospital from February 2006 to March 2009. The purpose of this study is to report the clinical cases and review of the literatures with biodegradable plates and screws. And we concluded following results. 1. 6 cases(3.4%) of the 177 operation sites(140 patients) experienced complications. 1 case(0.6%) was a failure of initial fixation, 1 case(0.6%) was a postoperative infection, 4 cases(2.3%) were inflammations or foreign body reaction. 2. Postoperative infections, inflammations and foreign body reactions were completely recovered with incision and drainage, supporative care with antibiotic coverage and removal of biodegradable plates. 3. Biodegradable plates and screws provide acceptable rigidity and stability clinically. But, long-term observation is required for the tissue reactions around the biodegradable plates and screws because of long resorption periods of the biodegradable materials.

Keywords

References

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