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95224

MINIPLATE REMOVAL FOLLOWING MAXILLOFACIAL TRAUMA: ROUTINE OR SYMPTOMATIC?

Article

Last updated: 22 Jan 2023

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Abstract

Background: The literature shows that hardware removal rates after fixation of maxillofacial fractures with miniplates are significant, as there are some needs for hardware removal in a number of patients who have been treated with metallic osteosynthesis devices. purpose: The purpose of the present study was to find the rates of and reasons for miniplates removal in patients who have been treated for maxillofacial fractures.   patients and methods: The files of 103 patients who have been treated with open reduction and internal fixation with titanium miniplates were retrospectively revised. The number of patients who underwent miniplate removal was recorded. For each patient who has undergone miniplate removal; the indication for miniplate removal, the number of removed plates and the interval between plate placement and removal were recorded.   Results: 28 patients out of 103 patients have undergone miniplate removal with a total removal rate of 27.18 %. By excluding the pediatric population, the removal rate for the adult population alone was 9.6%. Twenty cases were removed due to ongoing growth in children and teenagers (71.43 %), five cases for objective reasons (17.85%) and three cases (10.71 %) due to subjective patient discomfort. A total of 51 plates were removed. Twelve plates (23.5 %) were removed from the mid-face and 39 (76.47 %) from the mandible.   Conclusion: The low rate of miniplate removal in this study shows that the routine removal of asymptomatic miniplates in adult population is not indicated.  

DOI

10.21608/edj.2016.95224

Keywords

plate removal, miniplates, maxillofacial trauma

Authors

First Name

Lydia

Last Name

Melek

MiddleName

N.

Affiliation

Lecturer of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University

Email

lydia.nabil@dent.alex.edu.eg

City

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Orcid

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First Name

Haytham

Last Name

Al Mahalawy

MiddleName

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Affiliation

Oral and Maxillofacial Surgery Department, Alexandria University Hospital, Alexandria, Egypt

Email

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City

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Orcid

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Volume

62

Article Issue

Issue 1 - January (Oral Surgery)

Related Issue

14355

Issue Date

2016-01-01

Receive Date

2020-06-12

Publish Date

2016-01-01

Page Start

931

Page End

936

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_95224.html

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https://edj.journals.ekb.eg/service?article_code=95224

Order

8

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023