Correlation of plates' number with complications of osteosynthesis in mandibular fractures. 2014

Emad T Daif
From the Faculty of Oral and Dental Medicine, Cairo University, and Oral & Maxillofacial Surgery Department, Alharm Hospital, Ministry of Health, Cairo, Egypt.

OBJECTIVE This study aimed to assess the correlation of the miniplates' number used for fixation of single-compound symphyseal and parasymphyseal fractures with the osteosynthesis complications. METHODS Two hundred eighty-five patients having miniplate osteosynthesis complications participated in this study. They were classified into 3 groups according to the number of miniplates used for the fixation of the fractured segments. The first group included patients having 2 miniplates, whereas the second and third groups included patients having 4 miniplates and more than 4 miniplates, respectively. RESULTS The main osteosynthesis complications were malocclusion (32%) infection with an extraoral fistula (21%), wound dehiscence with intraoral exposure of the miniplates (17%), and combination of these (13%). Lower lip affection and intraoral bone exposure were 11% and 6%, respectively. Malocclusion was the most common complication in each group and showed the highest rate (62%) in the first group. Infection with extraoral fistula was found in all groups, with the highest rate (27%) in the first group. Wound dehiscence with intraoral exposure of the miniplates was present in the 3 groups, and the third group had the highest rate (19%). The second and third groups had equal rates of lower lip affection, numbness or weakness, (12%) and intraoral bone exposure (7%). In addition, they had combined complications in rates of 16% and 13%, respectively. CONCLUSIONS The use of 2 miniplates for the fixation of single-compound symphyseal and parasymphyseal fractures is quite enough to avoid osteosynthesis complications such as wound dehiscence, bone or plate exposure, and lower lip affection.

UI MeSH Term Description Entries
D006987 Hypesthesia Absent or reduced sensitivity to cutaneous stimulation. Hypesthesia, Tactile,Hypesthesia, Thermal,Hypoesthesia,Numbness,Impaired Sensation,Reduced Sensation,Hypesthesias,Hypesthesias, Tactile,Hypesthesias, Thermal,Hypoesthesias,Impaired Sensations,Reduced Sensations,Sensation, Impaired,Sensation, Reduced,Sensations, Impaired,Sensations, Reduced,Tactile Hypesthesia,Tactile Hypesthesias,Thermal Hypesthesia,Thermal Hypesthesias
D008297 Male Males
D008310 Malocclusion Such malposition and contact of the maxillary and mandibular teeth as to interfere with the highest efficiency during the excursive movements of the jaw that are essential for mastication. (Jablonski, Illustrated Dictionary of Dentistry, 1982) Angle's Classification,Crossbite,Tooth Crowding,Cross Bite,Angle Classification,Angles Classification,Bite, Cross,Bites, Cross,Classification, Angle's,Cross Bites,Crossbites,Crowding, Tooth,Crowdings, Tooth,Malocclusions
D008337 Mandibular Fractures Fractures of the lower jaw. Fracture, Mandibular,Fractures, Mandibular,Mandibular Fracture
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D001860 Bone Plates Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999) Bone Plate,Plate, Bone,Plates, Bone
D005260 Female Females
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

Emad T Daif
January 1986, Deutsche Zeitschrift fur Mund-, Kiefer- und Gesichts-Chirurgie,
Emad T Daif
February 1973, Osterreichische Zeitschrift fur Stomatologie,
Emad T Daif
March 1994, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons,
Emad T Daif
February 1995, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics,
Emad T Daif
January 1975, Fortschritte der Kiefer- und Gesichts-Chirurgie,
Emad T Daif
January 2020, National journal of maxillofacial surgery,
Emad T Daif
January 2021, The Journal of craniofacial surgery,
Copied contents to your clipboard!