Symptomatic plate removal in maxillofacial trauma: a review of 76 cases.

Abstract:

:This study reviewed the fate of titanium plates used to correct maxillofacial trauma in 76 patients to define risk factors for plate removal. Medical records of 76 consecutive patients at a single institution, over a 10-year period, were retrospectively reviewed. Variables included age, sex, trauma type, diagnosis, fracture type, fracture diagnosis, plate location, surgical approach, and reasons for plate removal. Fracture diagnosis was described as panfacial (42%), blowout (3%), midface (28%), zygoma (26%), mandible angle (6%), ramus (7%), and symphysis (9%). All plate removals according to fracture diagnosis were in the mandible angle (30%) and symphysis (20%). When plate location was reviewed, 68% of the plates were placed in the upper and midface and 32% were placed in the mandible. Specifically, plates were placed in the frontozygomatic suture (18%), zygomaticomaxillary suture (19%), infraorbital rim (14%) and mandible symphysis (15%), mandible angle (9%), piriform (6%), nasal (5%), mandible ramus (4%) and body (4%), zygoma (2%), and frontal (2%). Of 163 plates that were placed, 6 plates (3.7%) were removed. Three (12%) of the symphysis plates and 3 (20%) of the angle plates were removed. Among all variables, only fracture diagnosis (P = 0.01) and plate location (P = 0.01) were statistically significant in plate removal. Five plates were removed for abscess/infection; 1 plate was removed for osteomyelitis. Further review revealed that 4 out of 6 plates removed involved synchronous mandible fractures. Most infections after maxillofacial trauma occur in the mandible, and often these infections are the main reason for plate removal. More vigilance is needed in the treatment of mandible angle and symphyseal fractures, especially if there are synchronous fractures, to prevent infection, plate removal and subsequent malunion.

journal_name

Ann Plast Surg

authors

Murthy AS,Lehman JA Jr

doi

10.1097/01.sap.0000183802.38116.37

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

603-7

issue

6

eissn

0148-7043

issn

1536-3708

pii

00000637-200512000-00012

journal_volume

55

pub_type

杂志文章
  • Evaluating the effects of ice application on the pain felt during botulinum toxin type-a injections: a prospective, randomized, single-blind controlled trial.

    abstract::The pain felt during botulinum toxin type-A injections and the troubled and distressed treatment it induces is common and well known for the patient and the doctor applying the treatment. This problem is further intensified on the patients who have needle phobia. The effect of ice application on the treatment zone bef...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.sap.0000139563.51598.75

    authors: Sarifakioglu N,Sarifakioglu E

    更新日期:2004-12-01 00:00:00

  • Endothelin-1 kinetics in plasma, urine, and blister fluid in burn patients.

    abstract::Endothelin-1, a peptide isolated from vascular endothelial cells, facilitates the constriction of vascular smooth muscle and various pharmacological actions including vasodilation, the proliferation of smooth muscle cells and fibroblasts, and the stimulation of arachidonic acid metabolism. In this study, plasma, urine...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199609000-00012

    authors: Wakisaka N,Kubota T,Ando K,Aihara M,Inoue H,Ishida H

    更新日期:1996-09-01 00:00:00

  • Postauricular Approach for Mandibular Angle Ostectomy: An Alternative for Shortening the Recovery Time.

    abstract::Many surgical procedures to improve mandibular contour have been introduced in East Asia. Despite consensus regarding mandible contouring surgery, surgery which includes angle ostectomy and lateral cortex excision, some patients require only mandibular angle ostectomy. The intraoral approach is a widely used method, b...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000216

    authors: Lim H,Kang M

    更新日期:2016-01-01 00:00:00

  • Microvascular free transfer in reconstruction of the pharynx and cervical esophagus.

    abstract::We present 8 cases of microvascular reconstruction of the pharynx and cervical esophagus using 5 free ileal transfers and 3 radial forearm flaps. One of the skin flaps underwent a delay procedure a month before transfer. All flaps survived, though there were 2 salivary fistulas that healed spontaneously. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199311000-00010

    authors: Vavylov VN,Ushakov VS,Tokarevitch KK,Krasnoumov AN,Kasyanov IV,Semyonov SV

    更新日期:1993-11-01 00:00:00

  • Automated facial image analysis: detecting improvement in abnormal facial movement after treatment with botulinum toxin A.

    abstract::The purpose of this study was to evaluate the ability of Automated Facial Image Analysis (AFA) to detect changes in facial motion after Botox injections in patients with facial nerve disorders accompanied by abnormal muscle activity. Eight subjects received Botox for oral to ocular synkinesis (n = 6), ocular to oral s...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000250761.26824.4f

    authors: Rogers CR,Schmidt KL,VanSwearingen JM,Cohn JF,Wachtman GS,Manders EK,Deleyiannis FW

    更新日期:2007-01-01 00:00:00

  • Small intestinal submucosa: utilization for repair of rodent abdominal wall defects.

    abstract::Prosthetic graft material is often used for the repair of abdominal wall defects that result from trauma, infection, neoplastic, or congenital deformities. A new material, porcine small intestinal submucosa, has been successfully used as an arterial and venous graft material in both canine and primate animal models wi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Prevel CD,Eppley BL,Summerlin DJ,Jackson JR,McCarty M,Badylak SF

    更新日期:1995-10-01 00:00:00

  • Accurate method for determining functional penile length in Turkish young men.

    abstract::There are only a few reports that investigate the measurement of functional penile length and compare the methods used for this purpose. The aim of this study was to determine the correlation between the measurement techniques and to determine an appropriate method that correlates the erect state most closely. Measure...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200204000-00008

    authors: Sengezer M,Oztürk S,Deveci M

    更新日期:2002-04-01 00:00:00

  • An algorithmic approach for reconstruction of burn alopecia.

    abstract::Although various methods for reconstruction of burn alopecia have been described in case reports and small case series, a comprehensive comparison of these methods has not been performed. The purpose of this study was to assess the appropriateness of the clinical indications for the various reconstructive methods for ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181d2487a

    authors: Jeong SH,Koo SH,Han SK,Kim WK

    更新日期:2010-09-01 00:00:00

  • Combined Orthodontic-Surgical Sequential Treatment of Cleidocranial Dysplasia: A Case Report With 7-Year Follow-up and Review of the Literature.

    abstract::Cleidocranial dysplasia (CCD) is a rare hereditary disorder characterized by skeletal malformations and dental abnormalities. Mutations of the transcription factor RUNX2 are responsible for the pathogenesis of CCD. We present a case of a 10-year-old boy with CCD, presenting with hypoplastic clavicles, delayed closure ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0000000000001827

    authors: Chen L,Sun Z,Zhang Y,Lin J,Li Z

    更新日期:2019-07-01 00:00:00

  • Complications associated with breast reconstruction using a perforator flap compared with a free TRAM flap.

    abstract::This study evaluated the recipient and donor site complications associated with breast reconstruction using a deep inferior epigastric artery perforator flap (DIEAP) flap compared with a free TRAM flap. The charts of 108 patients who underwent breast reconstruction using these techniques were reviewed. There were 130 ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000201549.83738.42

    authors: Scheer AS,Novak CB,Neligan PC,Lipa JE

    更新日期:2006-04-01 00:00:00

  • Measurement of implant capsules.

    abstract::A more direct measurement of implant capsule contracture is needed for the laboratory study of this phenomenon. Most of the previous methods for quantitation of contracture rely on measurements of deformability. Because contraction of an implant capsule is in fact a decrease in the surface area of the capsule, a metho...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198311000-00008

    authors: Caffee HH

    更新日期:1983-11-01 00:00:00

  • Long-term follow-up on the use of soft-tissue expansion for shoulder reconstruction.

    abstract::We report the long-term use of tissue expanders for the reconstruction of a shoulder mound. Following a total forequarter amputation for the management of a fibrosarcoma, the patient continues to enjoy the benefits of a soft-tissue expander reconstruction eight years after its initial insertion. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199208000-00014

    authors: Mackinnon SE,Patterson GA

    更新日期:1992-08-01 00:00:00

  • Effects of topical glutathione treatment in rat ischemic wound model.

    abstract::Oxidative stress secondary to ischemia can cause physiopathologic changes that adversely affect wound healing. In this experimental study, we hypothesized that the topical use of esterified glutathione, a well-known antioxidant, can minimize the effects of oxidative stress by an increase in intracellular glutathione a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000241681.57965.35

    authors: Kopal C,Deveci M,Oztürk S,Sengezer M

    更新日期:2007-04-01 00:00:00

  • Creep vs. stretch: a review of the viscoelastic properties of skin.

    abstract::Possessing viscous and elastic rheological properties, skin is viscoelastic. Mechanical creep, defined as the elongation of skin with a constant load over time beyond intrinsic extensibility, has been described as the vehicle harnessed for wound closure with presuturing, intraoperative tissue expansion, skin-stretchin...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199808000-00019

    authors: Wilhelmi BJ,Blackwell SJ,Mancoll JS,Phillips LG

    更新日期:1998-08-01 00:00:00

  • Zone of traction injury of the common peroneal nerve.

    abstract::The history of functional motor recovery after reconstruction of traction injury to the common peroneal nerve is poor, regardless of technique and regardless of the experience of the surgeon doing the reconstruction. The hypothesis tested is that the failure of functional motor recovery after common peroneal nerve tra...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3180302668

    authors: Prasad AR,Steck JK,Dellon AL

    更新日期:2007-09-01 00:00:00

  • Power-assisted suction lipectomy of fasciocutaneous flaps in the extremities.

    abstract:BACKGROUND:A bulky appearance is one of the major patient complaints after extremity reconstruction after fasciocutaneous flaps. Serial debulking procedures with staged excision are required to improve aesthetic and functional outcome, but these methods risk injury to the vascular pedicle and often require multiple pro...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181c8f4f3

    authors: Reuben CM,Bastidas N,Sharma S

    更新日期:2010-07-01 00:00:00

  • The abdominal adipofascial flap: a new model for direct in vivo observation of microcirculatory hemodynamics of the abdominal fat tissue in rat.

    abstract:INTRODUCTION:The peripheral adipose tissue is a vital component of many procedures in reconstructive and esthetic surgery. There is a limited knowledge on hemodynamic changes of adipose tissue. A direct intravital microscopic observation method is needed for the measurement of microcirculatory changes occurring in peri...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31814da751

    authors: Yazici I,Siemionow M

    更新日期:2008-06-01 00:00:00

  • The amplified sliding flap.

    abstract::During recent years, sliding flaps have had great popularity owing to their advantages in terms of reliability, ease of execution, and good morphofunctional results. The limits of these flaps are related to the capacity of excursion in the advancement. To improve these limits, we describe in this article a personal mo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199310000-00006

    authors: Campus GV,Lissia M,Pancrazi E

    更新日期:1993-10-01 00:00:00

  • Management of Infected Mesh After Abdominal Hernia Repair: Systematic Review and Single-Institution Experience.

    abstract:BACKGROUND:Mesh infection after abdominal hernia repair is a devastating complication that affects general and plastic surgeons alike. The purpose of this study was 3-fold: (1) to determine current evidence for treatment of infected abdominal wall mesh via systematic review of literature, (2) to analyze our single-inst...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0000000000001189

    authors: Shubinets V,Carney MJ,Colen DL,Mirzabeigi MN,Weissler JM,Lanni MA,Braslow BM,Fischer JP,Kovach SJ

    更新日期:2018-02-01 00:00:00

  • Assessing third-year medical students' knowledge of and exposure to cleft palate before and after plastic surgery rotation.

    abstract::The purpose of this study was to evaluate third-year medical students' knowledge of and exposure to cleft palate before and after a rotation in plastic surgery. A 26-item questionnaire was administered to 37 students before and after their 12-week rotation that included the evaluation and management of patients with c...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199604000-00009

    authors: Vallino LD,Brown AS

    更新日期:1996-04-01 00:00:00

  • Three-Dimensional Analysis of Mandibular Angle Classification and Aesthetic Evaluation of the Lower Face in Chinese Female Adults.

    abstract:BACKGROUND:Reduction gonioplasty is very popular in East Asia. However, there has been little quantitative criteria for mandibular angle classification or aesthetics. The aim of this study was to investigate the quantitative differences of mandibular angle types and determine the morphologic features of mandibular angl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001463

    authors: Mao X,Fu X,Niu F,Chen Y,Jin Q,Qiao J,Gui L

    更新日期:2018-07-01 00:00:00

  • Flexor pollicis brevis adductorplasty: an alternative method in ulnar nerve paralysis.

    abstract::Loss of pinch power associated with loss of coordinated movement of thumb and index fingers is the major disability in patients with ulnar nerve paralysis. Several tendon transfer methods utilizing different donor muscles have been used to restore adductor pollicis muscle function in ulnar nerve paralysis. In this pap...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000209028.11153.be

    authors: Uraloğlu M,Orbay H,Açar HI,Sensöz O

    更新日期:2006-07-01 00:00:00

  • Lateral nasal proboscis.

    abstract::A rare congenital anomaly of the face has been encountered and reported: lateral nasal proboscis. It is characterized by a trunk-like tube arising from an eyelid and is coupled with hypoplasia of the nose, abnormal orbit and maxilla, and ophthalmic anomalies. The pathogenesis and treatment of this disorder are discuss...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Bowe JJ

    更新日期:1986-03-01 00:00:00

  • Augmentation with cartilage grafts around the pyriform aperture to improve the midface and profile in binder's syndrome.

    abstract::The two major surgical methods for improving the midface and its profile of Binder's syndrome (commonly referred to as "dish face" deformity of "C-shape" deformity) are bone or cartilage graft and osteotomy. The bone or cartilage graft limited to the nasal sill area is ineffective in changing the flatness of the paran...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199602000-00020

    authors: Watanabe T,Matsuo K

    更新日期:1996-02-01 00:00:00

  • Clinical applications of venous flaps.

    abstract::Reconstruction involving seven venous flaps on six patients was performed. One saphenous venous flap demonstrated partial dermal necrosis; the remaining six survived completely. The largest flap to survive was 5 x 15 cm. Three technical requirements are emphasized; (1) a healthy recipient bed, (2) a donor site with a ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199505000-00011

    authors: Xiu ZF,Chen ZJ

    更新日期:1995-05-01 00:00:00

  • Physiological roles of endothelium-derived nitric oxide in the epigastric island flaps of rabbits.

    abstract::Nitric oxide (NO), identified as the mediator of endothelium-dependent relaxation of vascular smooth muscle, is known to cause a number of inflammatory conditions, especially in ischemia/reperfusion injury. This experimental study, using a rabbit epigastric island flap, was designed to investigate whether skin flap is...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199712000-00009

    authors: Oshima H,Inoue H,Aihara M,Tomioka M,Ishida H

    更新日期:1997-12-01 00:00:00

  • Human bites of the face with tissue losses.

    abstract::Human bites of the face are common in Port Harcourt, Nigeria. Twenty-four such patients with tissue losses seen over a period of two years (1983-1985) at the University of Port Harcourt Teaching Hospital were studied. Women in their third decade of life seem to be most at risk; the lips and ears are most frequently bi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198810000-00005

    authors: Datubo-Brown DD

    更新日期:1988-10-01 00:00:00

  • Histological changes of the voice tube and possible clinical consequences after voice reconstruction with free ileocolon flap.

    abstract::Free ileocolon flap has become a valid option for restoration of speech after pharyngolaryngectomy. After transfer, deprivation of the trophic intestinal contents and exposure to chronic intermittent airflow could substantially modify the structure of the voice tube, compromising its function. Biopsy specimens from 14...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31824680a9

    authors: Gharb BB,Rampazzo A,Hsu CT,Bassetto F,Spanio di Spilimbergo S,Chen HC

    更新日期:2013-07-01 00:00:00

  • An 18-year experience in the management of congenital nevomelanocytic nevi.

    abstract:BACKGROUND:Children with giant congenital nevomelanocytic nevi (CNN) are referred to our pediatric burn center for the surgical management of this disfiguring and potentially malignant skin disorder. Use of tissue expanders has contributed significantly in limiting donor site morbidity associated with treatment of gian...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318095a784

    authors: Warner PM,Yakuboff KP,Kagan RJ,Boyce S,Warden GD

    更新日期:2008-03-01 00:00:00

  • Multiple Y-V plasty.

    abstract::Webs and contracture, whether congenital or the result of trauma or surgical excision, have been resurfaced with local tissue utilizing the principle of multiple Y-V advancement flaps. Initially the procedure was used in releasing broad scar contracture following a burn wound of the torso, and for congenital soft tis...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-197905000-00013

    authors: Shaw DT,Li CS

    更新日期:1979-05-01 00:00:00