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Abstract AI-Helper 아이콘AI-Helper

Backgrounds: Though they are considered as reliable devices, titanium plates and screws have limitations due to some potential problems. To overcome these problems, researches on bioabsorbable materials for internal fixation have been continuing. Recently, there are many clinical trials to apply bio...

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AI 본문요약
AI-Helper 아이콘 AI-Helper

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제안 방법

  • Recently, with the technical development, there are many clinical trials to apply biodegradable internal fixation devices in oral and maxillofacial surgery. The purpose of this study was to evaluate the clinical results of application of bioabsorbable plates and screws in orthognathic surgery. For this, we reviewed our early experience using Biosorb FX plates and screws (Bionix Implants, Inc.

대상 데이터

  • Fifty-four patients with dentofacial deformity (17 male patients and 37 female patients) were selected in this study. The patients ranged from 15 to 52 years in age (mean 22.
  • The research protocol was approved by the Institutional Review Board on Human Subjects of the Seoul National University Bundang Hospital. From the patients with problems of dentofacial deformity requiring orthognathic surgery, the patients who had been operated at Seoul National University Bundang Hospital from May 2003 to Dec 2004 were included in this study. All patients agreed to the use of bioabsorbable plates and screws in the operation after the detailed information.
  • All the operations in this study were performed by the same surgeon with the same surgical protocol. The patients were treated by internal fixation using bioabsorbable plates and 2.4-mm, 2.0-mm pretapped screws (Biosorb FX, Bionix Implants, Inc., Finland). A single 2.
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참고문헌 (19)

  1. Tuovinen V, Norholt SE, Sindet-Pedersen S, Jensen J: A retrospective analysis of 279 patients with isolated mandibular fractures treated with titanium miniplates. J Oral Maxillofac Surg 1994;52:931-93587 

  2. Matthew IR, Frame JW: Policy of consultant oral and maxillofacial surgeons towards removal of miniplate components after jaw fracture fixation: pilot study. Br J Oral Maxillofac Surg 1999;37:110-112 

  3. Iizuka T, Lindqvist C: Rigid internal fixation of mandibular fractures. An analysis of 270 fractures treated using the AO/ASIF method. Int J Oral Maxillofac Surg 1992;21:65-69 

  4. Fiala TG, Novelline RA, Yaremchuk MJ: Comparison of CT imaging artifacts from craniomaxillofacial internal fixation devices. Plast Reconstr Surg 1993;92:1227-1232 

  5. Fiala TG, Paige KT, Davis TL, Campbell TA, Rosen BR, Yaremchuk MJ: Comparison of artifact from craniomaxillofacial internal fixation devices: magnetic resonance imaging. Plast Reconstr Surg 1994;93:725-731 

  6. Schliephake H, Reiss G, Urban R, Neukam FW, Guckel S: Metal release from titanium fixtures during placement in the mandible: an experimental study. Int J Oral Maxillofac Implants 1993;8:502-511 

  7. Jorgenson DS, Mayer MH, Ellenbogen RG, Centeno JA, Johnson FB, Mullick FG, Manson PN: Detection of titanium in human tissues after craniofacial surgery. Plast Reconstr Surg 1997;99:976-979 

  8. Eppley BL, Sadove AM, Havlik RJ: Resorbable plate fixation in pediatric craniofacial surgery. Plast Reconstr Surg 1997;100:1-7 

  9. Tharanon W, Sinn DP, Hobar PC, Sklar FH, Salomon J: Surgical outcomes using bioabsorbable plating systems in pediatric craniofacial surgery. J Craniofac Surg 1998;9:441-444 

  10. Ferretti C, Reyneke JP: Mandibular, sagittal split osteotomies fixed with biodegradable or titanium screws: a prospective, comparative study of postoperative stability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 93:534-537 

  11. Kim YK, Yeo HH, Lim SC: Tissue response to titanium plates: a transmitted electron microscopic study. J Oral Maxillofac Surg 1997;55:322-326 

  12. Cutright DE, Hunsuck EE, Beasley JD: Fracture reduction using a biodegradable material, polylactic acid. J Oral Surg 1971;29:393-397 

  13. Suuronen R: Biodegradable fracture-fixation devices in maxillofacial surgery. Int J Oral Maxillofac Surg 1993;22:50-57 

  14. Suuronen R, Pohjonen T, Vasenius J, Vainionpaa S: Comparison of absorbable self-reinforced multilayer polyl- lactide and metallic plates for the fixation of mandibular body osteotomies: an experimental study in sheep. J Oral Maxillofac Surg 1992;50:255-262 

  15. Kallela I, Laine P, Suuronen R, Iizuka T, Pirinen S, Lindqvist C: Skeletal stability following mandibular advancement and rigid fixation with polylactide biodegradable screws. Int J Oral Maxillofac Surg 1998;27:3-8 

  16. Shand JM, Heggie AA: Use of a resorbable fixation system in orthognathic surgery. Br J Oral Maxillofac Surg 2000; 38:335-337 

  17. Turvey TA, Bell RB, Tejera TJ, Proffit WR: The use of selfreinforced biodegradable bone plates and screws in orthognathic surgery. J Oral Maxillofac Surg 2002;60:59-65 

  18. Haers PE, Sailer HF: Biodegradable self-reinforced poly- L/DL-lactide plates and screws in bimaxillary orthognathic surgery: short term skeletal stability and material related failures. J Craniomaxillofac Surg 1998;26:363-372 

  19. Schmidt BL, Perrott DH, Mahan D, Kearns G: The removal of plates and screws after Le Fort I osteotomy. J Oral Maxillofac Surg 1998;56:184-188 

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