Resorbable fixation of Le Fort I osteotomies.
We review our experience with resorbable fixation in Le Fort I osteotomies. We used resorbable plates and screws for fixation of 29 Le Fort I osteotomies over a 1-year period (October 1996-November 1997). Patients ages ranged from 13 to 38 years (mean, 24.7 years). The postoperative follow-up ranged from 2 weeks to 1 year. At the time of surgery, the fixation devices were evaluated for stability and satisfactory placement of fixation. Postoperatively, they were evaluated for wound healing, fixation stability, signs of infection, and patient satisfaction. Postoperative evaluations consisted of 1-, 3-, and 6-week clinical exams with radiographic analysis at 3, 6, and 12 months. There have been no complications as of this writing. In one instance, an L plate was palpable in the paranasal region and resolved after 6 months. Our early experience with resorbable fixation is favorable and has offered us an additional option for stabilization of the maxilla.
Edwards
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RC
Department of Oral and Maxillofacial Surgery, 1st Medical Group, Langley Air Force Base, Hampton, VA 23665-2080, USA.
Kiely
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KD
D000042:Absorption; D000293:Adolescent; D000328:Adult; D001672:Biocompatible Materials; D001673:Biodegradation, Environmental; D001860:Bone Plates; D001863:Bone Screws; D004867:Equipment Design; D006801:Humans; D019248:Jaw Fixation Techniques / Q000295:instrumentation*; D019344:Lactic Acid; D008875:Middle Aged; D019340:Osteotomy, Le Fort / Q000379:methods*; D017063:Outcome Assessment, Health Care; D011100:Polyglycolic Acid; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011108:Polymers
D001672:Biocompatible Materials; D011108:Polymers; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011100:Polyglycolic Acid; D019344:Lactic Acid