Assessment of plate use for mandibular reconstruction: has changing technology made a difference?
Reconstruction of mandibular defects with a variety of alloplastic materials during a 22-year period was reviewed. Outcomes were examined to determine whether specific plating technology affected the incidence of plate-related complications including plate exposure, plate fracture, and plate removal. Repair with the miniplate, reconstruction plate, titanium hollow screw reconstruction plate, and locking reconstruction plate was evaluated. Although the incidence of plate fractures has decreased, there was no significant change in the rate of plate exposure. Recurrent disease was noted to be a significant contributing factor in the development of plate-related complications.
Klotch
D W
DW
Division of Otolaryngology, Department of Surgery, University of South Florida, Tampa 33606, USA.
Gal
T J
TJ
Gal
R L
RL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008336:Mandibular Diseases / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011446:Prospective Studies; D011474:Prosthesis Design; D012086:Reoperation; D012189:Retrospective Studies; D013193:Stainless Steel; D014025:Titanium
D013193:Stainless Steel; D014025:Titanium