Comparison between patient specific implants and conventional mini-plates in Le Fort I osteotomy with regard to infections: No differences in up to 3-year follow-up
| Autor: | Justus Reunanen, Karoliina V.M. Kotaniemi, Patricia Stoor, Sanna Järvinen, Juho Suojanen, Tuula Palotie, Junnu Leikola |
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| Přispěvatelé: | Clinicum, Plastiikkakirurgian yksikkö, Department of Surgery, Suu- ja leukakirurgian yksikkö, Department of Oral and Maxillofacial Diseases, University of Helsinki, Faculty of Medicine, HUS Head and Neck Center, HUS Musculoskeletal and Plastic Surgery |
| Rok vydání: | 2018 |
| Předmět: |
Le Fort I osteotomy
Adult Male Reoperation Reconstructive surgery medicine.medical_specialty ORTHOGNATHIC SURGERY ACCURACY medicine.medical_treatment Patient specific implant Orthognathic surgery CAD/CAM GUIDES 03 medical and health sciences Dental Prosthesis Young Adult 0302 clinical medicine Postoperative infection medicine Humans Osteotomy Le Fort Surgical Wound Infection Fixation (histology) Retrospective Studies Osteosynthesis business.industry Soft tissue 030206 dentistry Patient specific Middle Aged SERIES 3126 Surgery anesthesiology intensive care radiology medicine.disease 313 Dentistry 3. Good health Surgery Otorhinolaryngology Dental Prosthesis Design 030220 oncology & carcinogenesis Female Oral Surgery Malocclusion business Bone Plates 3D Follow-Up Studies |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 46(10) |
| ISSN: | 1878-4119 |
| Popis: | Individually designed osteotomies and milled or printed patient-specific osteosynthesis materials are rapidly becoming a standard in maxillofacial reconstructive surgery. The benefits of using patient-specific implants (PSIs) in orthognathic surgery are especially clear in complex cases, and for this reason they are rapidly becoming common practice. We have earlier reported the benefits related to the use of PSIs as reposition and fixation system in Le Fort I osteotomy. The aim of this study was to compare complications associated with fixation with PSIs (31 patients) versus conventional mini-plates (37 patients) in Le Fort I osteotomy. No statistically significant differences in infection, reoperations or soft tissue problems were observed between the two systems used. Interestingly, three of the 37 patients in the mini-plate group underwent reoperation due to insufficient advancement or malocclusion, whereas none of the patients in the PSI group needed reoperation. In conclusion, PSIs are reliable for use in orthognathic surgery, with no signs of infection associated complications. (C) 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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