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VOLUME 16 , ISSUE 7 ( July, 2015 ) > List of Articles

RESEARCH ARTICLE

Use of Three-dimensional Plates in Mid-face Fracture: A Prospective Study

Manpreet Singh, Amiya Agrawal, Arvind Yadav, Manoj Chaudhary, Bhupendra Harjani

Citation Information : Singh M, Agrawal A, Yadav A, Chaudhary M, Harjani B. Use of Three-dimensional Plates in Mid-face Fracture: A Prospective Study. J Contemp Dent Pract 2015; 16 (7):571-577.

DOI: 10.5005/jp-journals-10024-1724

Published Online: 01-07-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of our study was to evaluate the advantages and disadvantages of three-dimensional (3D) plating system in the treatment of mid-face fractures.

Patients and methods

Thirty mid-face fractures in 18 patients at various anatomic locations were treated by open reduction and internal fixation using 3D plates. All patients were followed at regular intervals of 4th, 8th and 12th weeks respectively. Patients were assessed postoperatively for postoperative complication and occlusal stability. The incidence of neurosensory deficit, infection, masticatory difficulty, nonunion and malunion was also assessed.

Results

A significant reduction in fracture (72.2%) and occlusal stability (72.2%) was seen. The overall complication rate was (16.6%) which included two patients who developed postoperative paresthesia of lip, three patients had infection and two cases of masticatory difficulty which later subsided by higher antibiotics and 4 weeks of MMF. No evidence of nonunion and malunion was noted.

Conclusion

Single 3D titanium plates with 1.7 mm diameter holes and 1.7 mm screws were reliable and an effective treatment modality for mid-face fracture.

Clinical significance

Because of unique biogeometrical design owing to lesser amount of hardware material (fixation device) resulting into increased stability, the fixation in mid-face fractures is better in comparison to conventional 1.5 mm miniplate fixation.

How to cite this article

Singh M, Agrawal A, Chaudhary M, Kaur G, Harjani B, Yadav A. Use of Three-dimensional Plates in Mid-face Fracture: A Prospective Study. J Contemp Dent Pract 2015;16(7):571-577.


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  1. Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 2001;30:286-290.
  2. An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg 2003;61:61-64.
  3. A retrospective analysis of facial fracture etiologies. Ann Plast Surg 2008;60:398-403.
  4. Aetiology and incidence of maxillofacial trauma in Amsterdam: a retrospective analysis of 579 patients. J Craniomaxillofac Surg 2012;40:e165-e169.
  5. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: a review of 230 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:166-170.
  6. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25 year experience) J Craniomaxillofac Surg 2004;32:308-313.
  7. Epidemiological analysis of maxillofacial fractures in Brazil: a 5 year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:28-34.
  8. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 1978;6:14-21.
  9. Incidence and causes of maxillofacial skeletal injuries at the Mayo Hospital in Lahore, Pakistan. Br J Oral Maxillofac Surg 2006;44:232-234.
  10. Maxillofacial fractures in Southern Bulgaria—a retrospective study of 1706 cases. J Craniomaxillofac Surg 2007;35:147-150.
  11. The value of three-dimensional plates in maxillofacial surgery. Rev Stomatol Chir Maxillofac 1992;93:353-357.
  12. The influence of the mode of treatment of zygomatic bone fractures on the healing process of the infraorbital nerve. Br J Oral Maxillofac Surg 1988;26:419-425.
  13. A 4-year retrospective study of facial fractures on Jeju, Korea. J Craniomaxillofac Surg 2010;38:192-196.
  14. Pattern of maxillofacial fractures at a tertiary hospital in northern India: a 4-year retrospective study of 718 patients. Dent Traumatol 2011;27:257-262.
  15. The 3D plating system in maxillofacial surgery. J Oral Maxillofac Surg 1993;51:166-167.
  16. The pattern of the maxillofacial fractures: A multicentre retrospective study. J Craniomaxillofac Surg 2012;40:675-679.
  17. Cranio maxillofacial injuries in the United Arab Emirates: a retrospective study. J Oral Maxillofac Surg 2007;65:1094-1101.
  18. Recovery of the infraorbital nerve after zygomatic complex fractures: a preliminary study of different treatment methods. Int J Oral Maxillofac Surg 1993 Dec;22(6):339-341.
  19. Internal fixation vs conventional therapy in midface fractures. J Trauma 1987 Oct;27(10):1136-1145.
  20. Role of indigenous 3-D plating system in oral and maxillo facial surgery. J Maxillofac Oral Surg 2004;3:24-27.
  21. Fixation of mandibular angle fractures with a 2.0 mm 3-dimensional curved angle strut plate. J Oral Maxillofac Surg 2005;63:209-214.
  22. The three-dimensional titanium miniplate rigid fixation in the treatment of fracture of maxilla. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 1997;11:196-198.
  23. Three dimensional plate fixation of fractures and osteotomies: Facial plastic surgery. Clin North Am 1995;3:39-56.
  24. Maxillofacial fracture patterns in north Indian urban population. J Dent Sci Res 2013;4(1):1-4.
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