Plate related complication after mandibular reconstruction / 中华口腔医学杂志
Chinese Journal of Stomatology
;
(12): 586-590, 2013.
Article
in Chinese
| WPRIM
| ID: wpr-274196
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the complications and factors associated with titanium plates in mandibular reconstruction with different methods.</p><p><b>METHODS</b>A retrospective analysis of 660 patients who received primary reconstruction of the mandible was conducted. The characters of the mandibular defect and methods of reconstruction were recorded. The complications and factors associated with the reconstruction were analyzed.</p><p><b>RESULTS</b>The majority of mandibular defect was in a shape of L (n = 324 ). The total complication rate was 14.7% (97/660), which included screw loosening 5.8% (38/660), plate fracture 3.3% (22/660), plate exposure 3.8% (25/660), infection 7.4% (49/660) and malunion or ununion 2.9% (19/660). The mandibular defects reconstructed by reconstructive plates had a higher complication rate than that by bone grafts. The complication rate was 10.8% (63/586) in cases reconstructed by bone grafts with miniplates. The complications were associated with radiation therapy and diabetes. Radiation therapy had a significant effect on plate exposure.</p><p><b>CONCLUSIONS</b>Reconstruction with bone grafts can minimize the rate of plate related complication. The complications were associated with radiation therapy and diabetes.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Radiotherapy
/
Rehabilitation
/
General Surgery
/
Surgical Wound Infection
/
Titanium
/
Bone Plates
/
Bone Screws
/
Carcinoma, Squamous Cell
/
Ameloblastoma
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Stomatology
Year:
2013
Type:
Article
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