Article: Efficacy of bioresorbable plating system in the treatment of pediatric maxillary fractures: A short clinical study.
National journal of maxillofacial surgery
2023 Volume 14, Issue 1, Page(s) 86–92
Abstract: Aim: The aim of this study was to evaluate the efficacy, stability, and clinical outcomes of a bioresorbable plating system in the treatment of pediatric maxillary fractures.: Materials and methods: Twenty pediatric patients with maxillary fractures ( ...
Abstract | Aim: The aim of this study was to evaluate the efficacy, stability, and clinical outcomes of a bioresorbable plating system in the treatment of pediatric maxillary fractures. Materials and methods: Twenty pediatric patients with maxillary fractures (13 males and 7 females) were included in this study. The 1.5- and 2.0-mm resorbable plates were used and secured with monocortical resorbable screws 6 mm and 7 mm in length. All patients were followed up for 6 months. Clinical parameters, such as pain, swelling, soft-tissue infection, malocclusion, nerve injury, and bite force for stability, were prospectively assessed. Results: Fall from height (50%) was the most common cause of etiology, followed by road traffic accidents (35%). Maxillary alveolar # (40) was the most common fracture site, followed by nasal complex # (25%) and zygomatic complex # (25%). Appropriate fixation and adequate primary bone healing was achieved in 100% of the cases. Few minor complications were observed: (1) soft-tissue infection (5%) and (2) paresthesia (10%). There was a significant increase in bite force in the incisor and molar regions. Observation in clinical parameters shows that there was a significant reduction in postoperative pain and swelling at different follow-up periods. Conclusion: Bioresorbable plating system is used as a load-sharing plate in a semirigid fixation technique after anatomic fracture reduction. Although its high costs limit its feasibility for use low infection rates, minimized second surgery for implant removal attracts its use. 1.5- and 2-mm resorbable plating system along is a good treatment modality for moderately displaced maxillary fractures in pediatric patients. Larger sample size and longer follow-up studies are required for conclusive results. |
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Language | English |
Publishing date | 2023-04-14 |
Publishing country | India |
Document type | Journal Article |
ZDB-ID | 2653583-X |
ISSN | 2229-3418 ; 0975-5950 |
ISSN (online) | 2229-3418 |
ISSN | 0975-5950 |
DOI | 10.4103/njms.NJMS_342_21 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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