Incidence of Plate Removal in Maxillofacial Region: A Single Centred Retrospective Study

Introduction: The anti-Nuss procedure has gradually been found to have several shortcomings in clinical practice. Accordingly, our department previously designed and introduced a new steel plate. However, there is limited evidence regarding its safety and efficacy. Thus, we aim to compare the efficacy and safety of the conventional anti-Nuss operation with those of a modified anti-Nuss operation using a flexible plate.Methods: Patients with pectus carinatum who underwent surgery between January 2014 and August 2019 were consecutively enrolled in this single-center, retrospective study. In all, 53 patients underwent the modified procedure using the new steel plate (new procedure group), whereas 43 underwent the conventional anti-Nuss procedure (traditional procedure group). Outcome analysis was performed using SPSS to compare the intraoperative and postoperative short-term outcomes.Results: All patients in the new procedure group had shorter operation duration (75.23 ± 11.90 vs. 82.45 ± 9.30 min, p = 0.008), postoperative hospitalizations (3.42 ± 0.95 vs. 4.64 ± 1.53 days, p = 0.039), and plate removal surgery durations (40.60 ± 3.47 vs. 60.30 ± 9.75 min, p = 0.041) than patients in the traditional procedure group. There were no significant differences in the length of incision, postoperative Haller index, cost, postoperative surgical outcome, and incidence of complications between the two groups.Conclusion: Our data reveal that the main clinical outcomes were similar for after anti-Nuss operation and modified anti-Nuss operation. However, the modified procedure for pectus carinatum had a shorter operation duration, postoperative hospitalization, and plate removal surgery duration.

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Metastatic Tumors to the Oral and Maxillofacial Region: A Retrospective Study of 19 Cases in West China and Review of the Chinese and English Literature

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2008.06.032 ◽

2009 ◽

Vol 67 (4) ◽

pp. 718-737 ◽

Cited By ~ 38

Author(s):

Mo-Lun Shen ◽

Jian Kang ◽

Yan-Li Wen ◽

Wei-Min Ying ◽

Jie Yi ◽

...

Keyword(s):

Retrospective Study ◽

English Literature ◽

Metastatic Tumors ◽

Maxillofacial Region ◽

West China ◽

Oral And Maxillofacial Region ◽

Chinese And English

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A comparison of diaphyseal and metaphyseal techniques of ulna shortening

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193412469126 ◽

2012 ◽

Vol 38 (5) ◽

pp. 542-549 ◽

Cited By ~ 6

Author(s):

G. Sennwald ◽

D. Della Santa ◽

J.-Y. Beaulieu

Keyword(s):

Retrospective Study ◽

Pain Relief ◽

Scoring System ◽

Delayed Union ◽

Study Group ◽

Self Assessment ◽

Plate Removal ◽

Non Union ◽

Ulnar Head

The aim of this retrospective study was to compare two techniques of ulna shortening for ulnocarpal abutment. The technique performed initially was diaphyseal osteotomy. Subsequently, a metaphyseal osteotomy was performed to avoid the drawbacks related to the plate. The study group consisted of 29 patients: 13 with diaphyseal and 16 with metaphyseal osteotomies. The pre-operative diagnosis was ulnocarpal abutment in all cases. The results were graded according to the scoring system of Chun and Palmer and patients’ self-assessment. Both rankings were related to indications, age, gender, occupation, and surgery. Final follow-up occurred at a median of 54 (range 15–144) months after surgery. There was no delayed union or non-union, necrosis of the ulnar head, or infection. Pain relief was the main benefit. Both techniques gave similar outcomes for pain relief, satisfaction, and objective results. The shortening was significantly greater in the metaphyseal group without any apparent consequence on function or pain. No screw removal was needed after metaphyseal osteotomy; in contrast, plate removal was required in all patients. We conclude that both techniques are valuable alternatives for treating ulnocarpal abutment.

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Modified Nuss operation using introducer-bar complex for pectus excavatum in adults: a retrospective study

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01624-6 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Lei Wang ◽

Juan Liu ◽

Yao Li ◽

Tienan Feng ◽

Beibei Cao ◽

...

Keyword(s):

Retrospective Study ◽

Blood Loss ◽

Pectus Excavatum ◽

Operation Time ◽

Nuss Procedure ◽

Plate Removal ◽

Traditional Procedure ◽

Group Outcomes ◽

Significant Difference ◽

Clinical Benefits

Abstract Background Shortcoming of traditional Nuss operation on adults is gradually found in the clinical practice. A new kind of introducer-bar complex was introduced. However, there is limited evidence regarding its safety and efficacy. Therefore, a single center, retrospective study was conducted to address this issue. Methods Patients with pectus excavatum who underwent surgery between January 2015 and June 2017 were consecutively enrolled in this study. In all, 52 patients underwent the modified procedure using the introducer-bar complex (new procedure group), whereas 48 underwent the traditional anti-Nuss procedure (traditional procedure group). Outcomes analysis of balanced baseline was performed to compare the intraoperative and postoperative short-term outcomes. Results All patients in the new procedure group had shorter operation duration (51.54 ± 20.32 vs. 79.45 ± 13.88 min, p = 0.017), postoperative hospitalizations (4.77 ± 1.62 vs. 6.86 ± 2.18 days, p = 0.028), plate removal surgery durations (39.30 ± 8.97 vs. 60.30 ± 10.49 min, p < 0.001), and less blood loss during operation (6.25 ± 4.88 vs. 10.90 ± 5.75 ml, p = 0.003) than patients in the traditional procedure group. There was no significant difference in the length of incision, postoperative Haller index, cost, number of steel bars, postoperative surgical outcome and incidence of complications between the two groups. Conclusion Through the main clinical outcome were similar, our results shown that modified procedure may have the shorter operation time, postoperative hospital stay, and operation time for plate removal and less blood loss, which may bring potential clinical benefits to patients.

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