scholarly journals Rational for Maxillofacial Fracture Plate Removal

2021 ◽  
Vol 15 (6) ◽  
pp. 1431-1433
Author(s):  
S. Ali ◽  
M. A. Khan ◽  
S. Khan ◽  
A. U. Rahim ◽  
U. Hussain ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Trauma Patients ◽  
Invasive Procedures ◽  
Facial Bone ◽  
Related Complication ◽  
Plate Removal ◽  
Osteosynthesis Plate ◽  
Maxillofacial Fractures ◽  
Fracture Osteosynthesis

Aim: To estimate indications and frequency of plate removal in patient treated for maxillofacial fractures. Method; In this retrospective study, records were reviewed from March 2015 to March 2018, over a period of 3 years. 139 Maxillofacial trauma patients treated with Open reduction and Internal Fixation with 202 plate, Result; In 139 patients, 202 plates were implanted for bone fractures. In total, 128(92%) were male and 11(8%) were female, 32(23.02%) had revisited with complaint and subsequently 47(23.26%) plates were removed. Mandible was commonest location where majority of the plates32(68.08%) were removed. Most common reason for plates removal was infection 20(42%). Minimum time for plate in situ was 3 months. Conclusion; the reason for plate removal is multifactorial. Establishing measures to minimize plate related complication and avoid patients from further invasive procedures. Keywords: Facial Bone Fracture, Osteosynthesis Plate, Plate Removal Trauma.

Maxillofacial Bone Fractures in Children and Adolescents: Overview of 247 Cases in a Major Referral Hospital, Najran, Kingdom of Saudi Arabia

2020 ◽  
pp. 194338752095268
Author(s):  
John Spencer Daniels ◽  
Ibrahim Albakry ◽  
Ramat Oyebunmi Braimah ◽  
Mohammed Ismail Samara
Keyword(s):  
Retrospective Study ◽  
Children And Adolescents ◽  
Treatment Modality ◽  
Bone Fractures ◽  
Age Group ◽  
Facial Bone ◽  
Kingdom Of Saudi Arabia ◽  
Male Predominance ◽  
Fractures In Children ◽  
Maxillofacial Fractures

Study Design: A retrospective study investigating maxillofacial bone fractures in the pediatric and adolescent population. Objective: The aim of this study was to present our experience in the management of pediatric facial bone fractures. Methods: This was a retrospective study of maxillofacial bone fractures in children and adolescents between the ages <1 year and 19 years in a Saudi Arabian subpopulation. Data collected include demographics, etiology, pattern, and treatment of maxillofacial bone fractures. Data were analyzed using IBM SPSS Statistics for Windows Version 25 (IBM Corp.). Results were presented as simple frequencies and descriptive statistics. Results: Of the 1297 patients with maxillofacial bone fractures, 247 were cases involving children and adolescents giving a prevalence of 19.0% (247 patients, N = 1297). There were 233 males and 14 females with an M:F ratio of 16.6:1. The ages ranged from 9 months to 19 years with a mean ± SD of 14.4 ± 4.6. The age-group between 16 and 20 years had the highest frequency of patients (144 (58.4%)). In the 1- to 5-year group, falls accounted for most of the etiology (15 (6.1%)), while in the 16- to 20-year group, motor vehicular accident (MVA) was the main reason (120 (48.6%)). The majority of the fractures occurred in the mandible with 151(61.1%) cases. Open reduction and internal fixation (ORIF) were the main treatment modality in 171 (69.2%) patients. Conclusions: MVA was the main etiology of maxillofacial fractures in children and adolescents with male predominance, while the mandible had been the most frequently fractured bone. ORIF was the main treatment modality.

scholarly journals Osteosynthesis Plate Removal: Patient Benefits and Burdens

2020 ◽  
Vol 10 (5) ◽  
pp. 1810 ◽  
Author(s):  
Oliver Bissinger ◽  
Luisa Biermann ◽  
Andreas Kolk ◽  
Klaus-Dietrich Wolff ◽  
Carolin Götz
Keyword(s):  
Patient Satisfaction ◽  
Point Of View ◽  
Mandibular Fractures ◽  
Plate Removal ◽  
Common Indication ◽  
Osteosynthesis Plate ◽  
Maxillofacial Fractures ◽  
The Individual ◽  
High Level

Maxillofacial fractures are lege artis treated via open reduction and internal fixation in cases of dislocation of the fracture. Plate removal is indicated for various reasons. Whereas symptomatic plate removals are justified, elective removals are questionable. This retrospective monocenter study examined the individual benefit of plate removal from the patient’s point of view and involved 233 patients undergoing plate removal. The data of 233 patients undergoing plate removal were first collected, and then, an individual follow-up questionnaire was created that assessed the personal reasons of patients requesting removal and addressed whether the patient gained any benefit from removal surgery. A total of 43 patients agreed to complete the survey. The complication rate was lower after plate removal (13.3%) than after osteosynthesis (31.8%). The most common indication for removal was surgeon recommendation (51.9%), followed by ongoing symptoms (31.3%) and request by the patient (16.7%). Significantly, more patients underwent symptomatic plate removal after mandibular fractures (46.8%, n = 37, p = 0.001) than fractures elsewhere. According to the survey, 86% (n = 37) of the patients benefitted from plate removal. Although elective plate removal is nowadays controversial, our data provide evidence for a high level of patient satisfaction after removal surgery.

scholarly journals Is the Routine Removal of Titanium Plates and Screws Following Miniplate Osteosynthesis of Maxillofacial Bone Fractures Justified? A Fifteen-Year Experience in a Maxillofacial Centre, Saudi Arabia

2021 ◽  
Vol 6 ◽  
pp. 247275122110652
Author(s):  
John Spencer Daniels ◽  
Ibrahim Albakry ◽  
Ramat Oyebunmi Braimah ◽  
Mohammed Ismail Samara
Keyword(s):  
Saudi Arabia ◽  
Bone Fractures ◽  
Removal Rate ◽  
Statistical Significance ◽  
Treatment Modalities ◽  
Maxillofacial Region ◽  
Plate Removal ◽  
Maxillofacial Fractures ◽  
Miniplate Osteosynthesis ◽  
Routine Removal

Background Routine removal of titanium miniplates in the maxillofacial region is still controversial. This current study hopes to share our experience with the different reasons for maxillofacial plates and screws removal following miniplate osteosynthesis. Methods This was a retrospective study of plates and screws removal following Open Reduction and Internal Fixation (ORIF) of maxillofacial fractures at King Khalid Hospital, Kingdom of Saudi Arabia, from 2005-2019. Information collected includes demographics, etiology and pattern of maxillofacial fractures, treatment modalities as well as reasons for plates and screws removal. Data was stored and analyzed using IBM SPSS Statistics for windows Version 25 (Armonk, NY: IBM Corp). Results A total of 985 patients with maxillofacial bone fractures had ORIF during the study period out of which 149 had miniplates and screws removed, giving a prevalence rate of 15.1%. There were 141 (94.6%) males and 8 (5.4%) females, with a M:F of 17.6:1. Their ages ranged from 4-65 years with mean (SD) at 24.6 (12.2) years. The age group from 16-30 years had the most cases of plates removal with statistical significance ( P = .000). Young age (43 (28.8%)) constituted the majority of reasons responsible for plate removal. The angle of the mandible is the site with the largest number of plate removal with 34 (22.8%) cases followed by the parasymphyseal site with 21 (14.1%) cases. Conclusion With removal rate of 15.1%, this study concluded that there is no evidence to support routine removal of asymptomatic plates and screws in maxillofacial region.

Pediatric Trauma Patients with Temporal Bone Fractures Are at Risk for Multiple Cranial CT Scans

2020 ◽  
Author(s):  
Joshua Ewy ◽  
Martin Piazza ◽  
Brian Thorp ◽  
Michael Phillips ◽  
Carolyn Quinsey
Keyword(s):  
At Risk ◽  
Temporal Bone ◽  
Bone Fractures ◽  
Pediatric Trauma ◽  
Ct Scans ◽  
Trauma Patients ◽  
Cranial Ct

scholarly journals Partially Thrombosed Internal Maxillary Pseudoaneurysm after Gunshot Wound

2016 ◽  
Vol 9 (4) ◽  
pp. 335-337 ◽  
Author(s):  
Menachem Gold
Keyword(s):  
Gold Standard ◽  
Gunshot Wound ◽  
Bone Fractures ◽  
Maxillary Artery ◽  
Digital Subtraction ◽  
Fat Pad ◽  
Facial Bone ◽  
Artery Pseudoaneurysm ◽  
Ct Angiogram ◽  
The Face

A 29-year-old man arrived in our emergency department after being shot on the face. Computed tomography (CT) revealed multiple facial bone fractures along the bullet trajectory. On day 10 of admission, CT angiogram of the neck revealed a partially thrombosed pseudoaneurysm in the parapharyngeal fat pad. The pseudoaneurysm was successfully treated with coil embolization. This report discusses diagnosis and treatment of a partially thrombosed internal maxillary artery pseudoaneurysm. Although digital subtraction angiography is the gold standard for pseudoaneurysm diagnosis, CT angiography may provide complimentary information, as seen in this case.

scholarly journals Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

2014 ◽  
Vol 3 (2) ◽  
pp. 53-58
Author(s):  
A Sagayaraj ◽  
Rijo M Jayaraju ◽  
Mallika P Reddy ◽  
KR Harshitha ◽  
Priyanka Majety
Keyword(s):  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Road Traffic Crash ◽  
Mandibular Fractures ◽  
Traffic Crashes ◽  
Large Variability ◽  
Road Traffic Crashes ◽  
Maxillofacial Fractures ◽  
Tertiary Center

ABSTRACT Background and objectives Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications. How to cite this article Jayaraju RM, Sagayaraj A, Reddy MP, Harshitha KR, Majety P. Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center. Panam J Trauma Crit Care Emerg Surg 2014;3(2):53-58.

scholarly journals Multiple pin fixation of the facial bone fractures with Kirschner wires

1976 ◽  
Vol 22 (1) ◽  
pp. 57-63
Author(s):  
Ryuzaburo TANINO ◽  
Sadao TAJIMA ◽  
Fumiya AOYAGI
Keyword(s):  
Bone Fractures ◽  
Facial Bone ◽  
Kirschner Wires ◽  
Pin Fixation

scholarly journals PROFILE OF PLASTIC SURGERY TRAUMA PATIENTS AT H. ADAM MALIK GENERAL HOSPITAL MEDAN

2019 ◽  
pp. 1-4
Author(s):  
Darwin Firmansyah Siregar ◽  
Frank Bietra Buchari ◽  
Utama Abdi Tarigan ◽  
Aznan Lelo
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Bone Fractures ◽  
Soft Tissue Injuries ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Adult Age ◽  
Common Etiology ◽  
Tissue Injuries ◽  
Age Range

Introduction: According to data from Perhimpunan Dokter Bedah Plastik Rekonstruksi dan Estetik Indonesia (PERAPI), there are only 193 plastic surgeons throughout Indonesia. There is no sufcient data that described pattern of incidence, workload, and role of Plastic Surgery in trauma cases at Indonesian Referral Center Hospital, especially in the Province of North Sumatra. Methods: This research is a descriptive study with a retrospective approach. Sample of this study was medical records of trauma patients who required Plastic Surgery who came to the H. Adam Malik General Hospital Medan Emergency Room (1 January 2016-31 December 2018). This study used total sampling method. Results: This study involved 536 patients and 40.85% included in the adult age range. Men vs women ratio is 3:1 (405 vs 131). Based on type of injury, the most common injury is facial trauma, followed by burns and soft tissue injuries (291, 178 and 66). The most common etiology is trafc accidents (90 cases). Most of facial bone fractures located at mandibular bone (segmental fracture). Inhalation trauma due to burns only occurred in 6 cases (3.24%). Most of soft tissue injuries occurred at lower extremities (upper limbs). Conclusion: Trafc accidents are the most common etiology for trauma in Plastic Surgery. Most of the patients are men and included in the adult age range. Facial trauma is the most common injury in Plastic Surgery. Most facial bone fractures located at mandible (symphysis and parasymphysis). Most of burns injury are re burns. Most soft tissue injuries are located at lower extremities (upper limbs).

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