Three-Dimensional Osteosynthesis Plates for the Surgical Treatment of Mandibular Fractures

Khalil, Sherin; Khamis, Hamza; Kauke, Martin; Iizuka, Tetsuya; Safi, Ali-Farid

doi:10.1097/scs.0000000000007709

Cited by 2 publications

(1 citation statement)

References 58 publications

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“…Since 2010, various clinical investigations have emerged comparing outcomes of ladder plates with those of rigid and semirigid fixation techniques [11,48–53]. Although these studies are too numerous to individually detail, several recent literature reviews, systematic reviews, and meta-analyses have coalesced the data from these studies, offering more summative evaluations of ladder plates in the management of angle injuries [43,54–57,58 ▪▪ ]. Of these, the three meta-analyses of greatest quality are discussed here [52,54,57].…”

Section: Appraisal Of Ladder Plates For Treatment Of Mandibular Angle...mentioning

confidence: 99%

Update on ladder plates for mandibular angle fractures

Soliman

King

Yeoh

et al. 2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Fractures of the mandibular angle are surgically challenging with high rates of postoperative complications. Among established fixation techniques for these injuries, Champy's tension band approach with miniplate fixation has held prominence. Rigid fixation, using two plates, also remains commonly used. More recently, geometric ladder plates, which confer greater three-dimensional stability have been developed to overcome the shortcomings of conventional fixation approaches. Herein, we aim to summarize the recent evidence surrounding the use of ladder plates and offer our own opinion for optimal treatment of these fractures. Recent findings In high-powered studies, the rates of hardware failure, malocclusion, and malunion are lower among cohorts managed with ladder plates relative to miniplate groups. Rates of infection and paresthesia remain similar. Ladder plates have also been shown to decrease operative time in preliminary study. Summary Ladder plates show superiority to miniplate approaches across several outcomes. However, the relatively larger strut plate constructs may not be necessary for minor, uncomplicated fractures. It is our belief that reasonable outcomes may be achieved with either approach depending on surgeon experience and comfort with the given fixation technique.

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Section: Appraisal Of Ladder Plates For Treatment Of Mandibular Angle...mentioning

confidence: 99%

Update on ladder plates for mandibular angle fractures

Soliman

King

Yeoh

et al. 2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

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Clinical Effectiveness and Features of the Postoperative Period in Patients After Osteosynthesis of the Mandible Using Cell Technologies

Bambuliak,

Kuzniak,

Lopushniak

et al. 2024

Neonatol. hìr. perinat. med.

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Due to a signifi cant increase in the frequency and complexity of maxillofacial injuries, one of the priorities in the development of modern surgical dentistry is the search for new eff ective methods of treating facial bone fractures. In recent decades, the attention of clinicians has been focused on biological treatment methods aimed at restoring bone defects using cell technologies and biological transplants.The aim of the study was to determine the eff ect of using osteoplastic materials based on multipotent adipose- derived mesenchymal stromal cells in dental patients in the surgical treatment of mandibular fractures.Materials and methods. The clinical material included 56 patients, 13 of whom underwent mandibular osteosynthesis with hydroxyapatite bone graft substitute (subgroup 1I), 25 of whom underwent surgery with a combination of multipotent adipose tissue mesenchymal stromal cells, hydroxyapatite bone graft substitute and platelet-rich plasma (subgroup 1B), and 18 of whom underwent spontaneous healing of the fracture line (subgroup 1C). Patients were clinically evaluated on a daily basis. Clinical parameters were assessed on days 1, 3, 5, 7, 10, 14 and 28 after surgery. The postoperative pain syndrome was assessed using the Numerical Rating Scale (NRS), considering the subjective signs of pain in the operated patients.The statistical processing of the study results was performed using the statistical analysis software for biomedical research ‘Microsoft Excel 21’ and ‘Statistica’ (licence number STA862D175437Q). In the statistical processing of the results, we used the variational analysis of series – calculation of the arithmetic mean and its standard error (Mim) – and assessed the signifi cance of diff erences in the results obtained in the comparison groups using the Student’s t-test method. p<0.05 was considered a signifi cant diff erence. [17]. The study was conducted in accordance with the basic provisions of the «Rules of Ethical Principles for Scientifi c Medical Research Involving Human Subjects» approved by the Declaration of Helsinki (1964-2013), ICH GCP (1996), EEC Directive 609 (24.11.1986), Orders of the Ministry of Health of Ukraine ¹ 690 of 23.09.2009, ¹ 944 of 14.12.2009, ¹ 616 of 03.08.2012. The Commission on Biomedical Ethics of the Bukovinian State Medical University found no violations of ethical and moral standards in the conduct of the research (ProtocolNo. 6, 16.03.2023). Patients signed informed consent to participate in this study and all measures were taken to ensure their anonymity.The results. The comparative analysis of the clinical eff ectiveness of the use of various osteoplastic materials in the performance of osteosynthesis surgery of the lower law confi rmed the advantages of the use of bone tissue substitute based on hydroxyapatite and its combination with multipotent adipose tissue mesenchymal stromal cells before spontaneous augmentation. It is confi rmed by the data of subjective and objective symptoms of patients during the postoperative period.Conclusions. Our data show that osteoplastic material based on multipotent mesenchymal stromal cells of adipose tissue, bone substitute based on hydroxyapatite and platelet-rich blood plasma is a promising biological material. Its application improves the regenerative and reparative properties of bone tissue, facilitates the postoperative period and shortens the duration of hospitalization, promotes the development of innovative ways of reconstructive osteogenesis in modern maxillofacial surgery.

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Three-Dimensional Osteosynthesis Plates for the Surgical Treatment of Mandibular Fractures

Cited by 2 publications

References 58 publications

Update on ladder plates for mandibular angle fractures

Update on ladder plates for mandibular angle fractures

Clinical Effectiveness and Features of the Postoperative Period in Patients After Osteosynthesis of the Mandible Using Cell Technologies

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