International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: http://www.sciepub.com/journal/ijdsr Editor-in-chief: Marcos Roberto Tovani Palone
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International Journal of Dental Sciences and Research. 2017, 5(1), 5-8
DOI: 10.12691/ijdsr-5-1-2
Open AccessArticle

A Retrospective Review of Metal Plate Removal in an Oral and Maxillofacial Surgery Department

SJW Kent1, , T Al-Izzi1, C Herbert1 and M Ryan1

1Department of Oral and Maxillofacial Surgery, Aberdeen Royal Infirmary, Scotland

Pub. Date: February 28, 2017

Cite this paper:
SJW Kent, T Al-Izzi, C Herbert and M Ryan. A Retrospective Review of Metal Plate Removal in an Oral and Maxillofacial Surgery Department. International Journal of Dental Sciences and Research. 2017; 5(1):5-8. doi: 10.12691/ijdsr-5-1-2

Abstract

Objectives: To determine the rate of plate removal in orthognathic and trauma procedures requiring the use of metal plates, and determine reasons for plate removal and duration of plate life, to inform the consenting process. Materials: A four year retrospective review of operating theatre records identified all procedures where plates were inserted and removed. Records were categorised by trauma vs non trauma, primary procedure, reason for plate removal, age, sex and duration of plate being in situ. Results: 4044 procedures were carried out Sep 2012 to Sep 2016. Six hundred and thirty (630) of these involved plate insertion, and 72 involved plate removal. Mean age was 34 years, 69% male. Removal rates for common procedures included 16/165 bilateral sagittal split osteotomies, 9/136 le fort one osteotomies, 33/218 open reduction internal fixation (ORIF) mandible, 3/29 ORIF midface and 2/21 ORIF orbital floor. Average duration of plates being in situ was 1225 days (median 433 days, range 31 – 51037). Conclusion: Plate removal is a significant source of morbidity following OMFS surgery. Accurate knowledge of rates and reasons for removal of plates in common procedures is necessary for informed consent.

Keywords:
bone plates equipment failure fracture fixation human informed consent surgical specialties

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Bhatt W, Langford RJJ. Oral and Maxillofacial Surgery: Removal of miniplates in maxillofacial surgery: University Hospital Birmingham experience. Oral Maxillofac Surg. 2003; 61:553-556.
 
[2]  Raja DR, Madhulaxmi M, Abdul Wahab PU, Jesudasan JS. Is Plate Removal after Orthognathic Surgery Mandatory? International Journal of Dental Sciences and Research, 2013; 1(3):60-62.
 
[3]  Alpert B, Seligson D. Removal of asymptomatic bone plates used for orthognathic surgery and facial fractures. JOMS. 1996; 54(5): 618-621.
 
[4]  Brown JS, Trotter M, Cliffe J, Ward-booth RP, Williams ED. The fate of miniplates in facial trauma and orthognathic surgery: a retrospective study. Br J Oral Maxillofac Surg. 1989; 27(4): 306-15.
 
[5]  General Medical Council. Consent: Patients and Doctors Making Decisions Together. London: GMC; 2008 [www.gmc-uk.org/guidance/ ethical_guidance/consent_guidance/index.asp].
 
[6]  Thorén H, Snäll J, Kormi E, Lindqvist C, Suominen-Taipale L, Törnwall J. Symptomatic plate removal after treatment of facial fractures. Journal of Cranio-Maxillofacial Surgery. 2010; 38(7): 505-510.
 
[7]  Bakathir A, Margasahayam MV, Al-Ismaily M. Removal of bone plates in patients with maxillofacial trauma: a retrospective study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008; 105(5): 32-7.
 
[8]  Murthy AS, Lehman JA. Symptomatic plate removal in maxillofacial trauma: a review of 76 cases. Ann Plast Surg. 2005 Dec; 55(6): 603-7.
 
[9]  Cahill TJ, Gandhi R, Allori AC, Marcus JR, Powers D, Erdmann D, Hollenbeck ST, Levinson H. Hardware Removal in Craniomaxillofacial Trauma: A Systematic Review of the Literature and Management Algorithm. Annals of Plastic Surgery. 2015 Nov; 75(5): 572-578.
 
[10]  Hernandez RJ, Villanueva NL, Sanati-Mehrizy P, Factor SH, Taub PJ. Review of Maxillofacial Hardware Complications and Indications for Salvage. Craniomaxillofacial Trauma Reconstruction. 2016; 9(2): 134-40.
 
[11]  Regev E, Shiff JS, Kiss A, Fialkov JA. Internal Fixation of Mandibular Angle Fractures: A Meta-Analysis. Plastic and reconstructive surgery journal. 2010; 125(6): 1753-60.