International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: 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


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.

bone plates equipment failure fracture fixation human informed consent surgical specialties

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