Kellman R M, Tatum S A
Department of Otolaryngology, State University of NY-Health Sciences Center at Syracuse, USA.
Facial Plast Surg. 1998;14(1):3-9. doi: 10.1055/s-0028-1085297.
Rigid fixation techniques are frequently utilized for the repair of maxillofacial skeletal injuries. This paper reviews the commonly available implants and materials along with their typical indications. The focus is primarily on the most recent trends and developments. Latticework plates and meshes provide greater fixation strength with smaller amounts of metal; modern reconstruction plates allow for fixation of the screws directly to the plates; self-drilling screws make application faster and easier. Resorbable implants made of various polyester polymers are now available, though their indications remain limited thus far. Future developments are discussed as well, including the advent of endoscopic plate placement and image-guided skeletal repositioning.
坚固内固定技术常用于颌面骨骼损伤的修复。本文回顾了常用的植入物和材料及其典型适应证。重点主要在于最新的趋势和发展。网状板和网片用较少量的金属就能提供更大的固定强度；现代重建板允许将螺钉直接固定在板上；自攻螺钉使操作更快更容易。目前已有由各种聚酯聚合物制成的可吸收植入物，不过到目前为止其适应证仍然有限。还讨论了未来的发展，包括内镜下钢板置入和图像引导下骨骼复位技术的出现。
