Sindet-Pedersen S, Jensen J
Department of Maxillofacial Surgery, Arhus University Hospital, Denmark.
Tandlaegebladet. 1990 Nov;94(16):655-62.
This paper reviews the clinical use of titanium miniplate osteosynthesis in maxillofacial traumatology and orthognathic surgery. These materials were originally developed for treatment of mandibular fractures, but the application has within recent years been extended to other fractures of the facial skeleton and orthognathic surgery. The osteosynthesis increase stability in many situations, and may reduce or eliminate the need for post-operative intermaxillary fixation, by which morbidity, hospitalization period and period of sick-leave can be reduced. In orthognathic surgery, the stability of the miniplate osteosynthesis increase the demand for precision during surgery as compared to conventional fixation with wire osteosynthesis and intermaxillary fixation. Further refinements of the technique are, however, necessary in the future, as the current techniques does not always allow a sufficient reproduction of the position of the condylar segment.
本文综述了钛微型钢板内固定术在颌面创伤学和正颌外科中的临床应用。这些材料最初是为治疗下颌骨骨折而开发的，但近年来其应用已扩展到面部骨骼的其他骨折和正颌外科手术。在许多情况下，内固定可增加稳定性，并可能减少或消除术后颌间固定的需要，从而降低发病率、缩短住院时间和病假时间。在正颌外科手术中，与传统的钢丝内固定和颌间固定相比，微型钢板内固定的稳定性增加了手术过程中对精确性的要求。然而，由于目前的技术并不总是能够充分重现髁突节段的位置，因此未来有必要对该技术进行进一步改进。
