Jaber Mohamed, Abouseif Nadin, Hassan Mawada, El-Ameen Alaa Mohamed
Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman P.O. Box 346, United Arab Emirates.
Center of Medical and Bio Allied Health Sciences Research, Ajman University, Ajman P.O. Box 346, United Arab Emirates.
J Clin Med. 2024 Jun 5;13(11):3335. doi: 10.3390/jcm13113335.
: The use of miniplates for stabilizing bones post orthognathic surgery has surged in popularity due to their efficacy in ensuring stability and hastening recovery. However, controversy exists regarding what should be done with these miniplates after surgery. Some surgeons advocate for their removal, while others suggest leaving them in place. This study sought to assess the frequency, causes, and potential risk factors linked with miniplate removal in orthognathic procedures. : A thorough meta-analysis was conducted by scrutinizing studies from various databases including PubMed, Google Scholar, Embase, and Scopus, focusing on publications spanning from 1989 to 2023. : Ten studies meeting the inclusion criteria, encompassing 1603 patients, were chosen for inclusion in the meta-analysis. The male-to-female ratio varied from 0.7:1 to 4:1. Overall, 5595 miniplates were inserted, with 294 (5.3%) being subsequently removed. Primary reasons for miniplate removal included infection (161 cases, 2.9%), exposure of miniplates (34 cases, 0.6%), and palpable plates (23 cases, 0.4%). Other indications comprised pain, patient preference, and temperature sensitivity. Less frequent causes for miniplate removal included sinusitis, secondary surgery, and dental pathology. The mean duration of miniplate removal was 5.5 months, with the majority (56.1%) being removed from the mandible rather than the maxilla. In conclusion, this meta-analysis underscores the importance of miniplate removal when hardware causes complications and physical discomfort. The primary reasons for removing miniplates were infection and plate exposure, with the mandible being the most common removal site. : These findings emphasize the need for continued monitoring to assess the fate of miniplates in orthognathic surgery and provide valuable information for future clinical decision-making.
由于微型钢板在确保稳定性和加速恢复方面的功效，正颌手术后用于稳定骨骼的微型钢板的使用已迅速普及。然而，关于手术后这些微型钢板应如何处理存在争议。一些外科医生主张取出，而另一些医生则建议保留。本研究旨在评估正颌手术中微型钢板取出的频率、原因和潜在风险因素。：通过审查来自包括PubMed、谷歌学术、Embase和Scopus在内的各种数据库的研究进行了全面的荟萃分析，重点关注1989年至2023年的出版物。：选择了10项符合纳入标准的研究，包括1603名患者，纳入荟萃分析。男女比例从0.7:1到4:1不等。总体而言，共插入了5595块微型钢板，其中294块（5.3%）随后被取出。微型钢板取出的主要原因包括感染（161例，2.9%）、微型钢板外露（34例，0.6%）和可触及钢板（23例，0.4%）。其他指征包括疼痛、患者偏好和温度敏感性。微型钢板取出的较不常见原因包括鼻窦炎、二次手术和牙科病理。微型钢板取出的平均持续时间为5.5个月，大多数（56.1%）是从下颌骨而非上颌骨取出。总之，这项荟萃分析强调了在硬件导致并发症和身体不适时取出微型钢板的重要性。取出微型钢板的主要原因是感染和钢板外露，下颌骨是最常见的取出部位。：这些发现强调了持续监测以评估正颌手术中微型钢板命运的必要性，并为未来的临床决策提供有价值的信息。
