McCann K J, Irish J C, Gullane P J, Holmes H, Brown D H, Rotstein L
Department of Oral and Maxillofacial Surgery, Toronto Hospital, University of Toronto Faculty of Medicine, Ontario.
J Otolaryngol. 1994 Jun;23(3):210-5.
The complications associated with the use of rigid internal fixation in 31 consecutive patients who had undergone a mandibulotomy for the treatment of pathology of the oral cavity or oropharynx were reviewed. Rigid fixation was accomplished with two major types of systems: compression plates and reconstruction plates. Complications occurred in 11 patients (35%) with an average of 1.7 complications per patient. Most complications were minor in nature, and were treated successfully with conservative measures. Patients who had preoperative radiotherapy were more likely to develop nonunion and osteoradionecrosis. Plate exposure was the single, most common complication, accounting for 13% of the complications. No major differences were noted in the complication rates between the two systems.
回顾了31例因口腔或口咽病变接受下颌骨切开术并使用坚固内固定的连续患者的相关并发症。坚固固定通过两种主要系统完成：加压钢板和重建钢板。11例患者（35%）出现并发症，平均每位患者有1.7种并发症。大多数并发症性质轻微，通过保守措施成功治疗。术前接受放疗的患者更易发生骨不连和放射性骨坏死。钢板外露是唯一最常见的并发症，占并发症的13%。两种系统的并发症发生率未发现重大差异。
