Edwards R C, Kiely K D
Department of Oral and Maxillofacial Surgery, 1st Medical Group, Langley Air Force Base, Hampton, VA 23665-2080, USA.
J Craniofac Surg. 1998 May;9(3):210-4. doi: 10.1097/00001665-199805000-00005.
We review our experience with resorbable fixation in Le Fort I osteotomies. We used resorbable plates and screws for fixation of 29 Le Fort I osteotomies over a 1-year period (October 1996-November 1997). Patients ages ranged from 13 to 38 years (mean, 24.7 years). The postoperative follow-up ranged from 2 weeks to 1 year. At the time of surgery, the fixation devices were evaluated for stability and satisfactory placement of fixation. Postoperatively, they were evaluated for wound healing, fixation stability, signs of infection, and patient satisfaction. Postoperative evaluations consisted of 1-, 3-, and 6-week clinical exams with radiographic analysis at 3, 6, and 12 months. There have been no complications as of this writing. In one instance, an L plate was palpable in the paranasal region and resolved after 6 months. Our early experience with resorbable fixation is favorable and has offered us an additional option for stabilization of the maxilla.
我们回顾了在Le Fort I型截骨术中使用可吸收固定材料的经验。在1年时间里（1996年10月至1997年11月），我们使用可吸收接骨板和螺钉对29例Le Fort I型截骨术进行固定。患者年龄在13岁至38岁之间（平均24.7岁）。术后随访时间为2周 至1年。手术时，对固定装置的稳定性和固定位置是否满意进行评估。术后，对伤口愈合情况、固定稳定性、感染迹象及患者满意度进行评估。术后评估包括术后1周、3周和6周的临床检查，以及术后3个月、6个月和12个月的影像学分析。截至撰写本文时，尚未出现并发症。有1例患者在鼻旁区域可触及L形接骨板，6个月后消失。我们在可吸收固定方面的早期经验良好，为上颌骨固定提供了额外的选择。
