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논문KCI 등재

구강 악안면 영역의 생체 흡수성 고정판 사용에 관한 임상 연구

A CLINICAL STUDY OF BIODEGRADABLE PLATES AND SCREWS IN ORAL AND MAXILLOFACIAL SURGERY

양정은|장재원|박승훈|김일규|장금수|사시카라 바라라만
대한구강악안면외과학회 (Korean Association Of Oral And Maxillofacial Surgeons)|2009.12|대한구강악안면외과학회지 (Journal of the Korean Association of Oral and Maxillofacial Surgeons)|제35권 제6호|pp. 451-458

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참고문헌

키워드

InfectionBiodegradable plate and screwInflammation and foreign body reaction
주제분류치의학

초록

Metallic bone plates and screws have been commonly used in oral and maxillofacial surgery for internal fixation. However, there are several disadvantages such as atrophy of cortical bone inherent to excessive rigid fixation systems, growth disturbance in growing individual, allergy reaction, interference with radiographic imaging, palpability, thermal sensitibity and the need for subsequent removal. To overcome these disadvantages and avoid additional surgery of removal of plates and screws, there have been many studies of biodegradable plates and screws. But, It also has complication such as foreign body reactions. We have undertaken a clinical and retrospective study on 140 patients in Dept. of Oral and Maxillofacial Surgery, Inha University Hospital from February 2006 to March 2009. The purpose of this study is to report the clinical cases and review of the literatures with biodegradable plates and screws. And we concluded following results. 1. 6 cases(3.4%) of the 177 operation sites(140 patients) experienced complications. 1 case(0.6%) was a failure of initial fixation, 1 case(0.6%) was a postoperative infection, 4 cases(2.3%) were inflammations or foreign body reaction. 2. Postoperative infections, inflammations and foreign body reactions were completely recovered with incision and drainage, supporative care with antibiotic coverage and removal of biodegradable plates. 3. Biodegradable plates and screws provide acceptable rigidity and stability clinically. But, long-term observation is required for the tissue reactions around the biodegradable plates and screws because of long resorption periods of the biodegradable materials.

Abstract

Metallic bone plates and screws have been commonly used in oral and maxillofacial surgery for internal fixation. However, there are several disadvantages such as atrophy of cortical bone inherent to excessive rigid fixation systems, growth disturbance in growing individual, allergy reaction, interference with radiographic imaging, palpability, thermal sensitibity and the need for subsequent removal. To overcome these disadvantages and avoid additional surgery of removal of plates and screws, there have been many studies of biodegradable plates and screws. But, It also has complication such as foreign body reactions. We have undertaken a clinical and retrospective study on 140 patients in Dept. of Oral and Maxillofacial Surgery, Inha University Hospital from February 2006 to March 2009. The purpose of this study is to report the clinical cases and review of the literatures with biodegradable plates and screws. And we concluded following results. 1. 6 cases(3.4%) of the 177 operation sites(140 patients) experienced complications. 1 case(0.6%) was a failure of initial fixation, 1 case(0.6%) was a postoperative infection, 4 cases(2.3%) were inflammations or foreign body reaction. 2. Postoperative infections, inflammations and foreign body reactions were completely recovered with incision and drainage, supporative care with antibiotic coverage and removal of biodegradable plates. 3. Biodegradable plates and screws provide acceptable rigidity and stability clinically. But, long-term observation is required for the tissue reactions around the biodegradable plates and screws because of long resorption periods of the biodegradable materials.

참고문헌 (40)

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관련 논문AI추천

Monocortical Osteosynthesis 이론에 따른 하악골 우각부 골절 수술시 Titanium miniplate와 Biodegradable miniplate의 임상적, 방사선학적 비교 연구남웅, 김기호, 김형준, 정영수, 최은주대한구강악안면외과학회 · 대한구강악안면외과학회지2006 · 제32권 제3호하악골 양측 하악지 시상분할 골절단술 후 흡수성 고정의 안정성에 관한 연구박봉찬, 박수원, 성일용, 손장호, 손한나, 장수미, 조영철, 최병환대한구강악안면외과학회 · 대한구강악안면외과학회지2010 · 제36권 제4호Comparison of resorbable plates and titanium plates for fixatio stability of combined mandibular symphysis and angle fractures김성영, 김현민, 류재영, 임호영, 정창화, 조진영대한구강악안면외과학회 · 대한구강악안면외과학회지2014 · 제40권 제6호생체흡수성 고정장치를 이용한 상악골 이동술 후 장기간 결과김봉철, 정영수대한구강악안면외과학회 · 대한구강악안면외과학회지2007 · 제33권 제5호악안면 골절 치료시 흡수성 고정판의 사용에 관한 임상 연구김현민, 송민석, 전창훈, 정종철, 최세훈대한구강악안면외과학회 · 대한구강악안면외과학회지2003 · 제29권 제6호Delayed inflammation after biodegradable and osteoconductive osteofixation in orthognathic surgeryYoung-Wook Park대한구강악안면외과학회 · 대한구강악안면외과학회지2024 · 제50권 제6호

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