Document Detail


The stability of maxillary osteotomies fixated with biodegradable mesh in orthognathic surgery.
MedLine Citation:
PMID:  17052589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This study measures the stability of maxillary osteotomies fixated with 1-mm biodegradable mesh and screws. MATERIALS AND METHODS: This prospective study involved 27 patients who underwent maxillary osteotomies. All cases had fixation with biodegradable mesh and screws (70% l-lactide and 30% D,l-lactide polymers). Lateral cephalometric radiographs were taken preoperatively within 2 months (T1), immediately postsurgically within 1 week (T2), postsurgically between 6 and 12 weeks (T3), and long-term postoperatively between 6 months and 1 year (T4). All cephalometric radiographs were digitized with Dolphin Imaging (Dolphin software version 9.0.0018, Chatsworth, CA). Vertical and horizontal measurements were made to several skeletal landmarks including Sella (S), A point (APT), posterior nasal spine (PNS), and upper incisor (UPI). RESULTS: Twenty patients were completed. Seven patients were not included because lateral cephalometric radiographs were not obtained in the specific time period. It appears that the postsurgical vertical change was not statistically significant, but the horizontal change was significant (P < .01). Relapse was significant in the horizontal dimension. CONCLUSION: There was more relapse in the anteroposterior (horizontal) direction than the superoinferior (vertical) direction in biodegradable mesh and screws. Biodegradable fixation was more stable in vertical surgical change than horizontal surgical change.
Authors:
Somsak Sittitavornwong; Peter D Waite; John J Dann; Markell W Kohn
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  64     ISSN:  0278-2391     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-20     Completed Date:  2006-11-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1631-4     Citation Subset:  AIM; D; IM    
Affiliation:
Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL 35294-0007, USA. sjade@uab.edu
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MeSH Terms
Descriptor/Qualifier:
Absorbable Implants*
Bone Screws
Cephalometry
Follow-Up Studies
Humans
Jaw Fixation Techniques / instrumentation*
Maxilla / surgery*
Osteotomy, Le Fort / instrumentation*
Polyesters
Prospective Studies
Recurrence / prevention & control
Surgical Fixation Devices*
Surgical Mesh*
Chemical
Reg. No./Substance:
0/Polyesters; 26969-66-4/poly(lactide)

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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