颌骨骨折坚强内固定术后取钛板原因分析

目的　探讨颌骨骨折坚强内固定术后取钛板的原因。方法　收集北京医科大学口腔医学院收治的 5 3例颌骨骨折坚强内固定术后取钛板患者 ,就取板原因进行分析。结果　本组病例取板原因中患者要求者 17例 ,感染 8例 ,医生建议 5例 ,钛板外露 4例 ,钛板断裂 4例 ,神经麻木 4例 ,种植障碍 3例 ,其它 (包括颜面畸形二期矫正及影响义齿修复 ) 8例。结论　颌骨骨折坚强内固定术后取出钛板的适应证 :(1)螺钉松动、钛板断裂 ;(2 )钛板外露或骨折感染持续不愈 ;(3)儿童或种植患者 ;(4 )钛板植入区再次手术或妨碍义齿修复 ;(5 )对金属敏感或患者有强烈要求

THE INVESTIGATION OF TITANIUM PLATES REMOVAL AFTER RIGIN INTERNAL FIXATION FOR FRACTURES

Objective To investigate the causes of plate removal after platerigid internal fixation f or jaw fractures. Methods Fifty-three in 568 cases with plate placement for fixing fractures experienced the plate removal after operation. The reasons for plate r emoval were investigated. Results In 53 cases investigated, 17 psychological needs, 8 infecti on, 5 following doctor's advices, 4 skin or mucosa perforation, 4 plate fracture d , 4 nerve deficit, 3 obstruction for tooth implantation and 8 no significant cau ses. Conclusion Indication for plate removal after plate rigid inte rnal fixation for jaw fractures: (1) Screw flerible、plate fractured; (2) Skin or mucosa perforation or infection not healed for a long time; (3) Children or patients needed tooh implantation; (4) Second-operation in plate plantation area or plate placement interfering wi th denture repair; (5) Patients sen sitive to metal or with strong demand for pl ate removal.