The use of biodegradable fixation in sagittal split and vertical subsigmoid osteotomy of the mandible: a preliminary report

Objective: An absorbable pin made from poly-p-dioxanone (Orthosorb, Johnson and Johnson, UK) was used to internally fix osteotomies of the mandibular ramus. We present our initial series of 10 patients. Design: Open study. Setting: Regional unit, teaching hospital, UK. Subjects and interventions: 10...

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Veröffentlicht in:British journal of oral & maxillofacial surgery 1997-12, Vol.35 (6), p.401-405
Hauptverfasser: McManners, J., Moos, K.F, El-Attar, A.
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container_issue 6
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container_title British journal of oral & maxillofacial surgery
container_volume 35
creator McManners, J.
Moos, K.F
El-Attar, A.
description Objective: An absorbable pin made from poly-p-dioxanone (Orthosorb, Johnson and Johnson, UK) was used to internally fix osteotomies of the mandibular ramus. We present our initial series of 10 patients. Design: Open study. Setting: Regional unit, teaching hospital, UK. Subjects and interventions: 10 patients who required a bilateral sagittal split osteotomy (BSS, n = 3) or a vertical subsigmoid osteotomy (BVSS, n = 6), or both ( n = 1). Main outcome measure: Jaw functioning and ability to open mouth. Results: 9 10 followed up for 1 year, 1 10 lost to follow up at one month, 1 10 lost to follow up at one year. 7 9 reported the same degree of mouth opening as preoperatively, 2 9 slightly less. 3 10 developed slight anterior open bite problems; 1 10 required no treatment, 1 10 improved with selective grinding, and 1 10 was lost to follow up. No patient complained of discharge from the site of the implant or of any change in sensation of the lip. Conclusion: Small absorbable implants undoubtedly have a place in selected maxillofacial operations, but there are still some problems with their use, including complications during the learning curve.
doi_str_mv 10.1016/S0266-4356(97)90716-6
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We present our initial series of 10 patients. Design: Open study. Setting: Regional unit, teaching hospital, UK. Subjects and interventions: 10 patients who required a bilateral sagittal split osteotomy (BSS, n = 3) or a vertical subsigmoid osteotomy (BVSS, n = 6), or both ( n = 1). Main outcome measure: Jaw functioning and ability to open mouth. Results: 9 10 followed up for 1 year, 1 10 lost to follow up at one month, 1 10 lost to follow up at one year. 7 9 reported the same degree of mouth opening as preoperatively, 2 9 slightly less. 3 10 developed slight anterior open bite problems; 1 10 required no treatment, 1 10 improved with selective grinding, and 1 10 was lost to follow up. No patient complained of discharge from the site of the implant or of any change in sensation of the lip. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adolescent
Adult
Biological and medical sciences
Bone Nails
Dentistry
Dioxanes
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Jaw Fixation Techniques - instrumentation
Male
Mandible - surgery
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Osteotomy - instrumentation
Polymers
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
title The use of biodegradable fixation in sagittal split and vertical subsigmoid osteotomy of the mandible: a preliminary report
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