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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0266-4356</identifier><identifier>EISSN: 1532-1940</identifier><identifier>DOI: 10.1016/S0266-4356(97)90716-6</identifier><identifier>PMID: 9486445</identifier><identifier>CODEN: BJOSEY</identifier><language>eng</language><publisher>Londonc: Elsevier Ltd</publisher><subject>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</subject><ispartof>British journal of oral & maxillofacial surgery, 1997-12, Vol.35 (6), p.401-405</ispartof><rights>1997</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-bcab1b520d5041f45cb3c27ef8c42c2f2813dd46554990d5f21302e72c33df573</citedby><cites>FETCH-LOGICAL-c389t-bcab1b520d5041f45cb3c27ef8c42c2f2813dd46554990d5f21302e72c33df573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0266-4356(97)90716-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2138439$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9486445$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McManners, J.</creatorcontrib><creatorcontrib>Moos, K.F</creatorcontrib><creatorcontrib>El-Attar, A.</creatorcontrib><title>The use of biodegradable fixation in sagittal split and vertical subsigmoid osteotomy of the mandible: a preliminary report</title><title>British journal of oral & maxillofacial surgery</title><addtitle>Br J Oral Maxillofac Surg</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Nails</subject><subject>Dentistry</subject><subject>Dioxanes</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Jaw Fixation Techniques - instrumentation</subject><subject>Male</subject><subject>Mandible - surgery</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Osteotomy - instrumentation</subject><subject>Polymers</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0266-4356</issn><issn>1532-1940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1rFTEUhoMo9bb6EwpZiNjFaL5n4qZI8QsKLqzrkElOrpGZyTXJFIt_3tzey926CpzznDcvD0KXlLylhKp33wlTqhNcqje6v9Kkp6pTT9CGSs46qgV5ijYn5Dk6L-UXIUQyKs_QmRaDEkJu0N-7n4DXAjgFPMbkYZutt-MEOMQ_tsa04LjgYrexVjvhsptixXbx-B5yjW4_WscSt3OKHqdSIdU0P-zTagueGxlb2Hts8S7DFOe42PyAM-xSri_Qs2CnAi-P7wX68enj3c2X7vbb5683H247xwddu9HZkY6SES-JoEFIN3LHegiDE8yxwAbKvRdKSqF1gwKjnDDomePcB9nzC_T6kLvL6fcKpZo5FgfTZBdIazG9lorInjZQHkCXUykZgtnlOLfChhKzl24epZu9UaN78yjdqHZ3efxgHWfwp6uj5bZ_ddzb0pSFbBcXywlrfQfBdcOuDxg0GfcRsikuwuLAxwyuGp_if4r8A11Dn_M</recordid><startdate>19971201</startdate><enddate>19971201</enddate><creator>McManners, J.</creator><creator>Moos, K.F</creator><creator>El-Attar, A.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19971201</creationdate><title>The use of biodegradable fixation in sagittal split and vertical subsigmoid osteotomy of the mandible: a preliminary report</title><author>McManners, J. ; Moos, K.F ; El-Attar, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-bcab1b520d5041f45cb3c27ef8c42c2f2813dd46554990d5f21302e72c33df573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Nails</topic><topic>Dentistry</topic><topic>Dioxanes</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Jaw Fixation Techniques - instrumentation</topic><topic>Male</topic><topic>Mandible - surgery</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Osteotomy - instrumentation</topic><topic>Polymers</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McManners, J.</creatorcontrib><creatorcontrib>Moos, K.F</creatorcontrib><creatorcontrib>El-Attar, A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of oral & maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McManners, J.</au><au>Moos, K.F</au><au>El-Attar, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of biodegradable fixation in sagittal split and vertical subsigmoid osteotomy of the mandible: a preliminary report</atitle><jtitle>British journal of oral & maxillofacial surgery</jtitle><addtitle>Br J Oral Maxillofac Surg</addtitle><date>1997-12-01</date><risdate>1997</risdate><volume>35</volume><issue>6</issue><spage>401</spage><epage>405</epage><pages>401-405</pages><issn>0266-4356</issn><eissn>1532-1940</eissn><coden>BJOSEY</coden><abstract>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.</abstract><cop>Londonc</cop><pub>Elsevier Ltd</pub><pmid>9486445</pmid><doi>10.1016/S0266-4356(97)90716-6</doi><tpages>5</tpages></addata></record> |
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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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