구강 악안면 영역의 생체 흡수성 고정판 사용에 관한 임상 연구
A CLINICAL STUDY OF BIODEGRADABLE PLATES AND SCREWS IN ORAL AND MAXILLOFACIAL SURGERY
김일규, 박승훈, 장금수, 양정은, 장재원, 사시카라바라라만,
소속 상세정보
김일규 ( Kim ll-Kyu ) - 인하대학교 치과학교실 구강악안면외과
박승훈 ( Park Seung-Hun ) - 인하대학교 치과학교실 구강악안면외과
장금수 ( Chang Keum-Soo ) - 인하대학교 의과대학부속병원 구강악안면외과
양정은 ( Yang Jung-Eun ) - 인하대학교 치과학교실 구강악안면외과
장재원 ( Chang Jae-Won ) - 인하대학교 치과학교실 구강악안면외과
사시카라바라라만 ( Balaraman Sasikara ) - 인하대학교 치과학교실 구강악안면외과
KMID : 0355620090350060451
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.
키워드
Biodegradable plate and screw;Infection;Inflammation and foreign body reaction
원문 및 링크아웃 정보
등재저널 정보