PDF(Pubmed)
Abstract：
Background/Objectives: The use of miniplates for stabilizing bones post orthognathic surgery has surged in popularity due to their efficacy in ensuring stability and hastening recovery. However, controversy exists regarding what should be done with these miniplates after surgery. Some surgeons advocate for their removal, while others suggest leaving them in place. This study sought to assess the frequency, causes, and potential risk factors linked with miniplate removal in orthognathic procedures. Methods: A thorough meta-analysis was conducted by scrutinizing studies from various databases including PubMed, Google Scholar, Embase, and Scopus, focusing on publications spanning from 1989 to 2023. Results: Ten studies meeting the inclusion criteria, encompassing 1603 patients, were chosen for inclusion in the meta-analysis. The male-to-female ratio varied from 0.7:1 to 4:1. Overall, 5595 miniplates were inserted, with 294 (5.3%) being subsequently removed. Primary reasons for miniplate removal included infection (161 cases, 2.9%), exposure of miniplates (34 cases, 0.6%), and palpable plates (23 cases, 0.4%). Other indications comprised pain, patient preference, and temperature sensitivity. Less frequent causes for miniplate removal included sinusitis, secondary surgery, and dental pathology. The mean duration of miniplate removal was 5.5 months, with the majority (56.1%) being removed from the mandible rather than the maxilla. In conclusion, this meta-analysis underscores the importance of miniplate removal when hardware causes complications and physical discomfort. The primary reasons for removing miniplates were infection and plate exposure, with the mandible being the most common removal site. Conclusions: These findings emphasize the need for continued monitoring to assess the fate of miniplates in orthognathic surgery and provide valuable information for future clinical decision-making.
摘要：
背景/目标：由于微型板在确保稳定性和加速恢复方面的功效，使用微型板在正颌手术后稳定骨骼的普及度激增。然而,关于手术后应该如何使用这些微型钢板存在争议。一些外科医生主张移除它们，而其他人则建议将它们留在原处。这项研究试图评估频率，原因,以及与正颌手术中微型板去除相关的潜在风险因素。方法：通过审查来自各种数据库的研究，包括PubMed，谷歌学者，Embase,还有Scopus,重点关注1989年至2023年的出版物。结果：十项符合纳入标准的研究，包括1603名患者，选择纳入荟萃分析。男女比例从0.7：1到4：1不等。总的来说,插入5595个微型板，随后删除了294个（5.3％）。移除微型钢板的主要原因包括感染(161例，2.9%），微型板暴露(34例，0.6%），和明显的钢板(23例，0.4%）。其他适应症包括疼痛，患者偏好,和温度敏感性。小钢板切除的不常见原因包括鼻窦炎，二次手术,和牙科病理学。微型板去除的平均持续时间为5.5个月，大多数（56.1％）从下颌骨而不是上颌骨中移除。总之,这项荟萃分析强调了在硬件导致并发症和身体不适时移除微型钢板的重要性.移除微型平板的主要原因是感染和平板暴露，下颌骨是最常见的切除部位。结论：这些发现强调需要继续监测以评估正颌手术中微型板的命运，并为将来的临床决策提供有价值的信息。
