8. Indications of Titanium Mini-Plate Removal in Maxillofacial Trauma Patients
Sumaira Zahoor1, Mohsin Majeed2 and Asif Nazir Ch1
ABSTRACT
Objective: To examine the frequency of indications for the removal of mini-plates in individuals with maxillofacial trauma.
Study Design: Prospective study
Place and Duration of Study: This study was conducted at the oral and maxillofacial surgery, Nishtar Institute of Dentistry, Multan, from January to December 2021.
Methods: A total of 172 patients enrolled in study who was admitted for titanium miniplate removal, implanted for fixation after maxillofacial trauma. The collected data includes information on patients’ age, gender, the indication behind miniplate removal, the specific anatomical site of removal, the duration between the initial surgery and miniplate removal.
Results: The most common fracture site was mandible 84.9% followed by maxilla 6.4%, mandible and maxilla 4.6% and least common fracture site was zygomaticomaxillary complex 4.1%. Duration of manipulates removal was below 1 year in 79% patients, 1-2 years in 9.8% patients and 11.2% were having duration above 2 years. The most common reason for plate removal demand of patients as 76.7% followed by exposure 5.2%, prosthetic rehabilitation 4.7%, extraction of tooth 4.7%, screw loosening 3.5%, pain 3.5% and infection 1.7%.
Conclusion: The primary factor leading to the removal of plates is patient preference, with exposure being the second most common reason. Rates of removal due to miniplate exposure or inflammation are consistent with previous reports, and there is insufficient evidence to advocate for the routine removal of titanium mini-plates.
Key Words: Miniplates removal, Maxillofacial trauma, Indication, Fracture site, Duration of removal
Citation of article: Zahoor S, Majeed M, Ch AN. Indications of Titanium Mini-Plate Removal in Maxillofacial Trauma Patients. Med Forum 2024;35(2):37-40. doi:10.60110/medforum.350208.