Policy of fourteen maxillofacial divisions towards titanium plates removal after internal fixation of paediatric maxillofacial fractures: A World Oral Maxillofacial Trauma (WORMAT) project
Rattachement africain : it, ru, ir, rs, gb, si, br, hr, bg, be, at, ba, in, Tanzanie, Nigéria. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
INTRODUCTION: The aim of this 11-year retrospective multicentric study is to evaluate the policy of 14 maxillofacial surgery divisions in terms of titanium plate removal from paediatric patients who had undergone open reduction and internal fixation (ORIF) to treat maxillofacial fractures. MATERIAL AND METHODS: Patients ≤ 16 years undergoing surgical treatment for fractures of middle and lower third of the face between January 2011 and December 2022, with a minimum follow-up of 6 months, were included. Age (group A: ≤ 6 years, B: 7-12 years, C: 13-16 years), sex, fracture location and type, surgical approach, number, and location of positioned and removed plates, timing and indications for removal were recorded. RESULTS: 191/383 (50 %) patients (median age, 10 years; M:F ratio 2.1:1) underwent removal of 319/708 (45 %) plates. Maxillary dentoalveolar process (91 %), angle/ramus (63 %) and mandibular body (61 %) had a significantly higher removal rate than other fracture sites (p < 0.001). A significant decreasing trend in removal with increasing age was observed, from 83 % in Group A to 24 % in Group C (p < 0.001). On the total of positioned plates, 11 % were removed for symptomatic reasons (5 % infections, 6 % discomfort/pain) and 34 % for other reasons (28 % scheduled removal). DISCUSSION: This multicentric study showed that plate removal was not performed routinely in the paediatric population. The incidence and causes of symptomatic plates removal were consistent with the literature, while the plate removal rate from asymptomatic patients was lower. A correlation was found between increasing age and a reduction in the frequency of plate removal procedures.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Policy of fourteen maxillofacial divisions towards titanium plates removal after internal fixation of paediatric maxillofacial fractures: A World Oral Maxillofacial Trauma (WORMAT) project
- Date Crossref
- 01/10/2024
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Turin Città della Salute e della Scienza Hospital pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedaliera Citta' della Salute e della Scienza di Torino pays non établi dans la noticeÉtablissement de santé
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Department of Medical Sciences pays non établi dans la noticeOrganisme public
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Mashhad University of Medical Sciences Oral and Maxillofacial Diseases Research Center pays non établi dans la noticeUniversité ou école supérieure
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University of Belgrade pays non établi dans la noticeUniversité ou école supérieure
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University of Dundee Department of Oral and Maxillofacial Surgery pays non établi dans la noticeUniversité ou école supérieure
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Ljubljana University Medical Centre Department of Maxillofacial and Oral Surgery pays non établi dans la noticeÉtablissement de santé
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Universidade Estadual Paulista (Unesp) pays non établi dans la noticeUniversité ou école supérieure
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University Hospital Dubrava Department of Maxillofacial Surgery pays non établi dans la noticeÉtablissement de santé
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Medical University Plovdiv pays non établi dans la noticeUniversité ou école supérieure
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KU Leuven pays non établi dans la noticeUniversité ou école supérieure
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Paracelsus Medical University Department of Oral and Maxillofacial Surgery pays non établi dans la noticeUniversité ou école supérieure
Città della Salute e della Scienza Hospital — University of Turin, Azienda Ospedaliera Citta' della Salute e della Scienza di Torino et Department of Medical Sciences, avec 9 autres affiliations. Pays d’affiliation : Tanzanie, Nigéria.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.