REMOVAL OF TITANIUM PLATES IN POST-OPERATIVEPATIENTS WITH MAXILLOFACIAL TRAUMAA FIVE YEARS RETROSPECTIVE STUDY

Abstract

Objective:

To evaluate the reasons for removal of the titanium plates in patients with maxillofacial trauma and to compare findings with national and international studies.

Materials and Methods:

A Retrospective descriptive study was carried out on the Hospital data from 2013 to 2018 for plates removal after approval from the Ethical Committee. Variable included age, gender, anatomical location, reason for removal of the plates, types of the plates removed and duration after initial surgery. The data was analyzed through SPSS version 17.

Results:

A total of 521 patients had underwent open reduction and internal fixation from 2013 till 2018 out of 797 total trauma patients. Plates removal had been done in 140 patients (26.87%). The mean age was 24.5 years with S.D +14.43 years. There were total 94 (67%) males and 46 (33%) females and male to female ratio was 2:1 in the study. The most common cause was the patient's request/demand 34.28%, the most frequent bone was the mandible (67.12%). Angle of mandible was the most frequent site (26.42%) for plate removal. Majority of the plates were removed within 6 months after fixation. Mini plates (2mm) were removed in 96 (68.57%) cases, micro plates (1.5mm)
were removed in 42 (30%) cases and titanium mesh was removed in 2 (1.42%) cases.

Conclusion:

This study had comprised predominantly of young males who had undergone plate removal, the most common site being the mandibular angle and the demanded plate removal as commonest cause. Miniplates were most frequently removed. Resorbable plates should be encouraged to avoid 2nd surgery for plates