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. 2021 Jun;25(2):199-206.
doi: 10.1007/s10006-020-00903-1. Epub 2020 Sep 3.

Complications after osteosynthesis of craniofacial fractures-an analysis from the years 2015-2017

Ákos Bicsák  1 , Dietmar Abel  2 , Laurence Tack  2 , Velissarios Smponias  2 , Stefan Hassfeld  2 , Lars Bonitz  2
Affiliations

Complications after osteosynthesis of craniofacial fractures-an analysis from the years 2015-2017

Ákos Bicsák et al. Oral Maxillofac Surg. 2021 Jun.

Abstract

Background: Complications mean a recurring problem in everyday clinical practice. Complication rates between 6 and 13% are described for the treatment of bony injuries to the head and neck area. This paper aims to provide a detailed analysis of the complications after osteosynthesis in facial skull fractures.

Material and method: In this retrospective study, we reviewed all patient records of injured treated in the Department of Cranial and Maxillofacial Surgery at the Dortmund General Hospital between 2015 and 2017.

Results: Of the 22,031 head and neck injuries, 685 were treated with osteosynthesis. A clinically significant complication was reported in 32 patients (4.76%). The number of total complications was 63. In total, 66.7% of all complications have been identified in the paramedian mandible (44%), median mandible, mandibular angle, and in the collar area (each 12.7%). Eleven implants (in 5 patients) showed a cancellous bone impaction. Broken implants have been recognized in two cases. In 8 cases, there was a pseudarthrosis in the fracture area; in one case, there was a broken implant and pseudarthrosis in combination.

Conclusion: Osteosynthesis is a safe method of treating facial skull fractures, which is why we consider it the gold standard of therapy. The complication rate is well below 5%. The 3-dimensional adaptation (bending) and shortening of the osteosynthesis implants do not lead to an increase in complications.

Keywords: Bone fracture; Bone healing; Complication; Injury; Maxillofacial; Osteosynthesis.

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References

    1. Luhr H-G (2000) Entwicklung der modernen Osteosynthese. Mund Kiefer GesichtsChir 4(S1):S084–S090. https://doi.org/10.1007/PL00022964 - DOI
    1. Kolokythas A (2010) Long-term surgical complications in the oral cancer patient: a comprehensive review. Part I. JOMR 1(3). https://doi.org/10.5037/jomr.2010.1301
    1. Salgueiro MI, Stevens MR (2010) Experience with the use of prebent plates for the reconstruction of mandibular defects. Craniomaxillofac Trauma Reconstr 3(4):201–208. https://doi.org/10.1055/s-0030-1268520 - DOI - PubMed - PMC
    1. Ylikontiola L, Sándor G, Serlo W, Salokorpi N (2012) Experience with craniosynostosis treatment using posterior cranial vault distraction osteogenesis. Ann Maxillofac Surg 2(1):4. https://doi.org/10.4103/2231-0746.95307 - DOI - PubMed - PMC
    1. Hernandez RK, Do TP, Critchlow CW, Dent RE, Jick SS (2012) Patient-related risk factors for fracture-healing complications in the United Kingdom General Practice Research Database. Acta Orthop 83(6):653–660. https://doi.org/10.3109/17453674.2012.747054 - DOI - PubMed - PMC

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