EVALUATION OF RESORBABLE MESH AND PLATE WITH ULTRASONIC WELDED PINS IN THE MANAGEMENT OF MANDIBULAR FRACTURES IN CHILDREN (A COMPARATIVE CLINICAL STUDY) | ||
| Alexandria Dental Journal | ||
| Article 6, Volume 41, Issue 3, December 2016, Pages 261-268 PDF (922.75 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/adjalexu.2016.58038 | ||
| Authors | ||
| Marwa G. Noureldin1; Abdelaziz F. Khalil2; Ahmed R. Kotb2; Magued H. Fahmy2; Salah Eldin D. Abo Eleneen3 | ||
| 1Assistant lecturer at the oral and maxillofacial department, Faculty of dentistry, Alexandria university, Alexandria, Egypt | ||
| 2Professor of Oral and Maxillofacial surgery, Faculty of dentistry, Alexandria university, Alexandria, Egypt | ||
| 3Professor of Radiodiagnosis, Department of Radiodiagnosis, Faculty of Medicine, Alexandria University, Alexandria, Egypt | ||
| Abstract | ||
| INTRODUCTION: SonicWeld Rx® system (KLS Martin) uses an ultrasonic sonotrode unit to bond a Resorb-X® pin to the Resorb-X® mesh and plates and underlying bone preclude the need to tap and decrease the time needed for fixation. Moreover, there is no second surgery needed for its removal. OBJECTIVES: This study compared the use of resorbable mesh and plates with ultrasonic welded pins in management of mandibular fractures in children. MATERIALS AND METHODS: This prospective comparative study was conducted on 20 children aged 6-12 years with mandibular fracture divided into 2 groups, group I was fixed with resorbable meshes and group II was fixed with resorbable plates. All patients were followed up clinically at the 2 nd , 7 th , 10th and 14th day postoperatively. Radiographically, all patients were examined by ultrasound(US) at 3, 6, 9 months postoperatively and by cone beam computed tomography(CBCT) at 6 months. RESULTS: Comparing the two groups clinically, there was no statistically significant difference at all stages of follow up. Radiographically, the difference in the mean thickness between the two groups was statistically insignificant at 3, 6, 9 months postoperatively. CBCT evaluation of bone density showed comparable results in both groups. CONCLUSIONS: The SonicWeld Rx® system either the mesh or the plate were found to be satisfactory in the treatment of pediatric mandibular fractures, however proper case selection is essential criteria to make them successful. Ultrasonographic aid has proved an essential diagnostic aid in assessing the biodegradation process of the resorbable material over a period of 9 months in the present study | ||
| Keywords | ||
| resorbable material; SonicWeld Rx® system; pediatric mandibular fractures; ultrasound imaging | ||
| References | ||
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1. Smartt JM, Jr., Low DW, Bartlett SP. The pediatric mandible: II. Management of traumatic injury or fracture. Plast Reconstr Surg. 2005 Aug;116(2):28e-41e. 2. EppleyBL.Useofresorbableplatesandscrewsinpediatric facial fractures. J Oral Maxillofac Surg. 2005;63(3):385-91. 3. Bell B, Kindsfater C. The use of biodegradable plates and screws to stabilize facial fractures. J Oral Maxillofac Surg 2006; 64:31-9. 4. EnislidisG,PichornerS,LambertF,WagnerA,Kainberger F, Kautzky Mea. Fixation of Zygomatic fractures with a new biodegradable copolymer osteosynthesis system. Preliminary results. Int J Oral Maxillofac Surg. 1998; 27:352-5. 5. Reichwein A, Schicho K, Moser D, Seemann R, Poeschl P, Baumann A, et al. Clinical experiences with resorbable ultrasonic-guided, angle-stable osteosynthesis in the panfacial region. J Oral Maxillofac Surg. 2009;67(6):1211- 7. 6. CarronMA,ZulianiG,PereiraL,AbuhamdanM,Thibault A, Dau N, et al. Stability of midface fracture repair using absorbable plate and screw system pilot holes drilled and pin placement at angles other than 90 degrees. J Facial Plast Surg. 2014;16(1):42-8. 7. BurgerBW.Useofultrasound-activatedresorbablePoly-D- L-lactide pins (SonicPins) and foil panels (Resorb-X) for horizontal bone augmentation of the maxillary and mandibular alveolar ridges. J Oral Maxillofac Surg. 2010 Jul;68(7):1656-61. 8. Rosivack RG, Koenigsberg SR, Maxwell KC. An analysis of the effectiveness of two topical anesthetics. Anesth Prog. 1990;37(6):290-2. 9. Benetello V, Sakamoto FC, Giglio FPM, Sakai VT, Calvo AM, Modena KCS, et al. The selective and non-selective cyclooxygenase inhibitors valdecoxib and piroxicam induce the same postoperative analgesia and control of trismus and swelling after lower third molar removal. Braz J Med Biol Res. 2007; 40:1133-40. 10. Yerit KC, Enislidis G, Schopper C, Turhani D, Wanschitz F, Wagner A, et al. Fixation of mandibular fractures with biodegradable plates and screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(3):294-300. 11. Edwards RC, Kiely KD, Eppley BL. Fixation of bimaxillary osteotomies with resorbable plates and screws: experience in 20 consecutive cases. J Oral Maxillofac Surg. 2001 Mar;59(3):271-6. 12. Suuronen R, Haers PE, Lindqvist C, Sailer HF. Update on bioresorbable plates in maxillofacial surgery. Facial Plast Surg. 1999;15(1):61-72. 13.Koltai PJ, Rabkin D, Hoehn J. Rigid fixation of facial fractures in children. J Craniomaxillofac Trauma. 1995;1(2):32-42. 14.El-Saadany WH, Sadakah AA, Hussein MM, Saad KA. Evaluation of using ultrasound welding process of biodegradable plates for fixation of pediatric mandibular fractures. Tanta Dent J 2015; 12(Suppl 1): S22-S9. 15. Cheung LK, Chow LK, Chiu WK. A randomized controlled trial of resorbable versus titanium fixation for orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(4):386-97. 16. Eckelt U, Nitsche M, Muller A, Pilling E, Pinzer T, Roesner D. Ultrasound aided pin fixation of biodegradable osteosynthetic materials in cranioplasty for infants with craniosynostosis. J Craniomaxillofac Surg. 2007;35(4- 5):218-21. 17. Pilling E, Meissner H, Jung R, Koch R, Loukota R, Mai R, et al. An experimental study of the biomechanical stability of ultrasound-activated pinned (SonicWeld Rx+Resorb-X) and screwed fixed (Resorb-X) resorbable materials for osteosynthesis in the treatment of simulated craniosynostosis in sheep. Br J Oral Maxillofac Surg. 2007;45(6):451-6. 18. Buijs GJ, van der Houwen EB, Stegenga B, Verkerke GJ, Bos RR. Mechanical strength and stiffness of the biodegradable SonicWeld Rx osteofixation system. J Oral Maxillofac Surg. 2009 Apr;67(4):782-7. 19. Araujo MM, Waite PD, Lemons JE. Strength analysis of Le Fort I osteotomy fixation: titanium versus resorbable plates. J Oral Maxillofac Surg. 2001 Sep;59(9):1034-9; discussion 9-40. 20.KLS Martin: SonicWeld Rx—A New Era in Resorbable Craniofacial Osteosynthesis. Jacksonville F, KLS Martin. 21. Degala S, Shetty S, Ramya S. Fixation of zygomatic and mandibular fractures with biodegradable plates. Ann Maxillofac Surg. 2013;3(1):25-30. 22.Park CH, Kim HS, Lee JH, Hong SM, Ko YG, Lee OJ. Resorbable skeletal fixation systems for treating maxillofacial bone fractures. Arch Otolaryngol Head Neck Surg. 2011;137(2):125-9. 23. Eldibany R, Khalil M. The use of resorbable osteosynthesis material for stabilization of mandibular fractures in children. 2005; 51:2133-41. 24.Hardt N, Gottsauner A. The treatment of mandibular fractures in children. J Craniomaxillofac Surg 1993; 21: 214-9. 25. Peltoniemi H, Tulamo R, Pihlajamaki HKea. Consolidation of craniotomy lines after resorbable polylactide and titanium plating: A comparative experimental study in sheep. Plast Reconstr Surg. 1998; 101:123-33. 26.Kallela I, Laine P, Suuronen R, Iizuka T, Pirinen S, Lindqvist C. Skeletal stability following mandibular advancement and rigid fixation with polylactide biodegradable screws. Int J Oral Maxillofac Surg. 1998;27(1):3-8. 27.Singh G, Mohammad S, Chak RK, Lepcha N, Singh N, Malkunje LR. Bio-Resorbable Plates as Effective Implant in Paediatric Mandibular Fracture. J Maxillofac Oral Surg. 2012;11(4):400-6. 28. Cho PW, Burton RG, Gratton D, Cho JH. Biomechanical study of SonicWeld Rx pin in cortical bone graft layering technique. J Oral Maxillofac Surg. 2011;69(5):1519-24. 29.Bhatt K, Roychoudhury A, Bhutia O, Trikha A, Seith A, Pandey RM. Equivalence randomized controlled trial of bioresorbable versus titanium miniplates in treatment of mandibular fracture: a pilot study. J Oral Maxillofac Surg. 2010 Aug;68(8):1842-8. 30.Heidemann W, Gerlach KL. Imaging of biodegradable osteosynthesis materials by ultrasound. Dentomaxillofac Radiol. 2002;31(3):155-8. 31. Naitoh M, Katsumata A, Mitsuya S, Kamemoto H, Ariji E. Measurement of mandibles with microfocus x-ray computerized tomography and compact computerized tomography for dental use. Int J Oral Maxillofac Implants. 2004;19(2):239-46. 32. White SC, Pharoah MJ. The evolution and application of dental maxillofacial imaging modalities. Dent Clin North Am. 2008;52(4):689-705. 33. Kropil P, Hakimi AR, Jungbluth P, Riegger C, Rubbert C, Miese F, et al. Cone beam CT in assessment of tibial bone defect healing: an animal study. Acad Radiol. 2012;19(3):320-5. | ||
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