Fixation of mandibular osteotomies: Comparison of locking and nonlocking hardware

Young Kim, Jesse Smith, Joel A. Sercarz, Christian Head, Elliot Abemayor, Keith E. Blackwell

Research output: Contribution to journalArticle

Abstract

Background. The outcome of patients undergoing rigid plate fixation of symphyseal mandibular osteotomies for exposure, resection, and reconstruction of tumors in the oral cavity or oropharynx was analyzed to determine the impact of hardware selection on complications. Methods. Forty-five patients underwent titanium plate rigid internal fixation of mandibular osteotomies during cancer resection and free flap reconstruction at an academic medical center. The incidence of hardware-related complications and mandibular nonunion was compared in patients receiving either locking hardware or nonlocking hardware. Results. The incidence of osteotomy-related complications in patients with an inferior border nonlocking mandibular fracture plate was 21%. In the patients with locking hardware or an inferior border nonlocking mandibular fracture plate combined with a tension band, there were no hardware-related complications and no mandibular nonunions. This difference was statistically significant (χ2 = 6.01, p <.05). Conclusions. Locking mandibular reconstruction plates are associated with fewer complications than inferior border nonlocking mandibular fracture plates for rigid fixation of mandibular osteotomies in patients undergoing resection of head and neck cancer.

Original languageEnglish (US)
Pages (from-to)453-457
Number of pages5
JournalHead and Neck
Volume29
Issue number5
DOIs
StatePublished - May 2007

Fingerprint

Mandibular Osteotomy
Mandibular Fractures
Mandibular Reconstruction
Oropharynx
Free Tissue Flaps
Incidence
Head and Neck Neoplasms
Osteotomy
Titanium
Mouth
Neoplasms

Keywords

  • Complications
  • Infection
  • Mandible
  • Nonunion
  • Osteotomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Kim, Y., Smith, J., Sercarz, J. A., Head, C., Abemayor, E., & Blackwell, K. E. (2007). Fixation of mandibular osteotomies: Comparison of locking and nonlocking hardware. Head and Neck, 29(5), 453-457. https://doi.org/10.1002/hed.20541

Fixation of mandibular osteotomies : Comparison of locking and nonlocking hardware. / Kim, Young; Smith, Jesse; Sercarz, Joel A.; Head, Christian; Abemayor, Elliot; Blackwell, Keith E.

In: Head and Neck, Vol. 29, No. 5, 05.2007, p. 453-457.

Research output: Contribution to journalArticle

Kim, Y, Smith, J, Sercarz, JA, Head, C, Abemayor, E & Blackwell, KE 2007, 'Fixation of mandibular osteotomies: Comparison of locking and nonlocking hardware', Head and Neck, vol. 29, no. 5, pp. 453-457. https://doi.org/10.1002/hed.20541
Kim Y, Smith J, Sercarz JA, Head C, Abemayor E, Blackwell KE. Fixation of mandibular osteotomies: Comparison of locking and nonlocking hardware. Head and Neck. 2007 May;29(5):453-457. https://doi.org/10.1002/hed.20541
Kim, Young ; Smith, Jesse ; Sercarz, Joel A. ; Head, Christian ; Abemayor, Elliot ; Blackwell, Keith E. / Fixation of mandibular osteotomies : Comparison of locking and nonlocking hardware. In: Head and Neck. 2007 ; Vol. 29, No. 5. pp. 453-457.
@article{d75cfff6a2d44534801096383439a2be,
title = "Fixation of mandibular osteotomies: Comparison of locking and nonlocking hardware",
abstract = "Background. The outcome of patients undergoing rigid plate fixation of symphyseal mandibular osteotomies for exposure, resection, and reconstruction of tumors in the oral cavity or oropharynx was analyzed to determine the impact of hardware selection on complications. Methods. Forty-five patients underwent titanium plate rigid internal fixation of mandibular osteotomies during cancer resection and free flap reconstruction at an academic medical center. The incidence of hardware-related complications and mandibular nonunion was compared in patients receiving either locking hardware or nonlocking hardware. Results. The incidence of osteotomy-related complications in patients with an inferior border nonlocking mandibular fracture plate was 21{\%}. In the patients with locking hardware or an inferior border nonlocking mandibular fracture plate combined with a tension band, there were no hardware-related complications and no mandibular nonunions. This difference was statistically significant (χ2 = 6.01, p <.05). Conclusions. Locking mandibular reconstruction plates are associated with fewer complications than inferior border nonlocking mandibular fracture plates for rigid fixation of mandibular osteotomies in patients undergoing resection of head and neck cancer.",
keywords = "Complications, Infection, Mandible, Nonunion, Osteotomy",
author = "Young Kim and Jesse Smith and Sercarz, {Joel A.} and Christian Head and Elliot Abemayor and Blackwell, {Keith E.}",
year = "2007",
month = "5",
doi = "10.1002/hed.20541",
language = "English (US)",
volume = "29",
pages = "453--457",
journal = "Head and Neck Surgery",
issn = "0148-6403",
publisher = "Wiley-Liss Inc.",
number = "5",

}

TY - JOUR

T1 - Fixation of mandibular osteotomies

T2 - Comparison of locking and nonlocking hardware

AU - Kim, Young

AU - Smith, Jesse

AU - Sercarz, Joel A.

AU - Head, Christian

AU - Abemayor, Elliot

AU - Blackwell, Keith E.

PY - 2007/5

Y1 - 2007/5

N2 - Background. The outcome of patients undergoing rigid plate fixation of symphyseal mandibular osteotomies for exposure, resection, and reconstruction of tumors in the oral cavity or oropharynx was analyzed to determine the impact of hardware selection on complications. Methods. Forty-five patients underwent titanium plate rigid internal fixation of mandibular osteotomies during cancer resection and free flap reconstruction at an academic medical center. The incidence of hardware-related complications and mandibular nonunion was compared in patients receiving either locking hardware or nonlocking hardware. Results. The incidence of osteotomy-related complications in patients with an inferior border nonlocking mandibular fracture plate was 21%. In the patients with locking hardware or an inferior border nonlocking mandibular fracture plate combined with a tension band, there were no hardware-related complications and no mandibular nonunions. This difference was statistically significant (χ2 = 6.01, p <.05). Conclusions. Locking mandibular reconstruction plates are associated with fewer complications than inferior border nonlocking mandibular fracture plates for rigid fixation of mandibular osteotomies in patients undergoing resection of head and neck cancer.

AB - Background. The outcome of patients undergoing rigid plate fixation of symphyseal mandibular osteotomies for exposure, resection, and reconstruction of tumors in the oral cavity or oropharynx was analyzed to determine the impact of hardware selection on complications. Methods. Forty-five patients underwent titanium plate rigid internal fixation of mandibular osteotomies during cancer resection and free flap reconstruction at an academic medical center. The incidence of hardware-related complications and mandibular nonunion was compared in patients receiving either locking hardware or nonlocking hardware. Results. The incidence of osteotomy-related complications in patients with an inferior border nonlocking mandibular fracture plate was 21%. In the patients with locking hardware or an inferior border nonlocking mandibular fracture plate combined with a tension band, there were no hardware-related complications and no mandibular nonunions. This difference was statistically significant (χ2 = 6.01, p <.05). Conclusions. Locking mandibular reconstruction plates are associated with fewer complications than inferior border nonlocking mandibular fracture plates for rigid fixation of mandibular osteotomies in patients undergoing resection of head and neck cancer.

KW - Complications

KW - Infection

KW - Mandible

KW - Nonunion

KW - Osteotomy

UR - http://www.scopus.com/inward/record.url?scp=34248368531&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34248368531&partnerID=8YFLogxK

U2 - 10.1002/hed.20541

DO - 10.1002/hed.20541

M3 - Article

C2 - 17252590

AN - SCOPUS:34248368531

VL - 29

SP - 453

EP - 457

JO - Head and Neck Surgery

JF - Head and Neck Surgery

SN - 0148-6403

IS - 5

ER -