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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2009, Number 1

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Rev Mex Cir Bucal Maxilofac 2009; 5 (1)

Rejection of reabsorbable mini plates. A case report

Garnica RJ, García LD, Miranda VJE, Rivera ERT

Language: Spanish
References: 17
Page: 5-12
PDF size: 260.69 Kb.


ABSTRACT

The management of craniomaxillofacial trauma and the treatment of facial fractures, especially in children, have recently evolved in a gradual way. It is necessary to review the historical events related to their treatment in order to understand what has been achieved up to date. Nowadays, because of the innovation of reabsorbable fixation elements, there are more options to correct this kind of fractures. We should remember that, during several years, it has been said that the election treatment should be conservative. At present, there is a great controversy about the management of pediatric facial fractures: on the one hand, there are professionals who prefer to use the rigid fixation; on the other hand, some professionals prefer the material of absorbable osteosyntesis. The first ones refer the advantage of the use of titanium mini plates because of the excellent stability that they offer to the fractured segments. In this case, the problem is the likelihood of limiting the osseous growth. In pediatric patients, the use of reabsorbable elements is an excellent choice according to other medical current. In this last case, the main problem of its use is the cost, as well as its availability in different geographical areas in the country. There is another unusual complication, but that had happened in certain cases: a local inflammatory reaction, and the non-absorbance of the plaque in the estimated time, according to the manufacturer’s indications. This study reports the case of a pediatric male patient with a diagnosis of right parasymphyseal fracture, conserved dental pieces, and subjected to surgery by an open reduction and internal fixing treatment (ORIF) through reabsorbable mini plates. During the post-operative controls, the pediatric patient presented an inflammatory reaction in the post-surgical area four months after the surgery. It was decided to perform a new surgery in order to extract the osteosyntesis material.


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