Version 1
: Received: 16 December 2023 / Approved: 18 December 2023 / Online: 18 December 2023 (08:00:17 CET)
How to cite:
Jaber, M.; Abouseif, N.; Hassan, M.; Elameen, A.M. Risk factors contributing to Symptomatic Mini-plates Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis. Preprints2023, 2023121278. https://doi.org/10.20944/preprints202312.1278.v1
Jaber, M.; Abouseif, N.; Hassan, M.; Elameen, A.M. Risk factors contributing to Symptomatic Mini-plates Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis. Preprints 2023, 2023121278. https://doi.org/10.20944/preprints202312.1278.v1
Jaber, M.; Abouseif, N.; Hassan, M.; Elameen, A.M. Risk factors contributing to Symptomatic Mini-plates Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis. Preprints2023, 2023121278. https://doi.org/10.20944/preprints202312.1278.v1
APA Style
Jaber, M., Abouseif, N., Hassan, M., & Elameen, A.M. (2023). Risk factors contributing to Symptomatic Mini-plates Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis. Preprints. https://doi.org/10.20944/preprints202312.1278.v1
Chicago/Turabian Style
Jaber, M., Mawada Hassan and Alaa M Elameen. 2023 "Risk factors contributing to Symptomatic Mini-plates Removal following Orthognathic Surgery: Systematic Review and Meta-Analysis" Preprints. https://doi.org/10.20944/preprints202312.1278.v1
Abstract
The use of miniplates for stabilizing bones after orthognathic surgeries, has become increasingly popular for their effectiveness in ensuring stability and promoting swift recovery. However, the post-surgical fate of these miniplates remains a subject of contention among surgeons. Some advocate for their removal, while others suggest leaving them in place. The aims of this study, is to evaluate the incidence, causes, and potential risk factors associated with the removal of miniplates in orthognathic surgeries. A comprehensive meta-analysis was conducted by reviewing studies from various databases like PubMed, Google Scholar, Research Gate, Embase, and Scopus, focusing on publications from 1989 to 2023. Ten studies encompassing a total of 1603 patients which conformed to the inclusion criteria were selected and included in the meta-analysis. With M:F ratio range from 4:1 to 109:141. Total number of miniplates inserted was 5595, and total number of miniplates removed were 294 (5.3%). The most common reasons for miniplates removal were, infection was reported in 161 cases (2.9%), followed by miniplates exposure (34 cases, 0.6%) and palpable plates (23 cases 0.4%). Other indications included pain, patient’s preference, and temperature sensitivity. Relatively less common reasons that resulted in miniplates removal include, sinusitis, second surgery and dental pathology. The mean duration of miniplates removal was 5.5 months with the majority of miniplates (56.1%) were removed from the mandible compared to maxilla. In conclusion, this meta-analysis underscores the importance of miniplate removal in cases where hardware causes diverse complications and physical discomfort. The primary reasons for miniplates removal were infections and plates exposure, with the mandible being the most common site for removal. These findings emphasize the need for continued monitoring to assess the fate of miniplates in orthognathic surgery and provide valuable insights for future clinical decision-making.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
