Introduction: Maxillofacial injuries, such as soft-tissue injuries, dental injuries, or maxillary, mandibular, and zygomatic fractures; are the most common injuries treated by oral and maxillofacial surgeons. In the last few years polyetheretherketone (PEEK) material was recognized as a material for maxillo-facial and cranial reconstructions. Objectives: The aim of this study is to evaluate the use of custom made polyetheretherketone (PEEK) plate in the treatment of mandibular fracture. Materials and methods: 10 patients having non-comminuted recent mandibular fracture will be treated using custom made PEEK plates. Clinical follow up will be conducted after 24-hours, one week, 1 month, 3 months and 6 months. Also, a radiographic investigation will be performed after 6 months to estimate the mean bone density across the fracture line. Results: Data will be collected, summarized and statistically analyzed using the suitable methods. CONCLUSIONS: Fixation of mandibular fracture with custom made PEEK plate provides satisfying clinical and radiographic results after 6 months follow up. |
- Kaura S, Kaur P, Bahl R, Bansal S, Sangha P. Retrospective Study of Facial Fractures. Ann Maxillofac Surg. 2018; 8:78-82.
- Bui TG, Bell RB, Dierks EJ. Technological advances in the treatment of facial trauma. Atlas Oral Maxillofac Surg Clin North Am. 2012; 20:81-94.
- Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg. 2003; 31:51-61.
- Hull AM, Lowe T, Finlay PM. The psychological impact of maxillofacial trauma: an overview of reactions to trauma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95:515-20.
- Klotch DW. Frontal sinus fractures: anterior skull base. Facial Plast Surg. 2000; 16:127-34.
- Passi D. Newer Proposed Classification of Mandibular Fractures: A Critical Review with Recent Updates. Ann Med Health Sci Res. 2017; 7:314-8.
- Perren SM, Huggler A, Russenberger M, Straumann F, Muller ME, Allgower M. A method of measuring the change in compression applied to living cortical bone. Acta Orthop Scand Suppl. 1969; 125:7-16.
- Batbayar EO, van Minnen B, Bos RRM. Non-IMF mandibular fracture reduction techniques: A review of the literature. J Craniomaxillofac Surg. 2017; 45:1327-32.
- Talwar RM, Chemaly D. Information and computer technology in oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am. 2008; 20:79-89.
- el-Gengehi M, Seif SA. Evaluation of the accuracy of computer-guided mandibular fracture reduction. J Craniofac Surg. 2015; 26:1587-91.
- Edwards SP. Computer-assisted craniomaxillofacial surgery. Oral Maxillofac Surg Clin North Am. 2010; 22:117-34.
- Kim MM, Boahene KDO, Byrne PJ. Use of Customized Polyetheretherketone (PEEK) Implants in the Reconstruction of Complex Maxillofacial Defects. Arch Facial Plast Surg. 2009; 11:53-7.
- Patel N, Kim B, Zaid W. Use of Virtual Surgical Planning for Simultaneous Maxillofacial Osteotomies and Custom Polyetheretherketone Implant in Secondary Orbito-Frontal Reconstruction: Importance of Restoring Orbital Volume. J Craniofac Surg. 2017; 28:387-90.
- Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials. 2007; 28:4845-69.
- Schwitalla AD, Zimmermann T, Spintig T, Kallage I, Muller WD. Fatigue limits of different PEEK materials for dental implants. J Mech Behav Biomed Mater. 2017; 69:163-8.
- Guzzini M, Lanzetti RM, Lupariello D, Morelli F, Princi G, Perugia D, et al. Comparison between carbon-peek plate and conventional stainless-steel plate in ankle fractures. A prospective study of two years follow up. Injury. 2017; 48:1249-52.
- Caforio M, Perugia D, Colombo M, Calori GM, Maniscalco P. Preliminary experience with Piccolo Composite™, a radiolucent distal fibula plate, in ankle fractures. Injury. 2014;45: S36-S8.
- Schliemann B, Seifert R, Theisen C, Gehweiler D, Wahnert D, Schulze M, et al. PEEK versus titanium locking plates for proximal humerus fracture fixation: a comparative biomechanical study in two- and three-part fractures. Arch Orthop Trauma Surg. 2017; 137:63-71.
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