Stability of maxillary position after Le Fort I osteotomy using self-reinforced biodegradable poly-70L/30DL-lactide miniplates and screws

J Oral Maxillofac Surg. 2011 May;69(5):1442-6. doi: 10.1016/j.joms.2010.05.033. Epub 2010 Dec 31.

Abstract

Purpose: The purpose of this study was to evaluate the stability of Le Fort I osteotomy using self-reinforced biodegradable poly-70L/30DL-lactide miniplates and screws.

Patients and methods: Nineteen patients who had Le Fort I osteotomy and internal fixation using self-reinforced biodegradable poly-70L/30DL-lactide miniplates and screws were evaluated both radiographically and clinically. Changes in maxillary position after operation were documented 1 week, 1, 3, 6 mo, and/or 1-yr postoperatively with lateral cephalometric tracings. Complications of the self-reinforced biodegradable poly-70L/30DL-lactide miniplates and screws were evaluated by follow-up roentgenograms and clinical observation. A mixed model analysis for repeated measures was used for statistical analysis.

Results: Maxillary position was stable after operation with no change between time points (P > .05). There were no complications with the self-reinforced biodegradable poly-70L/30DL-lactide miniplates and screws.

Conclusions: Internal fixation of the maxilla after Le Fort I osteotomy with self-reinforced biodegradable poly-70L/30DL-lactide miniplates and screws is a reliable method for maintaining the postoperative maxillary position after Le Fort I osteotomy.

MeSH terms

  • Absorbable Implants*
  • Bone Plates*
  • Bone Screws*
  • Cephalometry
  • Dental Occlusion
  • Female
  • Follow-Up Studies
  • Frontal Bone / diagnostic imaging
  • Humans
  • Male
  • Mandible / surgery
  • Maxilla / diagnostic imaging
  • Maxilla / surgery*
  • Nasal Bone / diagnostic imaging
  • Occipital Bone / diagnostic imaging
  • Orthognathic Surgical Procedures / instrumentation
  • Orthognathic Surgical Procedures / methods
  • Osteotomy / methods
  • Osteotomy, Le Fort / instrumentation*
  • Palate / diagnostic imaging
  • Polyesters / chemistry*
  • Postoperative Complications
  • Radiography
  • Skull Base / diagnostic imaging
  • Treatment Outcome
  • Young Adult

Substances

  • Polyesters
  • poly(lactide)