EXPOSICIÓN EXTRAORAL DE UNA PLACA DE RECONSTRUCCIÓN MANDIBULAR: REPORTE DE UN CASO
Palabras clave:
técnicas de fijación de maxilares, glosectomía, neoplasias de la boca
Resumen
Los sistemas de reconstrucción mandibular han sido adaptados a través de los años mediante principios médico-ortopédicos; sin embargo, existen limitaciones y requerimientos mínimos para tener en cuenta, con el fin de evitar complicaciones descritas en la literatura como infección, fracturas del material de osteosíntesis, exposición intra y extraoral del material de osteosíntesis y pérdida de estabilidad de la fijación rígida, entre otros. Es el propósito de este reporte de caso mostrar la exposición extraoral de una placa de osteosíntesis de reconstrucción mandibular de bloqueo, en un paciente sometido a hemimandibulectomía, glosectomía subtotal, gastrostomía temporal y terapia oncológica coadyuvante por un proceso patológico mandibular asociado, y su manejo posretiro de material de osteosíntesis no convencional, lo que hace diferente el tratamiento con respecto a otros descritos en la literatura.
[Correa PE, Ruiz JM. Exposición extraoral de una placa de reconstrucción mandibular: reporte de un caso. Ustasalud. 2014; 13: 55 - 60]
Referencias
1. Madsen MJ, Kushner GM, Alpert B. Failed fixation in atrophic mandibular fractures: the case against miniplates. Craniomaxillofacial Trauma Reconstr. 2011; 4 (3): 145 - 150.
2. Bakathir AA, Margasahayam MV, Al-Ismaily MI. Removal of bone plates in patients with maxillofacial trauma: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105 (5): e32 - e37.
3. Egol KA, Kubiak En: Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004; 18 (8): 488 - 493.
4. Boyd TG, Huber KM, Verbist DE, Bumpous JM, Wilhelmi BJ. CASE REPORT Removal of exposed titanium reconstruction plate after mandibular reconstruction with a free fibula osteocutaneous flap with large surgical pin cutters: a case report and literature review. Eplasty. 2012; 12: e42. Epub 2012 Aug 31.
5. Kubota Y, Kuroki T, Akita S, Koizumi T, Hasegawa M, Rikihisa N, et al. Association between plate location and plate removal following facial fracture repair. J Plast Reconstr Aesthetic Surg. 2012; 65 (3): 372 - 378.
6. Sharan R, Iyer S, Chatni SS, Samuel J, Sundaram KR, Cohen RF, et al. Increased plate and osteosynthesis related complications associated with postoperative concurrent chemoradiotherapy in oral cancer. Head Neck. 2008; 30 (11): 1422 - 1430.
7. Moore E, Bayrak S, Moody M, Key JM, Vural E. Hardware removal rates for mandibular angle fractures: comparing the 8-hole strut and champy plates. J Craniofac Surg. 2013; 24 (1): 163 - 165.
8. O’Connell J, Murphy C, Ikeagwuani O, Adley C, Kearns G. The fate of titanium miniplates and screws used in maxillofacial surgery: a 10 year retrospective study. Int J Oral Maxillofac Surg. 2009; 38 (7): 731 - 735.
9. Kuhlefelt M, Laine P, Suominen-Taipale L, Ingman T, Lindqvist C, Thorén H. Risk factors contributing to symptomatic miniplate removal: a retrospective study of 153 bilateral sagittal split osteotomy patients. Int J Oral Maxillofac Surg. 2010; 39 (5): 430 - 435.
10. Nagase DY, Courtemanche DJ, Peters DA. Plate removal in traumatic facial fractures: 13-year practice review. Ann Plast Surg. 2005; 55 (6): 608 - 611.
11. Francel TJ, Birely BC, Ringelman PR, Manson PN. The fate of plates and screws after facial fracture reconstruction. Plast Reconstr Surg. 1992; 90 (4): 568 - 573.
12. Bhatt V, Langford RJ. Removal of miniplates in maxillofacial surgery: University Hospital Birmingham experience. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2003; 61 (5): 553 - 556.
13. Velich N, Németh Z, Suba C, Szabó G. Removal of titanium plates coated with anodic titanium oxide ceramic: retrospective study. J Craniofac Surg. 2002; 13 (5): 636 - 640.
14. Wei F-C, Celik N, Yang W-G, Chen I-H, Chang Y-M, Chen H-C. Complications after reconstruction by plate and soft-tissue free flap in composite mandibular defects and secondary salvage reconstruction with osteocutaneous flap. Plast Reconstr Surg. 2003; 112 (1): 37 - 42.
15. Murthy AS, Lehman JA Jr. Symptomatic plate removal in maxillofacial trauma: a review of 76 cases. Ann Plast Surg. 2005; 55 (6): 603 - 637.
16. Bianchi B, Ferri A, Ferrari S, Leporati M, Copelli C, Ferri T, et al. Mandibular resection and reconstruction in the management of extensive ameloblastoma. J Oral Maxillofac Surg. 2013; 71 (3): 528 - 537.
17. Pellini R, Mercante G, Spriano G. Step-by-step mandibular reconstruction with free fibula flap modelling. Acta Otorhinolaryngol Ital. 2012; 32 (6): 405 - 409.
18. Rauso R, Tartaro G, Stea S, Tozzi U, Biondi P. Plates removal in orthognathic surgery and facial fractures: when and why. J Craniofac Surg. 2011; 22 (1): 252 - 254.
19. Mosbah MR, Oloyede D, Koppel DA, Moos KF, Stenhouse D. Miniplate removal in trauma and orthognathic surgery-a retrospective study. Int J Oral Maxillofac Surg. 2003; 32 (2): 148 - 151.
20. Chaushu G, Manor Y, Shoshani Y, Taicher S. Risk factors contributing to symptomatic plate removal in maxillofacial trauma patients. Plast Reconstr Surg. 2000; 105 (2): 521 - 525.
21. Islamoglu K, Coskunfirat OK, Tetik G, Ozgentas HE. Complications and removal rates of miniplates and screws used for maxillofacial fractures. Ann Plast Surg. 2002; 48 (3): 265 - 268.
22. Rallis G, Mourouzis C, Papakosta V, Papanastasiou G, Zachariades N. Reasons for miniplate removal following maxillofacial trauma: a 4-year study. J Craniomaxillofac Surg. 2006; 34 (7): 435 - 439.
23. Falter B, Schepers S, Vrielinck L, Lambrichts I, Politis C. Plate removal following orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 112 (6): 737 - 743.
24. Bernier J, Cooper JS, Pajak TF, van Glabbeke M, Bourhis J, Forastiere A, et al. Defining risk levels in locally advanced head and neck cancers: a comparative analysis of concurrent postoperative radiation plus chemotherapy trials of the EORTC (#22931) and RTOG (# 9501). Head Neck. 2005; 27 (10): 843 - 850
2. Bakathir AA, Margasahayam MV, Al-Ismaily MI. Removal of bone plates in patients with maxillofacial trauma: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105 (5): e32 - e37.
3. Egol KA, Kubiak En: Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004; 18 (8): 488 - 493.
4. Boyd TG, Huber KM, Verbist DE, Bumpous JM, Wilhelmi BJ. CASE REPORT Removal of exposed titanium reconstruction plate after mandibular reconstruction with a free fibula osteocutaneous flap with large surgical pin cutters: a case report and literature review. Eplasty. 2012; 12: e42. Epub 2012 Aug 31.
5. Kubota Y, Kuroki T, Akita S, Koizumi T, Hasegawa M, Rikihisa N, et al. Association between plate location and plate removal following facial fracture repair. J Plast Reconstr Aesthetic Surg. 2012; 65 (3): 372 - 378.
6. Sharan R, Iyer S, Chatni SS, Samuel J, Sundaram KR, Cohen RF, et al. Increased plate and osteosynthesis related complications associated with postoperative concurrent chemoradiotherapy in oral cancer. Head Neck. 2008; 30 (11): 1422 - 1430.
7. Moore E, Bayrak S, Moody M, Key JM, Vural E. Hardware removal rates for mandibular angle fractures: comparing the 8-hole strut and champy plates. J Craniofac Surg. 2013; 24 (1): 163 - 165.
8. O’Connell J, Murphy C, Ikeagwuani O, Adley C, Kearns G. The fate of titanium miniplates and screws used in maxillofacial surgery: a 10 year retrospective study. Int J Oral Maxillofac Surg. 2009; 38 (7): 731 - 735.
9. Kuhlefelt M, Laine P, Suominen-Taipale L, Ingman T, Lindqvist C, Thorén H. Risk factors contributing to symptomatic miniplate removal: a retrospective study of 153 bilateral sagittal split osteotomy patients. Int J Oral Maxillofac Surg. 2010; 39 (5): 430 - 435.
10. Nagase DY, Courtemanche DJ, Peters DA. Plate removal in traumatic facial fractures: 13-year practice review. Ann Plast Surg. 2005; 55 (6): 608 - 611.
11. Francel TJ, Birely BC, Ringelman PR, Manson PN. The fate of plates and screws after facial fracture reconstruction. Plast Reconstr Surg. 1992; 90 (4): 568 - 573.
12. Bhatt V, Langford RJ. Removal of miniplates in maxillofacial surgery: University Hospital Birmingham experience. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2003; 61 (5): 553 - 556.
13. Velich N, Németh Z, Suba C, Szabó G. Removal of titanium plates coated with anodic titanium oxide ceramic: retrospective study. J Craniofac Surg. 2002; 13 (5): 636 - 640.
14. Wei F-C, Celik N, Yang W-G, Chen I-H, Chang Y-M, Chen H-C. Complications after reconstruction by plate and soft-tissue free flap in composite mandibular defects and secondary salvage reconstruction with osteocutaneous flap. Plast Reconstr Surg. 2003; 112 (1): 37 - 42.
15. Murthy AS, Lehman JA Jr. Symptomatic plate removal in maxillofacial trauma: a review of 76 cases. Ann Plast Surg. 2005; 55 (6): 603 - 637.
16. Bianchi B, Ferri A, Ferrari S, Leporati M, Copelli C, Ferri T, et al. Mandibular resection and reconstruction in the management of extensive ameloblastoma. J Oral Maxillofac Surg. 2013; 71 (3): 528 - 537.
17. Pellini R, Mercante G, Spriano G. Step-by-step mandibular reconstruction with free fibula flap modelling. Acta Otorhinolaryngol Ital. 2012; 32 (6): 405 - 409.
18. Rauso R, Tartaro G, Stea S, Tozzi U, Biondi P. Plates removal in orthognathic surgery and facial fractures: when and why. J Craniofac Surg. 2011; 22 (1): 252 - 254.
19. Mosbah MR, Oloyede D, Koppel DA, Moos KF, Stenhouse D. Miniplate removal in trauma and orthognathic surgery-a retrospective study. Int J Oral Maxillofac Surg. 2003; 32 (2): 148 - 151.
20. Chaushu G, Manor Y, Shoshani Y, Taicher S. Risk factors contributing to symptomatic plate removal in maxillofacial trauma patients. Plast Reconstr Surg. 2000; 105 (2): 521 - 525.
21. Islamoglu K, Coskunfirat OK, Tetik G, Ozgentas HE. Complications and removal rates of miniplates and screws used for maxillofacial fractures. Ann Plast Surg. 2002; 48 (3): 265 - 268.
22. Rallis G, Mourouzis C, Papakosta V, Papanastasiou G, Zachariades N. Reasons for miniplate removal following maxillofacial trauma: a 4-year study. J Craniomaxillofac Surg. 2006; 34 (7): 435 - 439.
23. Falter B, Schepers S, Vrielinck L, Lambrichts I, Politis C. Plate removal following orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 112 (6): 737 - 743.
24. Bernier J, Cooper JS, Pajak TF, van Glabbeke M, Bourhis J, Forastiere A, et al. Defining risk levels in locally advanced head and neck cancers: a comparative analysis of concurrent postoperative radiation plus chemotherapy trials of the EORTC (#22931) and RTOG (# 9501). Head Neck. 2005; 27 (10): 843 - 850
Publicado
2014-01-01
Cómo citar
Correa Echeverri, P., & Ruiz Roa, J. (2014). EXPOSICIÓN EXTRAORAL DE UNA PLACA DE RECONSTRUCCIÓN MANDIBULAR: REPORTE DE UN CASO. Ustasalud, 13(1), 55-60. https://doi.org/https://doi.org/10.15332/us.v13i1.1399
Número
Sección
Reportes de caso
