OP-Journal 2012; 28(2): 188-192
DOI: 10.1055/s-0032-1315360
Georg Thieme Verlag KG Stuttgart · New York

Vorgeformte winkelstabile Rekonstruktionsplatten zur Überbrückung von Defektzonen im Unterkiefer

Florian Andreas Probst
,
Sebastian Schiel
,
Carl-Peter Cornelius
,
Gerson Mast
,
Michael Ehrenfeld
,
Michael Ermer
,
Marc Christian Metzger
,
Ralf Gutwald
,
Rainer Schmelzeisen
Further Information

Publication History

Publication Date:
03 December 2012 (online)

Zusammenfassung

MatrixMANDIBLE Preformed Reconstruction Plates (MMPRP) sind neuartige, anatomisch vorgeformte Rekonstruktionsplatten zur winkelstabilen Überbrückung unterschiedlicher Defekttypen im anterolateralen Unterkieferbereich. Sie eignen sich sowohl für eine Insertion über den klassischen extraoralen Zugang als auch für die transorale Applikation. Erste klinische Erfahrungen deuten darauf hin, dass das Risiko von Ermüdungsbrüchen und die Operationszeit aufgrund der Präformierung der Platten sinken. Insgesamt sind MMPRP als ein geeignetes Standardsystem für die winkelstabile und lasttragende Osteosynthese im Bereich des Unterkiefers zu bewerten. Dies gilt für eine Vielzahl von Indikationen aus der Tumorchirurgie, Traumatologie sowie beim Management von Osteonekrosen.

Preformed Angle-Stable Reconstruction Plates for Bridging Defect Zones in the Lower Jaw

MatrixMANDIBLE preformed reconstruction plates (MMPRP) are novel anatomically preshaped load-bearing macroplates, which provide for angle-stable bridging of different mandibular defect types. They are suitable for a standardised extraoral approach as well as for a transoral approach. First clinical experiences indicate that the risk for fatigue fractures may be lowered. Additionally, operation time seems to be decreased. All in all, MMPRP present as a useful standard device for mandibular reconstructions in a wide scope of indications, ranging from tumour through trauma to osteonecrosis.

 
  • Literatur

  • 1 Alonso del Hoyo J, Fernandez Sanroman J, Rubio Bueno P et al. Primary mandibular reconstruction with bridging plates. J Craniomaxillofac Surg 1994; 22: 43-48
  • 2 Arden RL, Rachel JD, Marks S et al. Volume-length impact of lateral jaw resections on complication rates. Arch Otolaryngol Head Neck Surg 1999; 125: 68-72
  • 3 Cordeiro P, Hidalgo D. Soft tissue coverage of mandibular reconstruction plates. Head Neck 1994; 16: 112-115
  • 4 Ellis E, Muniz O, Anand K. Treatment considerations for comminuted mandibular fractures. J Oral Maxillofac Surg 2003; 61: 861-870
  • 5 Gellrich NC, Suarez-Cunqueiro MM, Otero-Cepeda XL et al. Comparative study of locking plates in mandibular reconstruction after ablative tumor surgery: THORP versus UniLOCK system. J Oral Maxillofac Surg 2004; 62: 186-193
  • 6 Goh BT, Lee S, Tideman H et al. Mandibular reconstruction in adults: a review. Int J Oral Maxillofac Surg 2008; 37: 597-605
  • 7 Herford AS, Ellis E. Use of a locking reconstruction bone plate/screw system for mandibular surgery. J Oral Maxillofac Surg 1998; 56: 1261-1265
  • 8 Katakura A, Shibahara T, Noma H et al. Material analysis of AO plate fracture cases. J Oral Maxillofac Surg 2004; 62: 348-358
  • 9 Klotch DW, Gal TJ, Gal RL. Assessment of plate use for mandibular reconstruction: has changing technology made a difference?. Otolaryngol Head Neck Surg 1999; 121: 388-392
  • 10 Lavertu P, Wanamaker JR, Bold EL et al. The AO system for primary mandibular reconstruction. Am J Surg 1994; 168: 503-507
  • 11 Lethaus B, Poort L, Bockmann R et al. Additive manufacturing for microvascular reconstruction of the mandible in 20 patients. J Craniomaxillofac Surg 2012; 40: 43-46
  • 12 Lopez R, Dekeister C, Sleiman Z et al. Mandibular reconstruction using the titanium functionally dynamic bridging plate system: a retrospective study of 34 cases. J Oral Maxillofac Surg 2004; 62: 421-426
  • 13 Martola M, Lindqvist C, Hanninen H et al. Fracture of titanium plates used for mandibular reconstruction following ablative tumor surgery. J Biomed Mater Res B Appl Biomater 2007; 80: 345-352
  • 14 Metzger MC, Vogel M, Hohlweg-Majert B et al. Anatomical shape analysis of the mandible in Caucasian and Chinese for the production of preformed mandible reconstruction plates. J Craniomaxillofac Surg 2011; 39: 393-400
  • 15 Nicholson RE, Schuller DE, Forrest LA et al. Factors involved in long- and short-term mandibular plate exposure. Arch Otolaryngol Head Neck Surg 1997; 123: 217-222
  • 16 Probst FA, Mast G, Ermer M et al. MatrixMANDIBLE preformed reconstruction plates – a two-year two-institution experience in 71 patients. J Oral Maxillofac Surg 2012; Aug 3 [Epub ahead of print]
  • 17 Raveh J, Stich H, Sutter F et al. Use of the titanium-coated hollow screw and reconstruction plate system in bridging of lower jaw defects. J Oral Maxillofac Surg 1984; 42: 281-294
  • 18 Schmoker R, Spiessl B, Mathys R. A total mandibular Plate to Bridge large Defects of the Mandible. In: Spiessl B, ed. New Concepts in maxillofacial Bone Surgery. Berlin: Springer; 1976: 381-398
  • 19 Schöning H, Emshoff R. Primary temporary AO plate reconstruction of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 86: 667-672
  • 20 Schupp W, Arzdorf M, Linke B. Biomechanical testing of different osteosynthesis systems for segmental resection of the mandible. J Oral Maxillofac Surg 2007; 65: 924-930
  • 21 Shibahara T, Noma H, Furuya Y. Fracture of mandibular reconstruction plates used after tumor resection. J Oral Maxillofac Surg 2002; 60: 182-185
  • 22 Wong RC, Tideman H, Kin L et al. Biomechanics of mandibular reconstruction: a review. Int J Oral Maxillofac Surg 2010; 39: 313-319