Decision making in the use of absorbable fixation system in maxillofacial surgery: a systematic review
DOI:
https://doi.org/10.21270/archi.v10i7.5356Keywords:
Bone Plates, Surgical Fixation Devices, Absorbable ImplantsAbstract
Introduction: Facial bone fractures are very common in facial injuries, highlighting mandibular fractures. In order to treat them, it is necessary to have a fixation system in order to restore the fractured bone, its shape and function. Objective: To identify factors influencing the use of absorbable fixation systems in oral maxillofacial surgery. Material and method: This is a systematic review carried out in the MEDLINE, BBO and SciELO databases, from August 2019 to September 2020 in the portals of PubMed and VHL. Among the 322 findings and after using filters, reading titles and abstracts, 30 articles were included to compose the review. Results: The findings of the study reveal that there are a number of influential factors in the choice of the best material, such as: its application in pediatric or adult patients, the palpability of the plates, the resistance, the main measures of satisfaction, the involvement with malignant diseases, complications and the main novelties that the literature has been discussing about the type of material. Conclusion: The use of absorbable plates is advised for pediatric use, because they minimize the restrictions to growth, dispense the need for a secondary surgery, thus reducing hospital expenses. Besides that, the biodegradable plates originate imaging exams with fewer artifacts, so that it does not compromise the diagnosis of patients with cancer.
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