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KMID : 0364519950070010001
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Dong-A Journal Medicine
1995 Volume.7 No. 1 p.1 ~ p.10
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Rigid Fixation in the Craniomaxillofacial Surgery
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Abstract
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Classically, osteosynthesis of the facial skeleton has been performed using interosseous wire. But in 1886, Hausmann immobilized bone segment with a three hole plate, and since the, reports have appeared on the use of miniplates of various design
for
both mandibular and maxillary fractures.
At the first, miniplates were in fracture of the body of the mandible in the edentulous patient. They also may be used as an aid to stabilization of complex comminuted cranial and maxillary fractures. Additional uses of this type of fixation are
in
craniofacial osteotomies and in the stabilization of free bone grafts and free vascularized bone transfers, in bone fracture of hand and foot. Thus rigid fixation became the fundamental plastic surgical technique.
The effects of rigid fixation on the growing craniofacial skeleton are not fully delineated and a concen remains that rigid plate fixation may cause local growth restriction.
Rigid fixation has been exciting major advance in craniomaxillofacial surgery. An exciting future possibility is construction of rigid fixation system made of resorptable plates and screws.
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KEYWORD
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