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Comparative Assessment of Microplates with Miniplates in the Fixation of Midface Fractures: A Prospective Study

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Abstract

Aim

The aim of this study was to compare the treatment outcome following fixation of midface fractures with microplates to that of miniplates.

Materials and Methods

The prospective study included 30 patients with confirmed diagnosis of midface fractures (Le Fort I, II, III, ZMC fractures or combination) and who gave written informed consent. The patients were categorized into microplate (1.2 mm) group and miniplate (2.0 mm) group with 15 patients in each group using computer-generated randomization. The clinical parameters like occlusion, stability of fixation, chewing efficiency, pain, infection, paresthesia, plate exposure, palpability, aesthetic outcomes and patient’s perspective were assessed on postoperative day 1, day 3, after 1 week, 1 month and after 3 months.

Results

There was no statistically significant difference between the two groups in terms of occlusion, stability of fixation, chewing efficiency, pain, infection, paresthesia, plate exposure, aesthetic outcomes and patient’s perspective. One patient in microplate group and five patients in miniplate group complained of plate palpability (P = 0.16), suggesting clinically significant difference but statistically no significant difference.

Conclusion

Microplate osteosynthesis gives equivalent results compared to miniplate osteosynthesis, in the fixation of midface fractures in terms of stability and function and clinically superior in terms of aesthetics.

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Data Availability

Not applicable.

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Acknowledgements

We would like to thank Dr. Amit Thakur for helping us in the statistical analysis of the study.

Funding

This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Gnanagangothri Campus, MSRIT Post, MSR Nagar, Bengaluru, Karnataka, 560054, India

    Tanvy Sansgiri, Kavitha Prasad, Vineeth Kumar, K. Ranganath, B. R. Rajanikanth, K. M. Sejal, Parimala Sagar & G. Prathibha

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  1. Tanvy Sansgiri
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  2. Kavitha Prasad
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  3. Vineeth Kumar
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  4. K. Ranganath
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  5. B. R. Rajanikanth
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  6. K. M. Sejal
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  7. Parimala Sagar
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  8. G. Prathibha
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Corresponding author

Correspondence to Tanvy Sansgiri.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

Ethical approval for the study was obtained from the University Ethics Committee for Human Trials of M S Ramaiah University of Applied Sciences and was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Sansgiri, T., Prasad, K., Kumar, V. et al. Comparative Assessment of Microplates with Miniplates in the Fixation of Midface Fractures: A Prospective Study. J. Maxillofac. Oral Surg. 21, 396–404 (2022). https://doi.org/10.1007/s12663-020-01453-5

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  • DOI: https://doi.org/10.1007/s12663-020-01453-5

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