Open reduction and internal fixation of palatal fractures using three-dimensional plates

The maxilla is arguably the most anatomically intricate structure of the craniofacial skeleton, and the hard palate is an important bone that regulates the width and architecture of the face. The management of palatal fractures has long been a matter of debate, and varies with anatomical pattern and...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2018-06, Vol.56 (5), p.411-415
Main Authors: Karthik, R., Cynthia, S., Vivek, N., Prashanthi, G., Saravana Kumar, S., Rajyalakshmi, V.
Format: Article
Language:English
Subjects:
3D plates
Dentistry
Open reduction and internal fixation
Palatal fractures
titanium plates
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Summary:The maxilla is arguably the most anatomically intricate structure of the craniofacial skeleton, and the hard palate is an important bone that regulates the width and architecture of the face. The management of palatal fractures has long been a matter of debate, and varies with anatomical pattern and other injuries to the craniofacial skeleton. We have studied 18 palatal fractures during a five-year period that were treated using 3-dimensional rectangular plates placed across the palatal vault together with fixation of other fractures of the facial bones. Healing was satisfactory in all patients by 12weeks, with no complications. We think that open reduction and internal fixation of palatal fractures with 3-dimensional plates offers adequate stability with minimal complications.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2018.03.015