Abstract

Statement of the Problem: Invention of rigid fixation changed the conventional treatment and outcome of orthognathic surgery. In the management of orthognathic patients, rigid or semi-rigid stabilization of bony segments promotes osteosynthesis and bone consolidation without the need of long-term application of intermaxillary fixation. Titanium screws and plates are used traditionally to fixate the proximal and distal segments providing bone healing while maintaining the mandibular range of motion. Nevertheless, internal fixation in the form of titanium plate can develop complications, which often warrants the need for hardware removal after the consolidation period. The purpose of this retrospective study is to analyze the incidence, risk factors, and etiologies for removal of fixation plates used in semi-rigid internal fixation of bony segments in orthognathic surgery.

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