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Treatment of refractory non-union after maxillary osteotomy: A case report
Abstract
Maxillary non-union is a rare complication that occurs after an orthognathic surgery such as Le Fort I osteotomy. Here, we report a case of refractory non-union after maxillary osteotomy, which required a second surgery with bone graft. A 33-year-old man who had undergone bimaxillary osteotomy complained of an abnormal sensation in the right alar part about 1 year after the surgery. The patient was diagnosed as having maxillary non-union. Although surgical stabilization was performed using titanium plates, the non-union remained. The re-fusion surgery was performed about 3 years after the bimaxillary osteotomy with autologous bone graft using a biodegradable fixation system. At the 1-year follow up, the maxillary non-union was healed both clinically and radiographically. Re-fusion surgery using bone graft with biodegradable fixation might be an effective treatment option in cases of prolonged non-union that becomes evident after a long period following the initial maxillary osteotomy.
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Cited by 3
Research works printed but not linked: 9
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- Yang, 2014, Skeletal stability of bioresorbable fixation in orthognathic surgery: a systematic review, J Craniomaxillofac Surg, 42, e176, 10.1016/j.jcms.2013.08.003 · doi:10.1016/j.jcms.2013.08.003
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Metadata
- Authors
- Kurohara, K., Tomomatsu, N., Nakakuki, K., Sakuma, T., Arai, N., & Yoda, T.
- Venue
- Journal of Stomatology, Oral and Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 120
- Issue
- 5
- Pages
- 493-496
- ISSN
- 2468-7855
- Cited by
- 3
- Language
- en
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
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- Kurohara, K., Tomomatsu, N., Nakakuki, K., Sakuma, T., Arai, N., & Yoda, T. (2019). Treatment of refractory non-union after maxillary osteotomy: A case report. Journal of Stomatology, Oral and Maxillofacial Surgery. https://doi.org/10.1016/j.jormas.2018.11.017
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