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April 1988

Miniplate Osteosynthesis

Author Affiliations

Syracuse, NY

Arch Otolaryngol Head Neck Surg. 1988;114(4):373. doi:10.1001/archotol.1988.01860160015006

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Lawrence Marentette, MD, of the University of Minnesota, Minneapolis, presented his experience with miniplate fixation of facial bone fractures and osteotomies in 71 patients over a two-year period. One hundred thirty-seven miniplates were placed at 88 sites. Fifty-nine were placed in the mandible and the remainder were applied to other facial regions. The principles of miniplate fixation were presented. In the mandible, miniplates serve to neutralize the tension forces that physiologically occur, and thereby allow the natural compressive forces to serve to hold the fractured fragments together. The "ideal osteosynthesis line" that Maxime Champy found experimentally to indicate where mandibular miniplates should be applied was shown. Midfacial miniplates were applied along the solid bone of the piriform aperture, the lateral zygomaticomaxillary buttress, and in the orbital region.

His results were excellent, with no instances of osteomyelitis or nonunion occurring. Complications included one delayed union, three wound infections, and three wound

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