Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients
Abstract The removal of titanium plates after maxillofacial trauma is influenced by various patient- and plate-related factors. Understanding these factors can help improve surgical outcomes and minimize complications associated with plate retention or removal. The study employed a prospective cohor...
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Nature Portfolio
2025-07-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-025-96586-3 |
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| author | Maryam Gul Madeeha Gul Fawad Inayat Muhammad Jawad Ullah Mehreen Malik Noor Jehanzeb Numan Khan |
| author_facet | Maryam Gul Madeeha Gul Fawad Inayat Muhammad Jawad Ullah Mehreen Malik Noor Jehanzeb Numan Khan |
| author_sort | Maryam Gul |
| collection | DOAJ |
| description | Abstract The removal of titanium plates after maxillofacial trauma is influenced by various patient- and plate-related factors. Understanding these factors can help improve surgical outcomes and minimize complications associated with plate retention or removal. The study employed a prospective cohort design and was conducted over a period of 16 months, from June 2023 to October 2024 included 420 patients who underwent titanium plate removal following maxillofacial trauma. Patients were followed up at intervals of 1 week, 1 month, and 3 months postoperatively to evaluate surgical outcomes, functional recovery, and any long-term complications. Data on demographics, trauma characteristics, plate type, anatomical location, and postoperative outcomes were statistically evaluated using chi-square tests. Persistent pain (70%), infection (91%), and plate exposure (28%) were the most common reasons for plate removal. Gender (p < 0.001), occupation (p < 0.001), and trauma etiology (p < 0.001) significantly influenced outcomes. Mandibular plates (63%) and titanium alloy plates (70%) exhibited higher complication rates. Postoperative satisfaction was reported by 56% of patients, though 84% required additional surgeries (p < 0.001). This study identifies key factors influencing titanium plate removal and highlights the need for individualized treatment strategies to optimize patient outcomes and satisfaction. |
| format | Article |
| id | doaj-art-1b1d3cf6f96f401292fdf92288abca43 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-1b1d3cf6f96f401292fdf92288abca432025-08-20T03:45:48ZengNature PortfolioScientific Reports2045-23222025-07-0115111110.1038/s41598-025-96586-3Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patientsMaryam Gul0Madeeha Gul1Fawad Inayat2Muhammad Jawad Ullah3Mehreen Malik4Noor Jehanzeb5Numan Khan6Department of Oral and Maxillofacial Surgery, Lady Reading HospitalDepartment of Oral and Maxillofacial Surgery, Lady Reading HospitalDepartment of Biochemistry, Abdul Wali Khan UniversityDepartment of Allied Health Sciences, Iqra National UniversityAbbottabad International Medical InstituteDepartment of Oral and Maxillofacial Surgery, Lady Reading HospitalDepartment of Oral and Maxillofacial Surgery, Lady Reading HospitalAbstract The removal of titanium plates after maxillofacial trauma is influenced by various patient- and plate-related factors. Understanding these factors can help improve surgical outcomes and minimize complications associated with plate retention or removal. The study employed a prospective cohort design and was conducted over a period of 16 months, from June 2023 to October 2024 included 420 patients who underwent titanium plate removal following maxillofacial trauma. Patients were followed up at intervals of 1 week, 1 month, and 3 months postoperatively to evaluate surgical outcomes, functional recovery, and any long-term complications. Data on demographics, trauma characteristics, plate type, anatomical location, and postoperative outcomes were statistically evaluated using chi-square tests. Persistent pain (70%), infection (91%), and plate exposure (28%) were the most common reasons for plate removal. Gender (p < 0.001), occupation (p < 0.001), and trauma etiology (p < 0.001) significantly influenced outcomes. Mandibular plates (63%) and titanium alloy plates (70%) exhibited higher complication rates. Postoperative satisfaction was reported by 56% of patients, though 84% required additional surgeries (p < 0.001). This study identifies key factors influencing titanium plate removal and highlights the need for individualized treatment strategies to optimize patient outcomes and satisfaction.https://doi.org/10.1038/s41598-025-96586-3Maxillofacial traumaTitanium plate removalPostoperative complicationsPatient satisfactionPlate-related factors |
| spellingShingle | Maryam Gul Madeeha Gul Fawad Inayat Muhammad Jawad Ullah Mehreen Malik Noor Jehanzeb Numan Khan Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients Scientific Reports Maxillofacial trauma Titanium plate removal Postoperative complications Patient satisfaction Plate-related factors |
| title | Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients |
| title_full | Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients |
| title_fullStr | Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients |
| title_full_unstemmed | Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients |
| title_short | Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients |
| title_sort | analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients |
| topic | Maxillofacial trauma Titanium plate removal Postoperative complications Patient satisfaction Plate-related factors |
| url | https://doi.org/10.1038/s41598-025-96586-3 |
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