Author Topic: Genioplasty with wires  (Read 70 times)

Meefly

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Genioplasty with wires
« on: January 19, 2018, 09:04:04 AM »
Hi

Just wondered if any learned people know the pros/cons of surgeons still using wires to fixate the bone rather than the more widely used plates and screws these days; was there any particular reason for the move to titanium plates?  Does using wires preclude the surgeon from making certain bone cuts or certain movements of the chin?

Thanks

kavan

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Re: Genioplasty with wires
« Reply #1 on: January 19, 2018, 11:38:58 AM »
Hi

Just wondered if any learned people know the pros/cons of surgeons still using wires to fixate the bone rather than the more widely used plates and screws these days; was there any particular reason for the move to titanium plates?  Does using wires preclude the surgeon from making certain bone cuts or certain movements of the chin?

Thanks

Patients don't like having their 'mouths' wired shut for that long. Plates and screw fixation allows them to use their TEETH to CHEW much sooner than they could if things were all wired up.
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Meefly

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Re: Genioplasty with wires
« Reply #2 on: January 19, 2018, 12:50:22 PM »
Sorry I think I didn't phrase my question properly; I was referring to wires to secure the chin bone in a sliding genioplasty only, which I believe does not warrant wiring the jaw shut.

this is how the surgeon explains it on real self.

"Plates and screws are necessary for mandibular fractures and for ortognatic surgery of the jaw involvin major osteotomies; however the sliding genioplasty consists in an apical or marginal osteotomy affecting exslusively the chin and not any structural or support pillars of the jaw, neither its integrity, therefore no strong fixation is required; the piece of bone slided forward is tiny compared with the rest of the jaw and stands for no supporting forces or tractions, in addition the healing is amazingly quick and satisfactory in all cases. All this makes plates and screws unnecessary.

I use very thin steel wires to fix the piece, 2 or 3 anchors suffice, and they remain buried unther the osseous callus formed around the area. In my vast experience I never had a case of migration, intolerance or revomal was required. However a majority of plates and screws produce pain, irritation, disturbance, may migrate or need removal with years. I am talking about follow up times beyond 10 years, an additionally I never had one case of consolidation problems, pseudartrosis or infection."

kavan

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Re: Genioplasty with wires
« Reply #3 on: January 19, 2018, 04:17:37 PM »
OK, then they are probably 'K wires' which are good for what he told you they were good for.
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