Table 4 Association of the factors that influence the removal of the plate.
From: Analysis of factors influencing the removal of titanium bone plates in maxillofacial trauma patients
Variable | Details | Persistent pain | Infection | Discomfort | Patient request E.G palpable | Plate exposure | Growing age | Surgeon recommendation E.G for MRI | Test value (df) | P-value |
---|---|---|---|---|---|---|---|---|---|---|
Gender | Male | 50.17 | 65.22 | 20.07 | 50.17 | 30.1 | 55.18 | 30.1 | 25.22 (6) | < 0.001 |
Female | 19.83 | 25.78 | 7.93 | 19.83 | 11.9 | 21.82 | 11.9 | |||
Occupation | Unemployed | 35 | 35 | 14 | 42 | 14 | 0 | 28 | 342.62 (18) | < 0.001 |
Employed | 14 | 35 | 7 | 28 | 21 | 0 | 14 | |||
Retired | 7 | 0 | 7 | 0 | 7 | 0 | 0 | |||
Student | 14 | 21 | 0 | 0 | 0 | 77 | 0 | |||
Time relapse since maxillofacial trauma | 6 months | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 257.28 (24) | < 0.001 |
6 months to 1 year | 7 | 42 | 7 | 7 | 14 | 0 | 21 | |||
Less than 6 months | 28 | 42 | 14 | 35 | 14 | 77 | 14 | |||
1 to 2 years | 0 | 7 | 7 | 14 | 0 | 0 | 0 | |||
More than 2 years | 28 | 0 | 0 | 14 | 14 | 0 | 7 | |||
Etiology of maxillofacial trauma | Road traffic accident | 42 | 35 | 14 | 28 | 0 | 21 | 7 | 273.24 (30) | < 0.001 |
Sport injury | 7 | 21 | 0 | 0 | 0 | 21 | 0 | |||
Physical assault | 14 | 7 | 7 | 14 | 21 | 14 | 28 | |||
Fall | 7 | 7 | 7 | 7 | 14 | 21 | 7 | |||
Industrial accident | 0 | 21 | 0 | 7 | 7 | 0 | 0 | |||
N/A | 0 | 0 | 0 | 14 | 0 | 0 | 0 | |||
History of previous surgery | No | 50.17 | 65.22 | 20.07 | 50.17 | 30.1 | 55.18 | 30.1 | 26.59 (6) | < 0.001 |
Yes | 19.83 | 25.78 | 7.93 | 19.83 | 11.9 | 21.82 | 11.9 | |||
If yes specify the type of surgery | No | 49 | 77 | 21 | 42 | 28 | 63 | 21 | 128.29 (24) | < 0.001 |
Trauma surgery | 14 | 7 | 7 | 14 | 0 | 14 | 14 | |||
Other .c section | 0 | 7 | 0 | 0 | 7 | 0 | 0 | |||
Tumor resection | 7 | 0 | 0 | 7 | 7 | 0 | 7 | |||
Orthognatic surgery | 0 | 0 | 0 | 7 | 0 | 0 | 0 | |||
Anatomical location of titanium plate | Mandible bone | 21 | 63 | 0 | 35 | 0 | 35 | 7 | 264.84 (24) | < 0.001 |
Maxilla | 28 | 0 | 21 | 14 | 14 | 14 | 7 | |||
Zygomatic bone | 21 | 7 | 0 | 7 | 21 | 28 | 21 | |||
Orbital bone | 0 | 7 | 0 | 14 | 7 | 0 | 7 | |||
Nasal bone | 0 | 14 | 7 | 0 | 0 | 0 | 0 | |||
Type of titanium plate used | Miniplate | 21 | 63 | 0 | 35 | 0 | 35 | 7 | 138.83 (12) | < 0.001 |
Microplate | 49 | 21 | 28 | 21 | 35 | 42 | 28 | |||
Reconstruction plate | 0 | 7 | 0 | 14 | 7 | 0 | 7 | |||
Duration since the insertion of titanium bone plate | 6 months | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 257.28 (24) | < 0.001 |
6 months to 1 year | 7 | 42 | 7 | 7 | 14 | 0 | 21 | |||
Less than 6 months | 28 | 42 | 14 | 35 | 14 | 77 | 14 | |||
1 to 2 years | 0 | 7 | 7 | 14 | 0 | 0 | 0 | |||
More than 2 years | 28 | 0 | 0 | 14 | 14 | 0 | 7 | |||
Type of material of plate | Titanium alloy | 49 | 70 | 14 | 28 | 35 | 42 | 0 | 180.26 (12) | < 0.001 |
Pure titanium | 14 | 14 | 14 | 42 | 7 | 7 | 21 | |||
Unknown | 7 | 7 | 0 | 0 | 0 | 28 | 21 | |||
Have you undergone the removal of titanium plate | Yes | 70 | 91 | 28 | 70 | 28 | 77 | 42 | 130.34 (6) | < 0.001 |
No | 0 | 0 | 0 | 0 | 14 | 0 | 0 | |||
If infection was the primary reason please specify the type and location of infection | No | 70 | 0 | 28 | 63 | 42 | 77 | 35 | 359.31 (18) | < 0.001 |
Localized infection | 0 | 70 | 0 | 7 | 0 | 0 | 7 | |||
Chronic infection | 0 | 7 | 0 | 0 | 0 | 0 | 0 | |||
Systemic infection | 0 | 14 | 0 | 0 | 0 | 0 | 0 | |||
If the plate expore was the reason please specify the nature and extent of exposure | Both | 14 | 70 | 0 | 0 | 28 | 7 | 0 | 292.76 (12) | < 0.001 |
No | 56 | 0 | 28 | 63 | 0 | 56 | 35 | |||
Soft tissue | 0 | 21 | 0 | 7 | 14 | 14 | 7 | |||
Were there any additional reason contributing to the decision for plate removal | No | 49 | 0 | 28 | 28 | 14 | 7 | 35 | 547.98 (24) | < 0.001 |
Bone healing complication | 7 | 84 | 0 | 14 | 28 | 0 | 7 | |||
Plate fracture | 14 | 7 | 0 | 14 | 0 | 14 | 0 | |||
Allergic reaction to titanium | 0 | 0 | 0 | 14 | 0 | 14 | 0 | |||
Damage to adjacent structures E.G Teeth | 0 | 0 | 0 | 0 | 0 | 42 | 0 | |||
Postoperative complication following the removal of titanium bone plate | Pain | 21 | 7 | 14 | 21 | 28 | 28 | 14 | 357.25 (18) | < 0.001 |
Infection | 0 | 70 | 7 | 14 | 0 | 0 | 7 | |||
Non-healing wound | 0 | 0 | 0 | 0 | 0 | 28 | 0 | |||
None | 49 | 14 | 7 | 35 | 14 | 21 | 21 | |||
Was there any requirement for the additional surgery following the removal of plate | Yes | 70 | 84 | 28 | 70 | 14 | 77 | 35 | 179.69 (6) | < 0.001 |
No | 0 | 7 | 0 | 0 | 28 | 0 | 7 | |||
Satisfaction with outcome of plate removal surgery | Satisfied | 35 | 56 | 0 | 49 | 0 | 14 | 35 | 222.5 (18) | < 0.001 |
Neutral | 21 | 0 | 14 | 7 | 0 | 21 | 0 | |||
Very satisfied | 14 | 21 | 7 | 14 | 28 | 21 | 7 | |||
Dissatisfied | 0 | 14 | 7 | 0 | 14 | 21 | 0 |