Fixation of Le Fort I Osteotomies With Poly- dl -Lactic Acid Mesh and Ultrasonic Welding—A New Technique

• Published in: Journal of oral and maxillofacial surgery Vol. 70; no. 5; pp. 1139 - 1144
• Main Authors: Meara, Daniel J., MS, MD, DMD, Knoll, Michael R., DDS, MD, Holmes, Jon D., DMD, MD, Clark, D. Mark, DMD, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2012; Elsevier
• Subjects: Absorbable Implants; Adolescent; Adult; Aged; Biocompatible Materials - chemistry; Biological and medical sciences; Bone Nails; Bone Plates; Bone Screws; Bone Wires; Dentistry; Equipment Design; Female; Follow-Up Studies; Humans; Intraoperative Complications; Lactic Acid - chemistry; Male; Malocclusion - surgery; Maxilla - surgery; Medical sciences; Middle Aged; Orthognathic Surgical Procedures - instrumentation; Orthopedic Fixation Devices; Orthopedic surgery; Osteotomy, Le Fort - instrumentation; Otorhinolaryngology. Stomatology; Polyesters; Polymers - chemistry; Postoperative Complications; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgical Mesh; Titanium - chemistry; Ultrasonics; Welding - methods; Young Adult; Fixation; Treatment; Osteotomy; Stomatology; Surgery; Maxillary; Mesh; Lactic acid; Technique

Purpose This report describes a technique for use of resorbable mesh (Resorb-X) and an ultrasonic sonotrode unit (SonicWeld Rx) to bond a pin (SonicPin Rx) to the mesh and underlying bone for Le Fort I osteotomy fixation, precluding the need to tap, shortening the time needed for fixation, and elimi...