Plate+ screw fixed VS wire fixation during cheekbone surgery
Plate+ screw fixed VS wire fixation during cheekbone surgery
Last week, one patient came to see me for a cheekbone surgery.
During the consultation, she asked me if I was going to use screw or wire when I fix her cheekbones.
She has heard that wire fixings are generally weak, and she'd been wondering if it's okay to fix them with wire during the cheekbone surgery. As a specialist, I'll tell you more about the wire fixation of cheekbone surgery.
Truth of fixation with screw and plate VS wire
Any fixation is based entirely on the judgment of the operating physician. Although each fixation has its own characteristics, the degree of fixation varies a lot depending on how the fixings are used, so we can't simply say which fixings are better. In conclusion, it's more important to know how to apply the fixings specifically, rather than what kind of material you're using.
In conclusion, I use wires to fix both the front and the rear of the cheekbone.
Now I'll explain why I use wire and what I'm doing with wire fixation.
1. Can't be touched.
Plate fixings, especially those in front of the ear, can be easily touched and, in some cases, can protrude outside. They can be touched at the front of your ear very well, especially when you don't like the hard feeling of the metal. In contrast, wire fixings are not touched from the outside even when they are fixed in the front of the ear.
2. The amount of detachment is smaller than the plate, which is effective in preventing sagging cheeks.
The area required for fixing is significantly smaller than those for plate fixing. In particular, the broad exfoliation of the cheekbones' body is associated with sagging, which can be minimized.
The picture below shows the front of the fixed part of the cheekbones, the left side is a fixed part with a four-hole plate and a screw, and the right side is a fixed part with wires, which is how I fix it. In the current picture, the right side of the fastening is especially low. This part has a very strong bone and skin. If there is a lot of flaking, the risk of sagging increases. When I wire it, it's able to hold it with little or no strain. On the other hand, fixings using the plate on the left require quite a bit of the cheekbone.
3. Compared to plates, it is hard to be seen in X-rays.
As shown in the figure below, the wire is less visible on the X-ray with a smaller amount of fixings than on the plate. There are a lot of people who care about what they see on the X-ray, and that's why they remove the pin, and the wire is visible on the X-ray, but it's much less visible than the plate.
4. Easy to remove than plate fixation
People usually remove fixation to a matter of those can be seen from the X-rays. Fixation using plates and screws are often difficult to remove after more than several years of surgery. On the contrary, wire removal is much more easier to remove.
5.Can be fixed more closely from the bones in contact in the process of induction.
The wire itself is fixed by pulling the bones of both sides together. In other words, inevitably, pulling on both sides of the bones in the process dictate that the wire fixed. You can do more closely in the process of the contact of bone, the induction. On the other hand, the plate and screw fixings may not be in contact due to the movement of the bones.
6. Have enough force to holdIn front of the ear, wires are more secure than the usual thin plates and screws. After surgery, the fixing plate in front of the ear often breaks by the external force.
In the front fixings, the wire fixation I do has a fixed force similar to the four screws I put into the four-hole mini-plate. Since cheekbones are not weighted bones, it is generally believed that a fixed force of four-red mini-plate fixing would be sufficient.
Not all wire fixings are very strong, but bone incisions must be accurate first to have good fixation. If they are cut in a crooked way, it's hard to make a close contact and hard to fix it to the correct area of the force. If the bone is secured to a weak area, the fixture itself may fall out. Detailed types of fixtures are also important. I use different wires to fix cheekbones. The front fixings need to have more force, so I use thicker and stronger wire than the wires that hold the back, giving them a greater grip.
So I've been talking about fixing wires for cheekbone reduction surgery. The fixation that I do is the fixation method by the know-how that comes from a lot of surgical procedures.
Don't just have the preconception that it's good or bad to use any kind of fixation because there are so many know-hows and methods to use them well.
Last week, one patient came to see me for a cheekbone surgery.
During the consultation, she asked me if I was going to use screw or wire when I fix her cheekbones.
She has heard that wire fixings are generally weak, and she'd been wondering if it's okay to fix them with wire during the cheekbone surgery. As a specialist, I'll tell you more about the wire fixation of cheekbone surgery.
Truth of fixation with screw and plate VS wire
Any fixation is based entirely on the judgment of the operating physician. Although each fixation has its own characteristics, the degree of fixation varies a lot depending on how the fixings are used, so we can't simply say which fixings are better. In conclusion, it's more important to know how to apply the fixings specifically, rather than what kind of material you're using.
In conclusion, I use wires to fix both the front and the rear of the cheekbone.
Now I'll explain why I use wire and what I'm doing with wire fixation.
1. Can't be touched.
Plate fixings, especially those in front of the ear, can be easily touched and, in some cases, can protrude outside. They can be touched at the front of your ear very well, especially when you don't like the hard feeling of the metal. In contrast, wire fixings are not touched from the outside even when they are fixed in the front of the ear.
2. The amount of detachment is smaller than the plate, which is effective in preventing sagging cheeks.
The area required for fixing is significantly smaller than those for plate fixing. In particular, the broad exfoliation of the cheekbones' body is associated with sagging, which can be minimized.
The picture below shows the front of the fixed part of the cheekbones, the left side is a fixed part with a four-hole plate and a screw, and the right side is a fixed part with wires, which is how I fix it. In the current picture, the right side of the fastening is especially low. This part has a very strong bone and skin. If there is a lot of flaking, the risk of sagging increases. When I wire it, it's able to hold it with little or no strain. On the other hand, fixings using the plate on the left require quite a bit of the cheekbone.
<Plate fixation> <Wire fixation>
3. Compared to plates, it is hard to be seen in X-rays.
As shown in the figure below, the wire is less visible on the X-ray with a smaller amount of fixings than on the plate. There are a lot of people who care about what they see on the X-ray, and that's why they remove the pin, and the wire is visible on the X-ray, but it's much less visible than the plate.
4. Easy to remove than plate fixation
People usually remove fixation to a matter of those can be seen from the X-rays. Fixation using plates and screws are often difficult to remove after more than several years of surgery. On the contrary, wire removal is much more easier to remove.
5.Can be fixed more closely from the bones in contact in the process of induction.
The wire itself is fixed by pulling the bones of both sides together. In other words, inevitably, pulling on both sides of the bones in the process dictate that the wire fixed. You can do more closely in the process of the contact of bone, the induction. On the other hand, the plate and screw fixings may not be in contact due to the movement of the bones.
6. Have enough force to holdIn front of the ear, wires are more secure than the usual thin plates and screws. After surgery, the fixing plate in front of the ear often breaks by the external force.
In the front fixings, the wire fixation I do has a fixed force similar to the four screws I put into the four-hole mini-plate. Since cheekbones are not weighted bones, it is generally believed that a fixed force of four-red mini-plate fixing would be sufficient.
Not all wire fixings are very strong, but bone incisions must be accurate first to have good fixation. If they are cut in a crooked way, it's hard to make a close contact and hard to fix it to the correct area of the force. If the bone is secured to a weak area, the fixture itself may fall out. Detailed types of fixtures are also important. I use different wires to fix cheekbones. The front fixings need to have more force, so I use thicker and stronger wire than the wires that hold the back, giving them a greater grip.
So I've been talking about fixing wires for cheekbone reduction surgery. The fixation that I do is the fixation method by the know-how that comes from a lot of surgical procedures.
Don't just have the preconception that it's good or bad to use any kind of fixation because there are so many know-hows and methods to use them well.
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