Review of risk factors for metal plate removal following bilateral sagittal split osteotomy

Context: Implanted metal plates are often used to fix facial bones during surgery for facial deformities. Usually these plates will be left in position for life, but sometimes they may cause discomfort or infections and require removal. Further understanding of the risk factors for plate removal may help to avoid this complication of surgery. Aims: To determine whether the size and direction of lower jaw movement in corrective surgery affects whether metal plates have to be subsequently removed.