Head & Neck Surgery Medical University of South Carolina
Charleston, South Carolina, 29403, United States
NCT Number: NCT07245758
A retrospective post market follow up to confirm the safety and performance of Stryker's Customized Plates for Mandibular Reconstruction. The study is performed to confirm the product's performance and safety by systematically collecting clinical data on its use.
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Observational
Charleston, South Carolina, 29403, United States
This is a retrospective non-interventional post-market follow up aiming at confirming safety and performance of Stryker Customized Plates for Mandibular Reconstruction (CMRP) in the clinical setting. his study will include patients who have previously undergone a surgical procedure involving the Study Device, with surgical outcomes evaluated retrospectively. The Customized Mandible Recon Plate Kit is indicated for use in primary mandibular reconstruction with bone graft, temporary bridging until delayed secondary reconstruction and secondary mandibular reconstruction. Up to 3 investigational sites in US will be participating. Based on a non-inferiority study power calculation 80 subjects will be enrolled in the study. The primary outcome parameter evaluating successful reconstruction of the mandible without the need for unplanned revision surgery will be evaluated at all available follow-up timepoints of the included patients.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Primary or secondary reconstruction of the mandible using customized Mandible Reconstruction Plate (referred to as CMRP)
Time frame: Data collected at a single time point per patient in the course of 16 months
Rate of unplanned revision surgery determined by reviewing adverse events in patient medical charts after surgery. Used to document whether an unplanned revision surgery was required or not for each patient.
Time frame: Data collected at a single time point per patient in the course of 16 months.
Assessed by review of individual patient medical records that document the rate of satisfactory occlusion achieved with orthodontic treatment.
Time frame: Data collected at time points from patient medical charts in the course of 16 months.
Determined by adverse events reported from patient medical charts.
Time frame: Data collected at a single time point per patient in the course of 16 months.
Determined by adverse events reported from patient medical charts.
Time frame: Data collected at time points per patient in the course of 16 months.
Determined by adverse events reported from patient medical charts.
Time frame: Data collected at time points per patient in the course of 16 months.
Determined by adverse events reported from patient medical charts.
Time frame: Data collected at time points point per patient in the course of 16 months.
Determined by rate of adverse events reported from patient medical charts involving plate or screw fracture.
Time frame: Data collected at a single time point per patient in the course of 16 months.
Time patients are operated (dd:hh)
Time frame: Data collected at a single time point per patient in the course of 16 months.
Time for patient to return to solid food/normal diet post operation (dd)
Time frame: Data collected at a single time point per patient in the course of 16 months.
Time the patient was hospitalized post procedure (dd:hh)
Time frame: Data collected at time points per patient in the course of 16 months.
A descriptive system and a visual analogue scale (VAS). The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, each with three to five levels of severity. The VAS provides a subjective rating of overall health on a scale from 0 to 100 (higher is better)).
Time frame: Data collected during the course of 16 months.
Questionnaire only for medically trained professionals on site staff using the device. Questions relate to subjective rating of ease of use by the surgeon if compared to stock plates (evaluated per treating surgeon, not per patient). Questionnaire is qualitative response regarding the ease of use of the device.
Time frame: Data collected at time points per patient in the course of 16 months.
Fit of implant Time for adaptations
Time frame: Data collected at time points per patient in the course of 16 months.
40 independently functioning scales and checklists. Multiple independent scales, each with a 0-100 score, where higher scores indicate better outcomes. Scores are calculated by summing responses on a 4-point Likert scale (e.g., strongly disagree to strongly agree), which are then converted to the 0-100 range. Each scale measures a specific aspect of facial appearance, quality of life, or adverse effects and cannot be summed into a single total score.
Time frame: Data collected at time points per patient in the course of 16 months.
12 items grouped and scored to produce two separate summary scores: the Physical Component Summary (PCS-12) and the Mental Component Summary (MCS-12). The scale is transformed to a 0-100 range with higher scores indicating better health.
Time frame: Data collected at time points per patient in the course of 16 months.
The visual analogue scale (VAS) is a psychometric response scale. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain.
Time frame: Data collected at a single time point per patient in the course of 16 months.
Ischemia time (dd:hh)
Time frame: Data collected at time points per patient in the course of 16 months.
Number of maxillo-mandibular fixation procedures (number per patient).
Time frame: Data collected at a single time point per patient in the course of 16 months.
Post operative follow up time for patients within standard of care. Reported in patient medical charts during hospital follow up visits.
Time frame: Data collected at a single time point per patient in the course of 16 months.
Type of flap used: vascularized fibula flap, vascularized scapula flap, vascularized iliac crest flap, avascularized fibula flap, avascularized scapula flap, avascularized iliac crest flap, others
Time frame: Data collected at time points per patient in the course of 16 months.
Exposure of patient to radiation therapy within 12 months around the surgery date recorded in patient medical charts.
Radiation therapy performed on the anatomical area treated with the device. Any postoperative radiation therapy recorded in patient medical charts.
Time frame: Data collected at time points per patient in the course of 16 months.
Data for dental reconstruction collected from patient medical charts.
Time frame: Data collected at a single time point per patient in the course of 16 months.
Sterilization method used for the device.
Time frame: Data collected at a single time point per patient in the course of 18 months.
System used to fix the device during the procedure. Stryker Universal Mandible System; other
Types and number of screws
Time frame: Data collected at a single time point per patient in the course of 16 months.
2.0 or 2.8 plates used Hemi or full reconstruction plate used
Time frame: Data collected at a single time point per patient in the course of 16 months.
Age (years)
Time frame: Data collected at a single time point per patient in the course of 16 months
Responses: Male, Female, undifferentiated, unknown
Time frame: Data collected at a single time point per patient in the course of 16 months.
Diagnosis collected from patient medical charts.
Time frame: Data collected at a single time point per patient in the course of 16 months.
Surgical approach taken for the procedure. Including: transoral; transbuccal; submandibular; preauricular; other
Time frame: Data collected at time points per patient in the course of 16 months.
Descriptive data of any underlying medical conditions and medications recorded in patient medical charts that may be related to the device or primary outcome (qualitative measure).
Time frame: Data collected at time points point per patient in the course of 16 months
Type of reconstruction procedure performed (e.g. immediately or after an initial surgery).
Time frame: Data collected at time points point per patient in the course of 16 months.
Area to treated by the device: mandibular ramus; mandibular body; mandibular condyle; parasymphysis; paramedian; other
Time frame: Data collected at a single time point per patient in the course of 16 months.
Height (cm, feet, inches)
Time frame: Data collected at a single time point per patient in the course of 16 months.
Weight (kg, lb)
Time frame: Data collected at time points per patient in the course of 16 months.
Year smoking was stopped (YYYY)
Time frame: Data collected at time points per patient in the course of 16 month
The frequency of exposure to smoking during periods of smoking (average number of cigarettes per day).
Time frame: Data collected at time points per patient in the course of 16 month
Duration of smoking (pack years)
Time frame: Data collected at time points per patient in the course of 16 month
Total number of years active smoker (YY)
Stryker Craniomaxillofacial
Industry
Stryker Customized Plates for Mandibular Reconstruction: A Retrospective Post Market Follow Up to Confirm Safety and Performance of Facial iD Customized Mandible Reconstruction Plates
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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