Surgical Management of Edentulous Atrophic Mandible Fractures in the Elderly
نویسندگان
چکیده
Fractures of the mandible occur with a greater frequency in the elderly. This study reports three cases of edentulous atrophic mandible fracture in elderly patients treated with open reduction technique. Three patients who presented with edentulous atrophic mandible fractures underwent surgical management using open reduction and internal fixation. After treatment, clinical evaluations and postoperative complications were examined with postoperative x-ray. Patients were followed with clinical and radiographic examinations. In the postoperative clinical evaluation, two male patients healed well, but one female patient complained of pain and swelling. In radiographic examinations, no union delay or lack of fusion was observed in the edentulous area. Open reduction technique is a viable treatment option for the edentulous atrophic mandible fractures in geriatric patients.
منابع مشابه
The Role of Lingual Bone Grafting in the Treatment of Displaced Edentulous Mandibular Fracture with Severe Atrophy
Introduction: Treatment of edentulous atrophic mandible with severe atrophy is a challenge based on local conditions and systemic diseases confronted by the age group affected. If bone grafting is indicated, it is often used in lateral or inferior aspects of the mandible. Case Report: A 70-year-old male with a unilateral fracture of the atrophied left mandibular body was managed by lingual bon...
متن کاملClinical Controversies in Oral and Maxillofacial Surgery: Part Two
Atrophic edentulous mandible fractures represent a subset of facial injuries that are more commonly sustained by older victims. Perioperative management of the acutely injured elderly patient is different from the management of younger patients, and is often described as more complex.1,2 Physiologic and anatomic changes attendant to complete edentulism in the mandible, and the metabolic effects...
متن کاملIntraoral extra-mucosal fixation of fractures in the atrophic edentulous mandible.
Atrophy of the mandible leads to a decrease in the bone mass, making it more vulnerable to fractures. A direct relationship has been demonstrated between the height of the bone in the area of the fracture and the incidence of postoperative complications of bone healing. Basic principles of fracture management in both edentulous and non edentulous patients are open reduction and internal fixatio...
متن کاملSurgical treatment of the atrophic mandibular fractures by locked plates systems: our experience and a literature review.
The management of atrophic mandibular fractures in edentulous patients represents an insidious issue for the maxillofacial surgeon due to the biological and biomechanical conditions that are unfavorable for fracture fixation and bone healing. The purpose of this study was to evaluate the results of the treatment of atrophic mandibular fractures and to compare the outcomes of different plating s...
متن کاملEvaluating the biomechanical effects of implant diameter in case of facial trauma to an edentulous atrophic mandible: a 3D finite element analysis
BACKGROUND Rehabilitation using an implant supported overdenture with two implants inserted in the interforaminal region is the easiest and currently accepted treatment modality to increase prosthetic stabilization and patient satisfaction in edentulous patients. The insertion of implants to the weakend mandibular bone decreases the strength of the bone and may lead to fractures either during o...
متن کامل