Optimal and Efficient Management of Mandibular Fractures
نویسندگان
چکیده
The aim of the study was to find out whether eliminating intraoperative intermaxillary fixation from the management of mandibular fractures has any bearing on treatment outcomes. A retrospective study was carried out on 53 mandibular fractures treated at Margalla Institute of Health Sciences and its affiliated hospitals from June 2010 to December 2014. Successful bone healing, occlusion and complications were assessed in mandibular fractures treated with open reduction and internal fixation and without the use of intraoperative intermaxillary fixation. Minor wound dehiscence was seen in 7 patients. 3 patients required hardware removal due to subsequent hardware failure; however no case of nonunion was seen. Clinically significant malocclusion (Moderate: Grade 2) was seen in only one patient after 3 months. There were negligible and comparable number of postoperative complications. It was concluded ‘hand holding’ of the mandibular fractures as an alternative to the more traditional IMF/MMF through various means, a reliable and predictable way of fixation of mandibular fractures.
منابع مشابه
Surgical treatment and a unique management of rostral mandibular fracture with cerclage wire in a horse
A 3-year-old Arabian colt was presented for a major gingiva wound at the right rostral part of mandible. After clinical assessments, rostral mandibular fracture was determined. Stabilization of fractured region was achieved via cerclage wire application under general anesthesia. Fixation wires were left in place for 6 weeks. A 3 -month follow up revealed complete fracture healing. The purpose o...
متن کاملمقایسه نتایج درمانی روشهای بسته و باز در ترمیم شکستگی کندیل فک تحتانی
ABSTRACT Mandibular condyle fractures are relatively common. Because of longterm morbidity of temporomandibular joint dysfunction and ankylosis, correct management of these fractures are very important. The contraversy between closed and open approaches, has not yet been solved in the management of these fractures. In this article, we reviewed 302 cases of mandibular fractures since 19...
متن کاملTreatment of Mandibular Angle Fractures
The management of mandibular angle fractures is often challenging and results in the highest complication rate among fractures of the mandible. In addition, the optimal treatment modality for angle fractures remains controversial. Traditional treatment protocols for angle fractures have involved rigid fixation with intraoperative maxillomandibular fixation (MMF) to ensure absolute stability. Ho...
متن کاملSurgical Management of Unusual Biangular Mandibular Fractures
Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the third molar in the fracture line, the best surgical approach, and the fixation methods. In this rep...
متن کاملManagement of Mandibular Fractures from Penetrating Trauma
Gunshot wound injuries to the face result in a varied scope of traumatic injuries. Mandible fractures may occur through this mechanism of injury, however when caused by firearms, the patterns of fracture and overall composite defects resulting are unique. The velocity of the weapon and the distance from which the injury occurred often determines the extent of injury produced from the penetratin...
متن کامل