Treatment of Mandibular Fractures by Two Perpendicular Mini-Plates
Identifieur interne : 000270 ( Main/Exploration ); précédent : 000269; suivant : 000271Treatment of Mandibular Fractures by Two Perpendicular Mini-Plates
Auteurs : Amin Rahpeyma ; Saeedeh Khajehahmadi ; Sadegh Barkhori MehniSource :
- Iranian Journal of Otorhinolaryngology [ 2251-7251 ] ; 2014.
Abstract
In open reduction and internal fixation for the treatment of mandibular fracture, the fixation technique used is very important in reducing post-operative complications and promoting the healing process. This study assessed the results of fixation of the mandible using two mini-plates perpendicular to each other in the lower border of the mandible for fracture treatment.
Access to the fractures was via an extraoral approach (through existing scars or incisions). After reductions of mandibular fractures, the fracture line fixation was accomplished using two mini-plates perpendicular to each other. One-week intermaxillary fixation (IMF) was applied and 3 weeks of soft diet was recommended in the post-operative period. All patients were followed up for at least 1 year regarding infection and malocclusion.
Twenty-five patients (28 fracture lines) underwent this technique. Most (81.8%) patients were male and the mean age was 41.3±7.59 years (range, 17–73 years). Symphyseal fracture (frequency, 52%) was the most prevalent followed by angle (32%) and body (16%) fractures. Among the patients who underwent surgery, only one malocclusion and no cases of infection were observed. No cases of facial nerve weakness or damage were observed in this study.
Url:
PubMed: 24505572
PubMed Central: 3915067
Affiliations:
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Le document en format XML
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<author><name sortKey="Rahpeyma, Amin" sort="Rahpeyma, Amin" uniqKey="Rahpeyma A" first="Amin" last="Rahpeyma">Amin Rahpeyma</name>
<affiliation><nlm:aff id="aff1"><italic>Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.</italic>
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<author><name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name>
<affiliation><nlm:aff id="aff2"><italic>Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.</italic>
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<author><name sortKey="Barkhori Mehni, Sadegh" sort="Barkhori Mehni, Sadegh" uniqKey="Barkhori Mehni S" first="Sadegh" last="Barkhori Mehni">Sadegh Barkhori Mehni</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Treatment of Mandibular Fractures by Two Perpendicular Mini-Plates</title>
<author><name sortKey="Rahpeyma, Amin" sort="Rahpeyma, Amin" uniqKey="Rahpeyma A" first="Amin" last="Rahpeyma">Amin Rahpeyma</name>
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<author><name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name>
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<author><name sortKey="Barkhori Mehni, Sadegh" sort="Barkhori Mehni, Sadegh" uniqKey="Barkhori Mehni S" first="Sadegh" last="Barkhori Mehni">Sadegh Barkhori Mehni</name>
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<series><title level="j">Iranian Journal of Otorhinolaryngology</title>
<idno type="ISSN">2251-7251</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction:</title>
<p>In open reduction and internal fixation for the treatment of mandibular fracture, the fixation technique used is very important in reducing post-operative complications and promoting the healing process. This study assessed the results of fixation of the mandible using two mini-plates perpendicular to each other in the lower border of the mandible for fracture treatment. </p>
</sec>
<sec><title>Materials and Methods:</title>
<p>Access to the fractures was via an extraoral approach (through existing scars or incisions). After reductions of mandibular fractures, the fracture line fixation was accomplished using two mini-plates perpendicular to each other. One-week intermaxillary fixation (IMF) was applied and 3 weeks of soft diet was recommended in the post-operative period. All patients were followed up for at least 1 year regarding infection and malocclusion.</p>
</sec>
<sec><title>Results:</title>
<p>Twenty-five patients (28 fracture lines) underwent this technique. Most (81.8%) patients were male and the mean age was 41.3±7.59 years (range, 17–73 years). Symphyseal fracture (frequency, 52%) was the most prevalent followed by angle (32%) and body (16%) fractures. Among the patients who underwent surgery, only one malocclusion and no cases of infection were observed. No cases of facial nerve weakness or damage were observed in this study.</p>
</sec>
<sec><title>Conclusion: </title>
<p><bold><italic>This method can be used in specific cases to replace treatment with one mini-plate, which necessitates a more intensive fixation or reconstruction plate therapy. </italic>
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