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Fixation of Atrophic Edentulous Mandible Fractures by Bone Plating at the Inferior Border

Identifieur interne : 001C06 ( Main/Exploration ); précédent : 001C05; suivant : 001C07

Fixation of Atrophic Edentulous Mandible Fractures by Bone Plating at the Inferior Border

Auteurs : Lewis Clayman [États-Unis] ; Enzo Rossi [Italie]

Source :

Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2012.

RBID : Pascal:12-0180528

Descripteurs français

Pascal (Inist)
- Edentation, Fracture, Chirurgie, Fixation, Mandibule, Os, Placage, Stomatologie, Traitement.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Bone, Edentulousness, Fixation, Fracture, Mandible, Plating, Stomatology, Surgery, Treatment.

Abstract

Purpose: No consensus has been reached regarding the best treatment for repair of fractures of the severely atrophic mandible (<10 mm vertical height). The most complete Cochrane review of the published data could not substantiate a single best practice recommendation for treating these fractures. The present study reports the results of such treatment by placing miniplates at the inferior border of the mandible of 23 fractures of the mandibular body in 16 patients. Materials and Methods: This was a consecutive case series during a 30-year period performed by a single surgeon at several practice locations using the technique of extraoral plating at the inferior border. All patients were prospectively monitored clinically and radiographically for achievement of bony union and for complications of sensory disturbances of the lower lip, delayed healing, and hardware removal. The mean observation time was 23.1 months (range 1 to 60), with only 2 cases observed for less than 6 months. Results: All the patients achieved clinical union of their fractures. Two cases of fibrous union did not reach ossification until 5 months after surgery. The hardware removal rate was 13.6%, and the infection/ prolonged inflammation rate was 13.6%. There was 1 case of malunion. Those patients who had dentures were able to return to denture wearing postoperatively. Conclusions: Miniplate fixation of fractures of the severely atrophic mandible at the inferior border is safe and effective.

Affiliations:

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to stream PascalFrancis, to step Curation: 000620
to stream PascalFrancis, to step Checkpoint: 000072
to stream Main, to step Merge: 001C16
to stream Main, to step Curation: 001C06

Le document en format XML

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<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Dentistry/Oral and Maxillofacial Surgery, Sinai Hospital of Detroit and Chair, Department of Oral and Maxillofacial Surgery, University of Detroit Mercy School of Dentistry</s1>
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<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Otolaryngology/Head and Neck Surgery, Wayne State University School of Medicine</s1>
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<term>Plating</term>
<term>Stomatology</term>
<term>Surgery</term>
<term>Treatment</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Edentation</term>
<term>Fracture</term>
<term>Chirurgie</term>
<term>Fixation</term>
<term>Mandibule</term>
<term>Os</term>
<term>Placage</term>
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<front><div type="abstract" xml:lang="en">Purpose: No consensus has been reached regarding the best treatment for repair of fractures of the severely atrophic mandible (<10 mm vertical height). The most complete Cochrane review of the published data could not substantiate a single best practice recommendation for treating these fractures. The present study reports the results of such treatment by placing miniplates at the inferior border of the mandible of 23 fractures of the mandibular body in 16 patients. Materials and Methods: This was a consecutive case series during a 30-year period performed by a single surgeon at several practice locations using the technique of extraoral plating at the inferior border. All patients were prospectively monitored clinically and radiographically for achievement of bony union and for complications of sensory disturbances of the lower lip, delayed healing, and hardware removal. The mean observation time was 23.1 months (range 1 to 60), with only 2 cases observed for less than 6 months. Results: All the patients achieved clinical union of their fractures. Two cases of fibrous union did not reach ossification until 5 months after surgery. The hardware removal rate was 13.6%, and the infection/ prolonged inflammation rate was 13.6%. There was 1 case of malunion. Those patients who had dentures were able to return to denture wearing postoperatively. Conclusions: Miniplate fixation of fractures of the severely atrophic mandible at the inferior border is safe and effective.</div>
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Fixation of Atrophic Edentulous Mandible Fractures by Bone Plating at the Inferior Border

Fixation of Atrophic Edentulous Mandible Fractures by Bone Plating at the Inferior Border

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri