Intraoral epimucosal fixation for reducible maxillary fractures of the jaws; surgical considerations in comparison to current techniques.
Identifieur interne : 000658 ( Main/Exploration ); précédent : 000657; suivant : 000659Intraoral epimucosal fixation for reducible maxillary fractures of the jaws; surgical considerations in comparison to current techniques.
Auteurs : Antonio Cortese ; Germano Savastano ; Massimo Amato ; Giuseppe Pantaleo ; Pier Paolo ClaudioSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Blessures professionnelles (), Conception d'appareillage, Fixateurs externes, Fractures du maxillaire (), Humains, Mâle, Ostéonécrose (), Ostéosynthèse interne (), Ostéosynthèse interne (instrumentation), Plaques orthopédiques, Processus alvéolaire (traumatismes), Résorption osseuse (), Vis orthopédiques.
- MESH :
English descriptors
- KwdEn :
- Adult, Alveolar Process (injuries), Bone Plates, Bone Resorption (prevention & control), Bone Screws, Equipment Design, External Fixators, Fracture Fixation, Internal (instrumentation), Fracture Fixation, Internal (methods), Humans, Male, Maxillary Fractures (surgery), Occupational Injuries (surgery), Osteonecrosis (prevention & control).
- MESH :
- injuries : Alveolar Process.
- instrumentation : Fracture Fixation, Internal.
- methods : Fracture Fixation, Internal.
- prevention & control : Bone Resorption, Osteonecrosis.
- surgery : Maxillary Fractures, Occupational Injuries.
- Adult, Bone Plates, Bone Screws, Equipment Design, External Fixators, Humans, Male.
Abstract
Fractures of the jaw are often treated with rigid and stable internal fixation using plates or miniplates. Early surgery for jaw fractures is the optimal treatment; however, if a late treatment is begun, often the adoption of other protocols is needed. When the jaw fracture has one free bone fragment with 2 full-thickness lesions of mucoperiosteal soft tissues both on the buccal and palatal sides, the risk of resorption or necrosis is very high after elevating a mucoperiosteal flap for rigid fixation. For this reason, we developed an intraoral epimucosal fixation technique using self-locking screws and plates. Substantial advantages of this new technique, in comparison with other commonly used fixation techniques, consisted in the prevention of bone resorption or necrosis by safe and simple screw insertion procedure after manipulation of the fracture for reduction in closed surgery. Major indications for epimucosal fixation in closed surgery are the presence of jaw fractures without dislocation or reducible jaw fractures by manipulation particularly in edentulous patients.
DOI: 10.1097/SCS.0000000000001104
PubMed: 25318439
Affiliations:
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Edwards School of Medicine, Marshall University, Huntington.</nlm:affiliation><wicri:noCountry code="subField">Huntington</wicri:noCountry></affiliation></author><author><name sortKey="Savastano, Germano" sort="Savastano, Germano" uniqKey="Savastano G" first="Germano" last="Savastano">Germano Savastano</name></author><author><name sortKey="Amato, Massimo" sort="Amato, Massimo" uniqKey="Amato M" first="Massimo" last="Amato">Massimo Amato</name></author><author><name sortKey="Pantaleo, Giuseppe" sort="Pantaleo, Giuseppe" uniqKey="Pantaleo G" first="Giuseppe" last="Pantaleo">Giuseppe Pantaleo</name></author><author><name sortKey="Claudio, Pier Paolo" sort="Claudio, Pier Paolo" uniqKey="Claudio P" first="Pier Paolo" last="Claudio">Pier Paolo Claudio</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25318439</idno><idno type="pmid">25318439</idno><idno type="doi">10.1097/SCS.0000000000001104</idno><idno type="wicri:Area/PubMed/Corpus">000978</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000978</idno><idno type="wicri:Area/PubMed/Curation">000978</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000978</idno><idno type="wicri:Area/PubMed/Checkpoint">000978</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000978</idno><idno type="wicri:Area/Ncbi/Merge">001318</idno><idno type="wicri:Area/Ncbi/Curation">001318</idno><idno type="wicri:Area/Ncbi/Checkpoint">001318</idno><idno type="wicri:Area/Main/Merge">000660</idno><idno type="wicri:Area/Main/Curation">000658</idno><idno type="wicri:Area/Main/Exploration">000658</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Intraoral epimucosal fixation for reducible maxillary fractures of the jaws; surgical considerations in comparison to current techniques.</title><author><name sortKey="Cortese, Antonio" sort="Cortese, Antonio" uniqKey="Cortese A" first="Antonio" last="Cortese">Antonio Cortese</name><affiliation><nlm:affiliation>From the *Department of Medicine and Surgery, Unit of Maxillofacial Surgery, University of Salerno, Salerno, Italy; †Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy; and ‡Department of Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington.</nlm:affiliation><wicri:noCountry code="subField">Huntington</wicri:noCountry></affiliation></author><author><name sortKey="Savastano, Germano" sort="Savastano, Germano" uniqKey="Savastano G" first="Germano" last="Savastano">Germano Savastano</name></author><author><name sortKey="Amato, Massimo" sort="Amato, Massimo" uniqKey="Amato M" first="Massimo" last="Amato">Massimo Amato</name></author><author><name sortKey="Pantaleo, Giuseppe" sort="Pantaleo, Giuseppe" uniqKey="Pantaleo G" first="Giuseppe" last="Pantaleo">Giuseppe Pantaleo</name></author><author><name sortKey="Claudio, Pier Paolo" sort="Claudio, Pier Paolo" uniqKey="Claudio P" first="Pier Paolo" last="Claudio">Pier Paolo Claudio</name></author></analytic><series><title level="j">The Journal of craniofacial surgery</title><idno type="eISSN">1536-3732</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alveolar Process (injuries)</term><term>Bone Plates</term><term>Bone Resorption (prevention & control)</term><term>Bone Screws</term><term>Equipment Design</term><term>External Fixators</term><term>Fracture Fixation, Internal (instrumentation)</term><term>Fracture Fixation, Internal (methods)</term><term>Humans</term><term>Male</term><term>Maxillary Fractures (surgery)</term><term>Occupational Injuries (surgery)</term><term>Osteonecrosis (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Blessures professionnelles ()</term><term>Conception d'appareillage</term><term>Fixateurs externes</term><term>Fractures du maxillaire ()</term><term>Humains</term><term>Mâle</term><term>Ostéonécrose ()</term><term>Ostéosynthèse interne ()</term><term>Ostéosynthèse interne (instrumentation)</term><term>Plaques orthopédiques</term><term>Processus alvéolaire (traumatismes)</term><term>Résorption osseuse ()</term><term>Vis orthopédiques</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Alveolar Process</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Bone Resorption</term><term>Osteonecrosis</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxillary Fractures</term><term>Occupational Injuries</term></keywords><keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr"><term>Ostéosynthèse interne</term><term>Processus alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Bone Plates</term><term>Bone Screws</term><term>Equipment Design</term><term>External Fixators</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Blessures professionnelles</term><term>Conception d'appareillage</term><term>Fixateurs externes</term><term>Fractures du maxillaire</term><term>Humains</term><term>Mâle</term><term>Ostéonécrose</term><term>Ostéosynthèse interne</term><term>Plaques orthopédiques</term><term>Résorption osseuse</term><term>Vis orthopédiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Fractures of the jaw are often treated with rigid and stable internal fixation using plates or miniplates. Early surgery for jaw fractures is the optimal treatment; however, if a late treatment is begun, often the adoption of other protocols is needed. When the jaw fracture has one free bone fragment with 2 full-thickness lesions of mucoperiosteal soft tissues both on the buccal and palatal sides, the risk of resorption or necrosis is very high after elevating a mucoperiosteal flap for rigid fixation. For this reason, we developed an intraoral epimucosal fixation technique using self-locking screws and plates. Substantial advantages of this new technique, in comparison with other commonly used fixation techniques, consisted in the prevention of bone resorption or necrosis by safe and simple screw insertion procedure after manipulation of the fracture for reduction in closed surgery. Major indications for epimucosal fixation in closed surgery are the presence of jaw fractures without dislocation or reducible jaw fractures by manipulation particularly in edentulous patients.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Amato, Massimo" sort="Amato, Massimo" uniqKey="Amato M" first="Massimo" last="Amato">Massimo Amato</name><name sortKey="Claudio, Pier Paolo" sort="Claudio, Pier Paolo" uniqKey="Claudio P" first="Pier Paolo" last="Claudio">Pier Paolo Claudio</name><name sortKey="Cortese, Antonio" sort="Cortese, Antonio" uniqKey="Cortese A" first="Antonio" last="Cortese">Antonio Cortese</name><name sortKey="Pantaleo, Giuseppe" sort="Pantaleo, Giuseppe" uniqKey="Pantaleo G" first="Giuseppe" last="Pantaleo">Giuseppe Pantaleo</name><name sortKey="Savastano, Germano" sort="Savastano, Germano" uniqKey="Savastano G" first="Germano" last="Savastano">Germano Savastano</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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