Intraoral extra-mucosal fixation of fractures in the atrophic edentulous mandible.
Identifieur interne : 000114 ( Ncbi/Checkpoint ); précédent : 000113; suivant : 000115Intraoral extra-mucosal fixation of fractures in the atrophic edentulous mandible.
Auteurs : A. Benech [Italie] ; M. Nicolotti ; M. Brucoli ; F. ArcuriSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Fracture Fixation, Internal.
- prevention & control : Postoperative Complications.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Mandibular Fractures.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male.
Abstract
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 fixation with osteosynthesis of the fracture to achieve restoration in terms of aesthetics and functionality. Several authors have discussed the advantages and disadvantages of the transoral and extraoral approaches. Between January 2007 and June 2011, 13 patients affected by bilateral fractures of atrophic mandibles were treated by extra-mucosal intraoral stabilization with satisfactory results. This approach reduces the risks of damage of the marginalis mandibulae nerve with low operation time, while avoiding unsightly scars.
DOI: 10.1016/j.ijom.2012.11.013
PubMed: 23352699
Affiliations:
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pubmed:23352699Le document en format XML
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<term>Complications postopératoires ()</term>
<term>Femelle</term>
<term>Fractures mandibulaires ()</term>
<term>Humains</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Ostéosynthèse interne ()</term>
<term>Résorption alvéolaire ()</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Fractures</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">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 fixation with osteosynthesis of the fracture to achieve restoration in terms of aesthetics and functionality. Several authors have discussed the advantages and disadvantages of the transoral and extraoral approaches. Between January 2007 and June 2011, 13 patients affected by bilateral fractures of atrophic mandibles were treated by extra-mucosal intraoral stabilization with satisfactory results. This approach reduces the risks of damage of the marginalis mandibulae nerve with low operation time, while avoiding unsightly scars.</div>
</front>
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<affiliations><list><country><li>Italie</li>
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<name sortKey="Nicolotti, M" sort="Nicolotti, M" uniqKey="Nicolotti M" first="M" last="Nicolotti">M. Nicolotti</name>
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