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Treatment of Mandibular Fractures by Two Perpendicular Mini-Plates

Identifieur interne : 000025 ( Pmc/Checkpoint ); précédent : 000024; suivant : 000026

Treatment of Mandibular Fractures by Two Perpendicular Mini-Plates

Auteurs : Amin Rahpeyma ; Saeedeh Khajehahmadi ; Sadegh Barkhori Mehni

Source :

RBID : PMC:3915067

Abstract

Introduction:

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.

Materials and Methods:

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.

Results:

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.

Conclusion:

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.


Url:
PubMed: 24505572
PubMed Central: 3915067


Affiliations:


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PMC:3915067

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<name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name>
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<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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<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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<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>
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<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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<journal-meta>
<journal-id journal-id-type="nlm-ta">Iran J Otorhinolaryngol</journal-id>
<journal-id journal-id-type="iso-abbrev">Iran J Otorhinolaryngol</journal-id>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>Iranian Journal of Otorhinolaryngology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2251-7251</issn>
<issn pub-type="epub">2251-726X</issn>
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<publisher-name>Mashhad University of Medical Sciences</publisher-name>
<publisher-loc>Mashhad, Iran</publisher-loc>
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<article-id pub-id-type="pmid">24505572</article-id>
<article-id pub-id-type="pmc">3915067</article-id>
<article-id pub-id-type="publisher-id">ijp-25-031</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Treatment of Mandibular Fractures by Two Perpendicular Mini-Plates</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Rahpeyma</surname>
<given-names>Amin</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khajehahmadi</surname>
<given-names>Saeedeh</given-names>
</name>
<xref ref-type="corresp" rid="cor1">*</xref>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barkhori Mehni</surname>
<given-names>Sadegh</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<italic>Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.</italic>
</aff>
<aff id="aff2">
<label>2</label>
<italic>Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.</italic>
</aff>
<author-notes>
<corresp id="cor1">
<label>*</label>
Corresponding Author: Dental Research Center , School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran. Vakilabad Blvd, Mashhad, Iran P.O. Box: 91735-984; Tel: +98-511-8829501; E-mail: khajehahmadis@mums.ac.ir</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>1</month>
<year>2014</year>
</pub-date>
<volume>26</volume>
<issue>74</issue>
<fpage>31</fpage>
<lpage>36</lpage>
<history>
<date date-type="received">
<day>7</day>
<month>4</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>9</day>
<month>9</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>© 2014: Iranian Journal of Otorhinolaryngology</copyright-statement>
<license>
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<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>
</bold>
</p>
</sec>
</abstract>
<kwd-group>
<title>Key Words</title>
<kwd>Jaw Fixation Techniques</kwd>
<kwd>Mandibular Fracture</kwd>
<kwd>Mini-plate</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Barkhori Mehni, Sadegh" sort="Barkhori Mehni, Sadegh" uniqKey="Barkhori Mehni S" first="Sadegh" last="Barkhori Mehni">Sadegh Barkhori Mehni</name>
<name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name>
<name sortKey="Rahpeyma, Amin" sort="Rahpeyma, Amin" uniqKey="Rahpeyma A" first="Amin" last="Rahpeyma">Amin Rahpeyma</name>
</noCountry>
</tree>
</affiliations>
</record>

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