Surgical treatment of the atrophic mandibular fractures by locked plates systems: our experience and a literature review.
Identifieur interne : 000096 ( PubMed/Corpus ); précédent : 000095; suivant : 000097Surgical treatment of the atrophic mandibular fractures by locked plates systems: our experience and a literature review.
Auteurs : Giorgio Novelli ; Cristiano Sconza ; Emanuela Ardito ; Alberto BozzettiSource :
- Craniomaxillofacial trauma & reconstruction [ 1943-3875 ] ; 2012.
Abstract
The management of atrophic mandibular fractures in edentulous patients represents an insidious issue for the maxillofacial surgeon due to the biological and biomechanical conditions that are unfavorable for fracture fixation and bone healing. The purpose of this study was to evaluate the results of the treatment of atrophic mandibular fractures and to compare the outcomes of different plating systems used for stabilization. We selected a study group of 16 patients with fractures of completely edentulous atrophic mandibles who were treated in our department between 2004 and 2010. All patients were surgically treated by open reduction and internal rigid fixation using 2.0-mm large-profile locking and 2.4-mm locking bone plates. All patients achieved a complete fracture healing and fast functional recovery of mandibular movements without intraoperative or postoperative surgical complications. The results of our study demonstrated the efficacy of this type of treatment in association with a low postoperative complication rate, a reduction in the recovery time, and the possibility to have an immediately functional rehabilitation. There were very similar results using each of the two bone plating methods considered: no case had hardware failure or nonunion of the fracture. The 2.0-mm large locking plate is thinner, exposes through the soft tissues less frequently, and is much easier to shape and adapt to the mandibular anatomy. However, the 2.4-mm locking plate system still represents the reference hardware in the condition of severe bone atrophy.
DOI: 10.1055/s-0031-1300961
PubMed: 23730420
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The purpose of this study was to evaluate the results of the treatment of atrophic mandibular fractures and to compare the outcomes of different plating systems used for stabilization. We selected a study group of 16 patients with fractures of completely edentulous atrophic mandibles who were treated in our department between 2004 and 2010. All patients were surgically treated by open reduction and internal rigid fixation using 2.0-mm large-profile locking and 2.4-mm locking bone plates. All patients achieved a complete fracture healing and fast functional recovery of mandibular movements without intraoperative or postoperative surgical complications. The results of our study demonstrated the efficacy of this type of treatment in association with a low postoperative complication rate, a reduction in the recovery time, and the possibility to have an immediately functional rehabilitation. There were very similar results using each of the two bone plating methods considered: no case had hardware failure or nonunion of the fracture. The 2.0-mm large locking plate is thinner, exposes through the soft tissues less frequently, and is much easier to shape and adapt to the mandibular anatomy. However, the 2.4-mm locking plate system still represents the reference hardware in the condition of severe bone atrophy.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">23730420</PMID><DateCompleted><Year>2013</Year><Month>06</Month><Day>05</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1943-3875</ISSN><JournalIssue CitedMedium="Print"><Volume>5</Volume><Issue>2</Issue><PubDate><Year>2012</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Craniomaxillofacial trauma & reconstruction</Title><ISOAbbreviation>Craniomaxillofac Trauma Reconstr</ISOAbbreviation></Journal><ArticleTitle>Surgical treatment of the atrophic mandibular fractures by locked plates systems: our experience and a literature review.</ArticleTitle><Pagination><MedlinePgn>65-74</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0031-1300961</ELocationID><Abstract><AbstractText>The management of atrophic mandibular fractures in edentulous patients represents an insidious issue for the maxillofacial surgeon due to the biological and biomechanical conditions that are unfavorable for fracture fixation and bone healing. The purpose of this study was to evaluate the results of the treatment of atrophic mandibular fractures and to compare the outcomes of different plating systems used for stabilization. We selected a study group of 16 patients with fractures of completely edentulous atrophic mandibles who were treated in our department between 2004 and 2010. All patients were surgically treated by open reduction and internal rigid fixation using 2.0-mm large-profile locking and 2.4-mm locking bone plates. All patients achieved a complete fracture healing and fast functional recovery of mandibular movements without intraoperative or postoperative surgical complications. The results of our study demonstrated the efficacy of this type of treatment in association with a low postoperative complication rate, a reduction in the recovery time, and the possibility to have an immediately functional rehabilitation. There were very similar results using each of the two bone plating methods considered: no case had hardware failure or nonunion of the fracture. The 2.0-mm large locking plate is thinner, exposes through the soft tissues less frequently, and is much easier to shape and adapt to the mandibular anatomy. However, the 2.4-mm locking plate system still represents the reference hardware in the condition of severe bone atrophy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Novelli</LastName><ForeName>Giorgio</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Maxillofacial Surgery, University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sconza</LastName><ForeName>Cristiano</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Ardito</LastName><ForeName>Emanuela</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Bozzetti</LastName><ForeName>Alberto</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Craniomaxillofac Trauma Reconstr</MedlineTA><NlmUniqueID>101541666</NlmUniqueID><ISSNLinking>1943-3875</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2001 Jul;59(7):792-5</RefSource><PMID Version="1">11429742</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2008 Mar;66(3):421-35</RefSource><PMID Version="1">18280373</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2006 Mar;64(3):457-65</RefSource><PMID Version="1">16487809</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cochrane Database Syst Rev. 2007 Jan 24;(1):CD006087</RefSource><PMID Version="1">17253578</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2000 Jan;58(1):56-61; discussion 62</RefSource><PMID Version="1">10632166</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 1996 Mar;54(3):250-4; discussion 254-5</RefSource><PMID Version="1">8600229</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2002 Nov;60(11):1319-26</RefSource><PMID Version="1">12420268</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Craniomaxillofac Surg. 1998 Dec;26(6):400-4</RefSource><PMID Version="1">10036658</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Oral Investig. 2011 Apr;15(2):151-6</RefSource><PMID Version="1">20066447</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Atlas Oral Maxillofac Surg Clin North Am. 2009 Mar;17(1):75-9</RefSource><PMID Version="1">19237130</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2006 Feb;64(2):230-4</RefSource><PMID Version="1">16413894</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Oral Maxillofac Surg Clin North Am. 2009 May;21(2):175-83, v</RefSource><PMID Version="1">19348982</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Oral Investig. 2005 Dec;9(4):266-70</RefSource><PMID Version="1">16311742</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Oral Surg. 1975 Jul;13(1):82-90</RefSource><PMID Version="1">1056796</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br Dent J. 1972 Feb 15;132(4):142-4</RefSource><PMID Version="1">4501692</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Mund Kiefer Gesichtschir. 2001 Jul;5(4):227-32</RefSource><PMID Version="1">11550605</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Craniofac Surg. 1993 Apr;4(2):91-4</RefSource><PMID Version="1">8324089</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC3444021</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">edentulous</Keyword><Keyword MajorTopicYN="N">fracture fixation</Keyword><Keyword MajorTopicYN="N">mandibular atrophy</Keyword><Keyword MajorTopicYN="N">mandibular fractures</Keyword><Keyword MajorTopicYN="N">plate systems</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>05</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>6</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>6</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>6</Month><Day>5</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23730420</ArticleId><ArticleId IdType="doi">10.1055/s-0031-1300961</ArticleId><ArticleId IdType="pii">05065</ArticleId><ArticleId IdType="pmc">PMC3444021</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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