Treatment of edentulous mandibular fractures with rigid internal fixation: case series and literature review.
Identifieur interne : 000962 ( PubMed/Curation ); précédent : 000961; suivant : 000963Treatment of edentulous mandibular fractures with rigid internal fixation: case series and literature review.
Auteurs : Edgardo Franciosi [Argentine] ; Eduardo Mazzaro [Argentine] ; Juan Larranaga [Argentine] ; Alfredo Rios [Argentine] ; Pedro Picco [Argentine] ; Marcelo Figari [Argentine]Source :
- Craniomaxillofacial trauma & reconstruction [ 1943-3875 ] ; 2014.
Abstract
The aim of the study is to analyze the effectiveness of rigid internal fixation (RIF) for treating edentulous mandibular fractures. Because of the low incidence of fractures in edentulous mandible, there is no consensus of the optimal treatment for it. This study included all edentulous patients with mandibular fracture diagnosis, who were treated with internal fixation at the Hospital Italiano de Buenos Aires from November 1991 to July 2011. Data such as age, gender, etiology and location of fracture, surgical approach, type of osteosynthesis used, and postoperative complications were analyzed. A total of 18 patients, 76.2 years mean age, 12 females (66.6%), presented a total of 35 mandibular fractures. The mandibular body was the most common localization of the fractures. Twenty-five fractures received surgical treatment with RIF, mainly approached extraorally. Reconstruction plates were the most common type of fixation used. Fracture reduction was considered satisfactory in 96.5%, with 22.2% of complications and 11.1% of reoperations needed. Open reduction and RIF demonstrated to be a reliable method for treating edentulous mandibular fractures. Nevertheless, there is lack of high-level recommendation publication to support this.
DOI: 10.1055/s-0033-1364195
PubMed: 24624255
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uniqKey="Franciosi E" first="Edgardo" last="Franciosi">Edgardo Franciosi</name><affiliation wicri:level="1"><nlm:affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires</wicri:regionArea></affiliation></author><author><name sortKey="Mazzaro, Eduardo" sort="Mazzaro, Eduardo" uniqKey="Mazzaro E" first="Eduardo" last="Mazzaro">Eduardo Mazzaro</name><affiliation wicri:level="1"><nlm:affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires</wicri:regionArea></affiliation></author><author><name sortKey="Larranaga, Juan" sort="Larranaga, Juan" uniqKey="Larranaga J" first="Juan" last="Larranaga">Juan Larranaga</name><affiliation wicri:level="1"><nlm:affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires</wicri:regionArea></affiliation></author><author><name sortKey="Rios, Alfredo" sort="Rios, Alfredo" uniqKey="Rios A" first="Alfredo" last="Rios">Alfredo Rios</name><affiliation wicri:level="1"><nlm:affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires</wicri:regionArea></affiliation></author><author><name sortKey="Picco, Pedro" sort="Picco, Pedro" uniqKey="Picco P" first="Pedro" last="Picco">Pedro Picco</name><affiliation wicri:level="1"><nlm:affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires</wicri:regionArea></affiliation></author><author><name sortKey="Figari, Marcelo" sort="Figari, Marcelo" uniqKey="Figari M" first="Marcelo" last="Figari">Marcelo Figari</name><affiliation wicri:level="1"><nlm:affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires</wicri:regionArea></affiliation></author></analytic><series><title level="j">Craniomaxillofacial trauma & reconstruction</title><idno type="ISSN">1943-3875</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the study is to analyze the effectiveness of rigid internal fixation (RIF) for treating edentulous mandibular fractures. Because of the low incidence of fractures in edentulous mandible, there is no consensus of the optimal treatment for it. This study included all edentulous patients with mandibular fracture diagnosis, who were treated with internal fixation at the Hospital Italiano de Buenos Aires from November 1991 to July 2011. Data such as age, gender, etiology and location of fracture, surgical approach, type of osteosynthesis used, and postoperative complications were analyzed. A total of 18 patients, 76.2 years mean age, 12 females (66.6%), presented a total of 35 mandibular fractures. The mandibular body was the most common localization of the fractures. Twenty-five fractures received surgical treatment with RIF, mainly approached extraorally. Reconstruction plates were the most common type of fixation used. Fracture reduction was considered satisfactory in 96.5%, with 22.2% of complications and 11.1% of reoperations needed. Open reduction and RIF demonstrated to be a reliable method for treating edentulous mandibular fractures. Nevertheless, there is lack of high-level recommendation publication to support this.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24624255</PMID><DateCompleted><Year>2014</Year><Month>03</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1943-3875</ISSN><JournalIssue CitedMedium="Print"><Volume>7</Volume><Issue>1</Issue><PubDate><Year>2014</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Craniomaxillofacial trauma & reconstruction</Title><ISOAbbreviation>Craniomaxillofac Trauma Reconstr</ISOAbbreviation></Journal><ArticleTitle>Treatment of edentulous mandibular fractures with rigid internal fixation: case series and literature review.</ArticleTitle><Pagination><MedlinePgn>35-42</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0033-1364195</ELocationID><Abstract><AbstractText>The aim of the study is to analyze the effectiveness of rigid internal fixation (RIF) for treating edentulous mandibular fractures. Because of the low incidence of fractures in edentulous mandible, there is no consensus of the optimal treatment for it. This study included all edentulous patients with mandibular fracture diagnosis, who were treated with internal fixation at the Hospital Italiano de Buenos Aires from November 1991 to July 2011. Data such as age, gender, etiology and location of fracture, surgical approach, type of osteosynthesis used, and postoperative complications were analyzed. A total of 18 patients, 76.2 years mean age, 12 females (66.6%), presented a total of 35 mandibular fractures. The mandibular body was the most common localization of the fractures. Twenty-five fractures received surgical treatment with RIF, mainly approached extraorally. Reconstruction plates were the most common type of fixation used. Fracture reduction was considered satisfactory in 96.5%, with 22.2% of complications and 11.1% of reoperations needed. Open reduction and RIF demonstrated to be a reliable method for treating edentulous mandibular fractures. Nevertheless, there is lack of high-level recommendation publication to support this.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Franciosi</LastName><ForeName>Edgardo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazzaro</LastName><ForeName>Eduardo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Larranaga</LastName><ForeName>Juan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rios</LastName><ForeName>Alfredo</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Picco</LastName><ForeName>Pedro</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Figari</LastName><ForeName>Marcelo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Head and Neck, Department of General Surgery, Hospital Italiano de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>01</Month><Day>14</Day></ArticleDate></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. 1993 Aug;51(8):904-11</RefSource><PMID Version="1">8336228</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2012 Apr;70(4):883-9</RefSource><PMID Version="1">21676515</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. 2009 Nov;67(11):2397-403</RefSource><PMID Version="1">19837308</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. 2011 May;69(5):1430-5</RefSource><PMID Version="1">21216069</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. 2011 Aug;69(8):2204-10</RefSource><PMID Version="1">21683497</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2010 Jun;68(6):1392-5</RefSource><PMID Version="1">20231049</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Craniomaxillofac Trauma Reconstr. 2011 Sep;4(3):145-50</RefSource><PMID Version="1">22942943</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>Clin Oral Investig. 2005 Dec;9(4):266-70</RefSource><PMID Version="1">16311742</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Craniomaxillofac Trauma Reconstr. 2011 Mar;4(1):19-24</RefSource><PMID Version="1">22379503</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Craniomaxillofac Trauma Reconstr. 2012 Jun;5(2):65-74</RefSource><PMID Version="1">23730420</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Prosthet Dent. 1970 Aug;24(2):137-44</RefSource><PMID Version="1">5271099</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Am Dent Assoc. 1960 Feb;60:143-53</RefSource><PMID Version="1">13807301</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC3931775</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ORIF</Keyword><Keyword MajorTopicYN="N">atrophic mandible</Keyword><Keyword MajorTopicYN="N">edentulous</Keyword><Keyword MajorTopicYN="N">load bearing osteosynthesis</Keyword><Keyword MajorTopicYN="N">mandibular fracture</Keyword><Keyword MajorTopicYN="N">rigid internal fixation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>02</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>03</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>3</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>3</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>3</Month><Day>14</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24624255</ArticleId><ArticleId IdType="doi">10.1055/s-0033-1364195</ArticleId><ArticleId IdType="pii">120197oa</ArticleId><ArticleId IdType="pmc">PMC3931775</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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