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The management of fractures of the mandible

Identifieur interne : 007D31 ( Istex/Curation ); précédent : 007D30; suivant : 007D32

The management of fractures of the mandible

Auteurs : R. P. Winstanley [Royaume-Uni]

Source :

RBID : ISTEX:FD2202DE683F9894DB033FF0346F03057339C058

English descriptors

Abstract

Abstract: In some countries there is a move away from the traditional use of predominantly closed or semi-closed procedures in the management of facial fractures to widespread use of aggressive surgical techniques. Observations are made on the effect that this trend may have on the trainee Oral Surgeon. An analysis of a series of 156 consecutive cases of mandibular fracture bears out the impression that simple jaw support, when there is patient co-operation, is adequate for the treatment of the majority of mandibular fractures and that when fixation is indicated, the eyelet wiring technique gives excellent results without complicating management. When open operation is indicated, intraosseous wire suture is proposed as a convenient method for first consideration. The necessity to determine accurately the pre-accident occlusion in cases of possible malocclusion is underlined and a plea is made to exercise patience in the management of fractures, particularly when the condylar neck is involved.

Url:
DOI: 10.1016/0266-4356(84)90094-9

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ISTEX:FD2202DE683F9894DB033FF0346F03057339C058

Le document en format XML

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<term>Bilateral</term>
<term>Bilateral body fractures</term>
<term>Bone healing</term>
<term>Bony union</term>
<term>British association</term>
<term>British journal</term>
<term>Clinical findings</term>
<term>Condylar</term>
<term>Condylar head</term>
<term>Condylar neck</term>
<term>Condylar neck fracture</term>
<term>Consecutive patients</term>
<term>Considerable displacement</term>
<term>Edentulous</term>
<term>Edentulous patient</term>
<term>Edentulous patients</term>
<term>External support</term>
<term>Eyelet</term>
<term>Eyelet wiring technique</term>
<term>Facial fractures</term>
<term>Figure figure</term>
<term>Fixation</term>
<term>Fracture</term>
<term>Fracture dislocation</term>
<term>Fracture line</term>
<term>Fracture site</term>
<term>Hope hospital</term>
<term>Interdental eyelet wires</term>
<term>Interdental eyelet wiring technique</term>
<term>Intermaxillary</term>
<term>Intermaxillary fixation</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular condyle</term>
<term>Mandibular fracture</term>
<term>Mandibular fractures</term>
<term>Many patients</term>
<term>Maxillofacial surgery</term>
<term>Muscle spasm</term>
<term>Natural outcome</term>
<term>Occlusion</term>
<term>Open operation</term>
<term>Oral maxillofacial surgery</term>
<term>Oral surgery</term>
<term>Other patients</term>
<term>Tendon hook</term>
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<term>Bilateral body fractures</term>
<term>Bone healing</term>
<term>Bony union</term>
<term>British association</term>
<term>British journal</term>
<term>Clinical findings</term>
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<term>Condylar head</term>
<term>Condylar neck</term>
<term>Condylar neck fracture</term>
<term>Consecutive patients</term>
<term>Considerable displacement</term>
<term>Edentulous</term>
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<term>External support</term>
<term>Eyelet</term>
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<term>Facial fractures</term>
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<term>Fracture line</term>
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<term>Hope hospital</term>
<term>Interdental eyelet wires</term>
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<term>Many patients</term>
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<term>Muscle spasm</term>
<term>Natural outcome</term>
<term>Occlusion</term>
<term>Open operation</term>
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<term>Oral surgery</term>
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<div type="abstract" xml:lang="en">Abstract: In some countries there is a move away from the traditional use of predominantly closed or semi-closed procedures in the management of facial fractures to widespread use of aggressive surgical techniques. Observations are made on the effect that this trend may have on the trainee Oral Surgeon. An analysis of a series of 156 consecutive cases of mandibular fracture bears out the impression that simple jaw support, when there is patient co-operation, is adequate for the treatment of the majority of mandibular fractures and that when fixation is indicated, the eyelet wiring technique gives excellent results without complicating management. When open operation is indicated, intraosseous wire suture is proposed as a convenient method for first consideration. The necessity to determine accurately the pre-accident occlusion in cases of possible malocclusion is underlined and a plea is made to exercise patience in the management of fractures, particularly when the condylar neck is involved.</div>
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