Treatment and complications of mandibular fractures: a 10-year analysis.
Identifieur interne : 002F11 ( Main/Exploration ); précédent : 002F10; suivant : 002F12Treatment and complications of mandibular fractures: a 10-year analysis.
Auteurs : Bart Van Den Bergh [Pays-Bas] ; Martijn W. Heymans ; Freya Duvekot ; Tymour ForouzanfarSource :
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [ 1878-4119 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Attelles (), Complications postopératoires, Condyle mandibulaire (traumatismes), Enfant, Enfant d'âge préscolaire, Femelle, Fractures mandibulaires (), Humains, Hypoesthésie (étiologie), Infection de plaie opératoire (étiologie), Infections dues aux prothèses (étiologie), Jeune adulte, Maladies de la lèvre (étiologie), Malocclusion dentaire (étiologie), Menton, Mâchoire édentée (), Mâle, Ostéosynthèse interne (), Plaques orthopédiques (), Réintervention, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de contention de la mâchoire (), Troubles de l'articulation temporomandibulaire (étiologie), Vis orthopédiques (), Études rétrospectives.
- MESH :
- traumatismes : Condyle mandibulaire.
- étiologie : Hypoesthésie, Infection de plaie opératoire, Infections dues aux prothèses, Maladies de la lèvre, Malocclusion dentaire, Troubles de l'articulation temporomandibulaire.
- Adolescent, Adulte, Adulte d'âge moyen, Attelles, Complications postopératoires, Enfant, Enfant d'âge préscolaire, Femelle, Fractures mandibulaires, Humains, Jeune adulte, Menton, Mâchoire édentée, Mâle, Ostéosynthèse interne, Plaques orthopédiques, Réintervention, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de contention de la mâchoire, Vis orthopédiques, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Bone Plates (statistics & numerical data), Bone Screws (statistics & numerical data), Child, Child, Preschool, Chin, Female, Fracture Fixation, Internal (statistics & numerical data), Humans, Hypesthesia (etiology), Jaw Fixation Techniques (statistics & numerical data), Jaw, Edentulous (surgery), Lip Diseases (etiology), Male, Malocclusion (etiology), Mandibular Condyle (injuries), Mandibular Fractures (surgery), Middle Aged, Postoperative Complications, Prosthesis-Related Infections (etiology), Reoperation, Retrospective Studies, Splints (statistics & numerical data), Surgical Wound Infection (etiology), Temporomandibular Joint Disorders (etiology), Young Adult.
- MESH :
- etiology : Hypesthesia, Lip Diseases, Malocclusion, Prosthesis-Related Infections, Surgical Wound Infection, Temporomandibular Joint Disorders.
- injuries : Mandibular Condyle.
- statistics & numerical data : Bone Plates, Bone Screws, Fracture Fixation, Internal, Jaw Fixation Techniques, Splints.
- surgery : Jaw, Edentulous, Mandibular Fractures.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Chin, Female, Humans, Male, Middle Aged, Postoperative Complications, Reoperation, Retrospective Studies, Young Adult.
Abstract
The surgical treatment and complications of patients with mandibular fractures in Amsterdam over a period of 10 years are analysed. Between January 2000 and January 2009 225 patients were surgically treated for a mandibular fracture (mean age of 32.6 (SD±14.6) years). A total of 426 fracture lines were identified. Of 213 dentate patients 29 patients were treated primarily with intermaxillary fixation (IMF). IMF combined with osteosynthesis was performed on 99 patients. Seventy-nine patients received IMF only per-operatively to make open reduction and internal fixation (ORIF) possible. Of 12 edentulous patients three patients were treated with Gunning splints. Nine patients were treated by manual reduction and internal fixation. A total of 1965 screws and 442 plates were used. Sixty (26.7%) patients presented with complications, including (transient) hyposensibility of the lip and chin (34 patients), dysocclusion (15 patients), infected osteosynthesis material (six patients) and temporomandibular dysfunction (five patients). Four patients needed surgical retreatment for correction of a dysocclusion. The results of this report are partly in line with other studies and provide important data for improving the treatment of the fractured mandible.
DOI: 10.1016/j.jcms.2011.05.015
PubMed: 21733700
Affiliations:
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Le document en format XML
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Heymans</name></author><author><name sortKey="Duvekot, Freya" sort="Duvekot, Freya" uniqKey="Duvekot F" first="Freya" last="Duvekot">Freya Duvekot</name></author><author><name sortKey="Forouzanfar, Tymour" sort="Forouzanfar, Tymour" uniqKey="Forouzanfar T" first="Tymour" last="Forouzanfar">Tymour Forouzanfar</name></author></analytic><series><title level="j">Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</title><idno type="eISSN">1878-4119</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Bone Plates (statistics & numerical data)</term><term>Bone Screws (statistics & numerical data)</term><term>Child</term><term>Child, Preschool</term><term>Chin</term><term>Female</term><term>Fracture Fixation, Internal (statistics & numerical data)</term><term>Humans</term><term>Hypesthesia (etiology)</term><term>Jaw Fixation Techniques (statistics & numerical data)</term><term>Jaw, Edentulous (surgery)</term><term>Lip Diseases (etiology)</term><term>Male</term><term>Malocclusion (etiology)</term><term>Mandibular Condyle (injuries)</term><term>Mandibular Fractures (surgery)</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Prosthesis-Related Infections (etiology)</term><term>Reoperation</term><term>Retrospective Studies</term><term>Splints (statistics & numerical data)</term><term>Surgical Wound Infection (etiology)</term><term>Temporomandibular Joint Disorders (etiology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attelles ()</term><term>Complications postopératoires</term><term>Condyle mandibulaire (traumatismes)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Fractures mandibulaires ()</term><term>Humains</term><term>Hypoesthésie (étiologie)</term><term>Infection de plaie opératoire (étiologie)</term><term>Infections dues aux prothèses (étiologie)</term><term>Jeune adulte</term><term>Maladies de la lèvre (étiologie)</term><term>Malocclusion dentaire (étiologie)</term><term>Menton</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Ostéosynthèse interne ()</term><term>Plaques orthopédiques ()</term><term>Réintervention</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Techniques de contention de la mâchoire ()</term><term>Troubles de l'articulation temporomandibulaire (étiologie)</term><term>Vis orthopédiques ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypesthesia</term><term>Lip Diseases</term><term>Malocclusion</term><term>Prosthesis-Related Infections</term><term>Surgical Wound Infection</term><term>Temporomandibular Joint Disorders</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Mandibular Condyle</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Bone Plates</term><term>Bone Screws</term><term>Fracture Fixation, Internal</term><term>Jaw Fixation Techniques</term><term>Splints</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr"><term>Condyle mandibulaire</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hypoesthésie</term><term>Infection de plaie opératoire</term><term>Infections dues aux prothèses</term><term>Maladies de la lèvre</term><term>Malocclusion dentaire</term><term>Troubles de l'articulation temporomandibulaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Chin</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Reoperation</term><term>Retrospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attelles</term><term>Complications postopératoires</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Fractures mandibulaires</term><term>Humains</term><term>Jeune adulte</term><term>Menton</term><term>Mâchoire édentée</term><term>Mâle</term><term>Ostéosynthèse interne</term><term>Plaques orthopédiques</term><term>Réintervention</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Techniques de contention de la mâchoire</term><term>Vis orthopédiques</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The surgical treatment and complications of patients with mandibular fractures in Amsterdam over a period of 10 years are analysed. Between January 2000 and January 2009 225 patients were surgically treated for a mandibular fracture (mean age of 32.6 (SD±14.6) years). A total of 426 fracture lines were identified. Of 213 dentate patients 29 patients were treated primarily with intermaxillary fixation (IMF). IMF combined with osteosynthesis was performed on 99 patients. Seventy-nine patients received IMF only per-operatively to make open reduction and internal fixation (ORIF) possible. Of 12 edentulous patients three patients were treated with Gunning splints. Nine patients were treated by manual reduction and internal fixation. A total of 1965 screws and 442 plates were used. Sixty (26.7%) patients presented with complications, including (transient) hyposensibility of the lip and chin (34 patients), dysocclusion (15 patients), infected osteosynthesis material (six patients) and temporomandibular dysfunction (five patients). Four patients needed surgical retreatment for correction of a dysocclusion. The results of this report are partly in line with other studies and provide important data for improving the treatment of the fractured mandible.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li></settlement></list><tree><noCountry><name sortKey="Duvekot, Freya" sort="Duvekot, Freya" uniqKey="Duvekot F" first="Freya" last="Duvekot">Freya Duvekot</name><name sortKey="Forouzanfar, Tymour" sort="Forouzanfar, Tymour" uniqKey="Forouzanfar T" first="Tymour" last="Forouzanfar">Tymour Forouzanfar</name><name sortKey="Heymans, Martijn W" sort="Heymans, Martijn W" uniqKey="Heymans M" first="Martijn W" last="Heymans">Martijn W. Heymans</name></noCountry><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Van Den Bergh, Bart" sort="Van Den Bergh, Bart" uniqKey="Van Den Bergh B" first="Bart" last="Van Den Bergh">Bart Van Den Bergh</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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