[Fractures of the atrophic mandible--a challenge for therapy].
Identifieur interne : 009F57 ( Main/Exploration ); précédent : 009F56; suivant : 009F58[Fractures of the atrophic mandible--a challenge for therapy].
Auteurs : H G Luhr ; T. Reidick ; H A MertenSource :
- Fortschritte der Kiefer- und Gesichts-Chirurgie [ 0071-7916 ] ; 1996.
Descripteurs français
- KwdFr :
- Atrophie, Bouche édentée (), Bouche édentée (imagerie diagnostique), Complications postopératoires (imagerie diagnostique), Consolidation de fracture (physiologie), Fractures mandibulaires (), Fractures mandibulaires (imagerie diagnostique), Humains, Maladies mandibulaires (), Maladies mandibulaires (imagerie diagnostique), Ostéosynthèse interne (instrumentation), Radiographie panoramique, Résorption alvéolaire (), Résorption alvéolaire (imagerie diagnostique), Études de suivi.
- MESH :
- imagerie diagnostique : Bouche édentée, Complications postopératoires, Fractures mandibulaires, Maladies mandibulaires, Résorption alvéolaire.
- physiologie : Consolidation de fracture.
- instrumentation : Atrophie, Bouche édentée, Fractures mandibulaires, Humains, Maladies mandibulaires, Ostéosynthèse interne, Radiographie panoramique, Résorption alvéolaire, Études de suivi.
English descriptors
- KwdEn :
- Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (surgery), Atrophy, Follow-Up Studies, Fracture Fixation, Internal (instrumentation), Fracture Healing (physiology), Humans, Mandibular Diseases (diagnostic imaging), Mandibular Diseases (surgery), Mandibular Fractures (diagnostic imaging), Mandibular Fractures (surgery), Mouth, Edentulous (diagnostic imaging), Mouth, Edentulous (surgery), Postoperative Complications (diagnostic imaging), Radiography, Panoramic.
- MESH :
- diagnostic imaging : Alveolar Bone Loss, Mandibular Diseases, Mandibular Fractures, Mouth, Edentulous, Postoperative Complications.
- instrumentation : Fracture Fixation, Internal.
- physiology : Fracture Healing.
- surgery : Alveolar Bone Loss, Mandibular Diseases, Mandibular Fractures, Mouth, Edentulous.
- Atrophy, Follow-Up Studies, Humans, Radiography, Panoramic.
Abstract
Because treatment of fractures of the atrophic mandible still today presents significant difficulties and treatment modalities remain controversial, 87 of these consecutive fractures which were treated by an uniform method as compression osteosynthesis were evaluated. A new classification of the degree of atrophy which considers the special interest of fracture treatment is introduced. It is based on a metrical measurement of the height of the mandible in the fracture area. Mandibles of 16 to 20 mm height are classified as class I atrophy, those of 11 to 15 mm as class II atrophy, and those with a height of 10 mm or less as extremely atrophic mandibles or class III atrophy. This simple and reliable classification could also be used in future investigations on the results of different treatment modalities in atrophic mandibles. In our series of 87 fractures of the atrophic mandible which were treated by compression osteosynthesis 97% resulted in a solid osseous union without the need of a second surgical intervention. Three major complications occurred: 1 osteomyelitis and 2 non-unions (the latter in one patient with a double fracture of a class III atrophy mandible). To the best of our knowledge this series is the largest of fractures of truly atrophic mandibles treated by one uniform method. Compared to other treatment modalities compression osteosynthesis produced acceptable results and is recommended as the treatment of choice in fractures of the atrophic mandible.
PubMed: 8755430
Affiliations:
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Le document en format XML
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Reidick</name></author><author><name sortKey="Merten, H A" sort="Merten, H A" uniqKey="Merten H" first="H A" last="Merten">H A Merten</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1996">1996</date><idno type="RBID">pubmed:8755430</idno><idno type="pmid">8755430</idno><idno type="wicri:Area/PubMed/Corpus">004128</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004128</idno><idno type="wicri:Area/PubMed/Curation">004128</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004128</idno><idno type="wicri:Area/PubMed/Checkpoint">004128</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004128</idno><idno type="wicri:Area/Ncbi/Merge">009750</idno><idno type="wicri:Area/Ncbi/Curation">009750</idno><idno type="wicri:Area/Ncbi/Checkpoint">009750</idno><idno type="wicri:doubleKey">0071-7916:1996:Luhr H:fractures:of:the</idno><idno type="wicri:Area/Main/Merge">00A487</idno><idno type="wicri:Area/Main/Curation">009F57</idno><idno type="wicri:Area/Main/Exploration">009F57</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Fractures of the atrophic mandible--a challenge for therapy].</title><author><name sortKey="Luhr, H G" sort="Luhr, H G" uniqKey="Luhr H" first="H G" last="Luhr">H G Luhr</name><affiliation><nlm:affiliation>Kieferchirurgische Abteilung, Klinikum der Universität, Göttingen.</nlm:affiliation><wicri:noCountry code="subField">Göttingen</wicri:noCountry></affiliation></author><author><name sortKey="Reidick, T" sort="Reidick, T" uniqKey="Reidick T" first="T" last="Reidick">T. Reidick</name></author><author><name sortKey="Merten, H A" sort="Merten, H A" uniqKey="Merten H" first="H A" last="Merten">H A Merten</name></author></analytic><series><title level="j">Fortschritte der Kiefer- und Gesichts-Chirurgie</title><idno type="ISSN">0071-7916</idno><imprint><date when="1996" type="published">1996</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Bone Loss (diagnostic imaging)</term><term>Alveolar Bone Loss (surgery)</term><term>Atrophy</term><term>Follow-Up Studies</term><term>Fracture Fixation, Internal (instrumentation)</term><term>Fracture Healing (physiology)</term><term>Humans</term><term>Mandibular Diseases (diagnostic imaging)</term><term>Mandibular Diseases (surgery)</term><term>Mandibular Fractures (diagnostic imaging)</term><term>Mandibular Fractures (surgery)</term><term>Mouth, Edentulous (diagnostic imaging)</term><term>Mouth, Edentulous (surgery)</term><term>Postoperative Complications (diagnostic imaging)</term><term>Radiography, Panoramic</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Atrophie</term><term>Bouche édentée ()</term><term>Bouche édentée (imagerie diagnostique)</term><term>Complications postopératoires (imagerie diagnostique)</term><term>Consolidation de fracture (physiologie)</term><term>Fractures mandibulaires ()</term><term>Fractures mandibulaires (imagerie diagnostique)</term><term>Humains</term><term>Maladies mandibulaires ()</term><term>Maladies mandibulaires (imagerie diagnostique)</term><term>Ostéosynthèse interne (instrumentation)</term><term>Radiographie panoramique</term><term>Résorption alvéolaire ()</term><term>Résorption alvéolaire (imagerie diagnostique)</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term><term>Mandibular Diseases</term><term>Mandibular Fractures</term><term>Mouth, Edentulous</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bouche édentée</term><term>Complications postopératoires</term><term>Fractures mandibulaires</term><term>Maladies mandibulaires</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Consolidation de fracture</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Fracture Healing</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Mandibular Diseases</term><term>Mandibular Fractures</term><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Atrophy</term><term>Follow-Up Studies</term><term>Humans</term><term>Radiography, Panoramic</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Atrophie</term><term>Bouche édentée</term><term>Fractures mandibulaires</term><term>Humains</term><term>Maladies mandibulaires</term><term>Ostéosynthèse interne</term><term>Radiographie panoramique</term><term>Résorption alvéolaire</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Because treatment of fractures of the atrophic mandible still today presents significant difficulties and treatment modalities remain controversial, 87 of these consecutive fractures which were treated by an uniform method as compression osteosynthesis were evaluated. A new classification of the degree of atrophy which considers the special interest of fracture treatment is introduced. It is based on a metrical measurement of the height of the mandible in the fracture area. Mandibles of 16 to 20 mm height are classified as class I atrophy, those of 11 to 15 mm as class II atrophy, and those with a height of 10 mm or less as extremely atrophic mandibles or class III atrophy. This simple and reliable classification could also be used in future investigations on the results of different treatment modalities in atrophic mandibles. In our series of 87 fractures of the atrophic mandible which were treated by compression osteosynthesis 97% resulted in a solid osseous union without the need of a second surgical intervention. Three major complications occurred: 1 osteomyelitis and 2 non-unions (the latter in one patient with a double fracture of a class III atrophy mandible). To the best of our knowledge this series is the largest of fractures of truly atrophic mandibles treated by one uniform method. Compared to other treatment modalities compression osteosynthesis produced acceptable results and is recommended as the treatment of choice in fractures of the atrophic mandible.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Luhr, H G" sort="Luhr, H G" uniqKey="Luhr H" first="H G" last="Luhr">H G Luhr</name><name sortKey="Merten, H A" sort="Merten, H A" uniqKey="Merten H" first="H A" last="Merten">H A Merten</name><name sortKey="Reidick, T" sort="Reidick, T" uniqKey="Reidick T" first="T" last="Reidick">T. Reidick</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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