Different Surgical Approaches for Multiple Fractured Atrophic Mandibles
Identifieur interne : 004261 ( Main/Merge ); précédent : 004260; suivant : 004262Different Surgical Approaches for Multiple Fractured Atrophic Mandibles
Auteurs : Felipe Ladeira Pereira [Brésil] ; Walter Cristiano Gealh [Brésil] ; Carlos Eduardo Braga Barbosa [Brésil] ; Liogi Iwaki Filho [Brésil]Source :
- Craniomaxillofacial Trauma & Reconstruction [ 1943-3875 ] ; 2011.
Abstract
Atrophic edentulous mandible fractures in geriatric patients have low incidence but present several biological and biomechanical peculiarities that produce a nonunion rate of around 20%. Surgical extraoral approaches for internal fixation of these fractures can be transcervical or by one or two submandibular incisions. Two patients sustaining multiple fractures in atrophic edentulous mandible are presented: the first patient was 72-years-old, treated by two submandibular incisions, and the second was 81-years-old, treated by transcervical approach. We discuss the advantages and drawbacks of each approach and their indications according to the Luhr et al (1996) atrophy index.
Url:
DOI: 10.1055/s-0031-1272898
PubMed: 22379503
PubMed Central: 3208337
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PMC:3208337Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Atrophic edentulous mandible fractures in geriatric patients have low incidence but present several biological and biomechanical peculiarities that produce a nonunion rate of around 20%. Surgical extraoral approaches for internal fixation of these fractures can be transcervical or by one or two submandibular incisions. Two patients sustaining multiple fractures in atrophic edentulous mandible are presented: the first patient was 72-years-old, treated by two submandibular incisions, and the second was 81-years-old, treated by transcervical approach. We discuss the advantages and drawbacks of each approach and their indications according to the Luhr et al (1996) atrophy index.</p>
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