Miniplate osteosynthesis of fractures of the edentulous mandible.
Identifieur interne : 001839 ( Ncbi/Checkpoint ); précédent : 001838; suivant : 001840Miniplate osteosynthesis of fractures of the edentulous mandible.
Auteurs : Hiroshi Mugino [Japon] ; Shinji Takagi ; Ryoichi Oya ; Syoichi Nakamura ; Kunio IkemuraSource :
- Clinical oral investigations [ 1432-6981 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Atrophie, Complications postopératoires, Femelle, Fils métalliques, Fractures mandibulaires (), Fractures mandibulaires (anatomopathologie), Humains, Hypoesthésie (étiologie), Interventions chirurgicales mini-invasives, Maladies de la lèvre (étiologie), Mandibule (anatomopathologie), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâle, Ostéosynthèse interne (), Ostéosynthèse interne (instrumentation), Plaques orthopédiques, Sujet âgé, Sujet âgé de 80 ans ou plus, Vis orthopédiques, Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Fractures mandibulaires, Mandibule, Mâchoire édentée.
- étiologie : Hypoesthésie, Maladies de la lèvre, Ostéosynthèse interne.
- Adulte d'âge moyen, Atrophie, Complications postopératoires, Femelle, Fils métalliques, Fractures mandibulaires, Humains, Interventions chirurgicales mini-invasives, Mâchoire édentée, Mâle, Ostéosynthèse interne, Plaques orthopédiques, Sujet âgé, Sujet âgé de 80 ans ou plus, Vis orthopédiques, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Atrophy, Bone Plates, Bone Screws, Bone Wires, Female, Follow-Up Studies, Fracture Fixation, Internal (instrumentation), Fracture Fixation, Internal (methods), Humans, Hypesthesia (etiology), Jaw, Edentulous (pathology), Jaw, Edentulous (surgery), Lip Diseases (etiology), Male, Mandible (pathology), Mandibular Fractures (classification), Mandibular Fractures (pathology), Mandibular Fractures (surgery), Middle Aged, Minimally Invasive Surgical Procedures, Postoperative Complications, Retrospective Studies.
- MESH :
- classification : Mandibular Fractures.
- etiology : Hypesthesia, Lip Diseases.
- instrumentation : Fracture Fixation, Internal.
- methods : Fracture Fixation, Internal.
- pathology : Jaw, Edentulous, Mandible, Mandibular Fractures.
- surgery : Jaw, Edentulous, Mandibular Fractures.
- Aged, Aged, 80 and over, Atrophy, Bone Plates, Bone Screws, Bone Wires, Female, Follow-Up Studies, Humans, Male, Middle Aged, Minimally Invasive Surgical Procedures, Postoperative Complications, Retrospective Studies.
Abstract
This study was performed to analyze treatment of fractures of the edentulous mandible and to discuss this method in relation to the mandibular height at the fracture site. Fifteen fracture sites in 11 patients with an edentulous mandible were retrospectively examined. These fractures were located: nine fractures in the mandibular body, three in the paramedian region, and three in the mandibular angle. Fractures in a mandible measuring more than 10 mm in the vertical height were treated with one miniplate. Fractures in an extremely atrophic mandible with 10 mm or less were treated using one or two miniplates, also using a modified Champy plate with 1.3 mm in thickness. A mandibular fracture with a height of 5 mm was treated with a combination of a microplate on the buccal side and a miniplate on the inferior border of the mandible with additional direct circumferential wiring. Oblique or splitting fractures were treated with direct circumferential wiring or a Herbert screw, at one fracture site each, respectively. Complications, including infection, fibrous union, nonunion and trismus, were not seen. In one patient, hypesthesia of the lower lip was, however, persistent 1 month after surgery. Miniplate osteosynthesis is the less invasive treatment, and it is suitable for fractures of the atrophic edentulous mandible, except for comminuted or defect fractures. To obtain stable fixation in severely atrophic mandibles, we need to consider the use of two miniplates or a combination with microplates.
DOI: 10.1007/s00784-005-0012-5
PubMed: 16311742
Affiliations:
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pubmed:16311742Le document en format XML
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last="Oya">Ryoichi Oya</name></author><author><name sortKey="Nakamura, Syoichi" sort="Nakamura, Syoichi" uniqKey="Nakamura S" first="Syoichi" last="Nakamura">Syoichi Nakamura</name></author><author><name sortKey="Ikemura, Kunio" sort="Ikemura, Kunio" uniqKey="Ikemura K" first="Kunio" last="Ikemura">Kunio Ikemura</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:16311742</idno><idno type="pmid">16311742</idno><idno type="doi">10.1007/s00784-005-0012-5</idno><idno type="wicri:Area/PubMed/Corpus">002862</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002862</idno><idno type="wicri:Area/PubMed/Curation">002862</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002862</idno><idno type="wicri:Area/PubMed/Checkpoint">002862</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002862</idno><idno 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(instrumentation)</term><term>Fracture Fixation, Internal (methods)</term><term>Humans</term><term>Hypesthesia (etiology)</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (surgery)</term><term>Lip Diseases (etiology)</term><term>Male</term><term>Mandible (pathology)</term><term>Mandibular Fractures (classification)</term><term>Mandibular Fractures (pathology)</term><term>Mandibular Fractures (surgery)</term><term>Middle Aged</term><term>Minimally Invasive Surgical Procedures</term><term>Postoperative Complications</term><term>Retrospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Complications postopératoires</term><term>Femelle</term><term>Fils métalliques</term><term>Fractures mandibulaires ()</term><term>Fractures mandibulaires (anatomopathologie)</term><term>Humains</term><term>Hypoesthésie (étiologie)</term><term>Interventions chirurgicales mini-invasives</term><term>Maladies de la lèvre (étiologie)</term><term>Mandibule (anatomopathologie)</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (anatomopathologie)</term><term>Mâle</term><term>Ostéosynthèse interne ()</term><term>Ostéosynthèse interne (instrumentation)</term><term>Plaques orthopédiques</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Vis orthopédiques</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Fractures mandibulaires</term><term>Mandibule</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypesthesia</term><term>Lip Diseases</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hypoesthésie</term><term>Maladies de la lèvre</term><term>Ostéosynthèse interne</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Atrophy</term><term>Bone Plates</term><term>Bone Screws</term><term>Bone Wires</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Minimally Invasive Surgical Procedures</term><term>Postoperative Complications</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" 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Fifteen fracture sites in 11 patients with an edentulous mandible were retrospectively examined. These fractures were located: nine fractures in the mandibular body, three in the paramedian region, and three in the mandibular angle. Fractures in a mandible measuring more than 10 mm in the vertical height were treated with one miniplate. Fractures in an extremely atrophic mandible with 10 mm or less were treated using one or two miniplates, also using a modified Champy plate with 1.3 mm in thickness. A mandibular fracture with a height of 5 mm was treated with a combination of a microplate on the buccal side and a miniplate on the inferior border of the mandible with additional direct circumferential wiring. Oblique or splitting fractures were treated with direct circumferential wiring or a Herbert screw, at one fracture site each, respectively. Complications, including infection, fibrous union, nonunion and trismus, were not seen. In one patient, hypesthesia of the lower lip was, however, persistent 1 month after surgery. Miniplate osteosynthesis is the less invasive treatment, and it is suitable for fractures of the atrophic edentulous mandible, except for comminuted or defect fractures. To obtain stable fixation in severely atrophic mandibles, we need to consider the use of two miniplates or a combination with microplates.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Ikemura, Kunio" sort="Ikemura, Kunio" uniqKey="Ikemura K" first="Kunio" last="Ikemura">Kunio Ikemura</name><name sortKey="Nakamura, Syoichi" sort="Nakamura, Syoichi" uniqKey="Nakamura S" first="Syoichi" last="Nakamura">Syoichi Nakamura</name><name sortKey="Oya, Ryoichi" sort="Oya, Ryoichi" uniqKey="Oya R" first="Ryoichi" last="Oya">Ryoichi Oya</name><name sortKey="Takagi, Shinji" sort="Takagi, Shinji" uniqKey="Takagi S" first="Shinji" last="Takagi">Shinji Takagi</name></noCountry><country name="Japon"><noRegion><name sortKey="Mugino, Hiroshi" sort="Mugino, Hiroshi" uniqKey="Mugino H" first="Hiroshi" last="Mugino">Hiroshi Mugino</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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