Treatment protocol for fractures of the atrophic mandible.
Identifieur interne : 002060 ( Ncbi/Merge ); précédent : 002059; suivant : 002061Treatment protocol for fractures of the atrophic mandible.
Auteurs : Edward Ellis [États-Unis] ; Chris PriceSource :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 1531-5053 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Atrophie (), Comorbidité, Facteurs temps, Femelle, Fixateurs internes, Fractures mandibulaires (), Fractures mandibulaires (imagerie diagnostique), Humains, Mandibule (), Mandibule (anatomopathologie), Mandibule (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâchoire édentée (imagerie diagnostique), Mâle, Ostéosynthèse interne (), Ostéosynthèse interne (instrumentation), Plaques orthopédiques, Radiographie, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Transplantation osseuse (), Études rétrospectives.
- MESH :
- anatomopathologie : Mandibule, Mâchoire édentée.
- imagerie diagnostique : Fractures mandibulaires, Mandibule, Mâchoire édentée.
- instrumentation : Adulte, Adulte d'âge moyen, Atrophie, Comorbidité, Facteurs temps, Femelle, Fixateurs internes, Fractures mandibulaires, Humains, Mandibule, Mâchoire édentée, Mâle, Ostéosynthèse interne, Plaques orthopédiques, Radiographie, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Transplantation osseuse, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Atrophy (surgery), Bone Plates, Bone Transplantation (methods), Comorbidity, Female, Fracture Fixation, Internal (instrumentation), Fracture Fixation, Internal (methods), Humans, Internal Fixators, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (pathology), Jaw, Edentulous (surgery), Male, Mandible (diagnostic imaging), Mandible (pathology), Mandible (surgery), Mandibular Fractures (diagnostic imaging), Mandibular Fractures (surgery), Middle Aged, Radiography, Retrospective Studies, Time Factors, Treatment Outcome.
- MESH :
- diagnostic imaging : Jaw, Edentulous, Mandible, Mandibular Fractures.
- instrumentation : Fracture Fixation, Internal.
- methods : Bone Transplantation, Fracture Fixation, Internal.
- pathology : Jaw, Edentulous, Mandible.
- surgery : Atrophy, Jaw, Edentulous, Mandible, Mandibular Fractures.
- Adult, Aged, Aged, 80 and over, Bone Plates, Comorbidity, Female, Humans, Internal Fixators, Male, Middle Aged, Radiography, Retrospective Studies, Time Factors, Treatment Outcome.
Abstract
This study was conducted to evaluate the outcomes after treatment of fractures through the atrophic mandible using open reduction, internal fixation, and immediate bone grafting.
DOI: 10.1016/j.joms.2007.08.042
PubMed: 18280373
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pubmed:18280373Le document en format XML
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<wicri:regionArea>Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-9109</wicri:regionArea>
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<author><name sortKey="Price, Chris" sort="Price, Chris" uniqKey="Price C" first="Chris" last="Price">Chris Price</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Atrophy (surgery)</term>
<term>Bone Plates</term>
<term>Bone Transplantation (methods)</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Fracture Fixation, Internal (methods)</term>
<term>Humans</term>
<term>Internal Fixators</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Fractures (diagnostic imaging)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie ()</term>
<term>Comorbidité</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Fixateurs internes</term>
<term>Fractures mandibulaires ()</term>
<term>Fractures mandibulaires (imagerie diagnostique)</term>
<term>Humains</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Ostéosynthèse interne ()</term>
<term>Ostéosynthèse interne (instrumentation)</term>
<term>Plaques orthopédiques</term>
<term>Radiographie</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Transplantation osseuse ()</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Fractures mandibulaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée</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>Bone Transplantation</term>
<term>Fracture Fixation, Internal</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Atrophy</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Plates</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Humans</term>
<term>Internal Fixators</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Comorbidité</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Fixateurs internes</term>
<term>Fractures mandibulaires</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéosynthèse interne</term>
<term>Plaques orthopédiques</term>
<term>Radiographie</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Transplantation osseuse</term>
<term>Études rétrospectives</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">This study was conducted to evaluate the outcomes after treatment of fractures through the atrophic mandible using open reduction, internal fixation, and immediate bone grafting.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18280373</PMID>
<DateCompleted><Year>2008</Year>
<Month>03</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1531-5053</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>66</Volume>
<Issue>3</Issue>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Treatment protocol for fractures of the atrophic mandible.</ArticleTitle>
<Pagination><MedlinePgn>421-35</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2007.08.042</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This study was conducted to evaluate the outcomes after treatment of fractures through the atrophic mandible using open reduction, internal fixation, and immediate bone grafting.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">All patients treated surgically for fractures through an atrophic (<15 mm at the fracture site) mandible over a 17-year period were included if their records contained adequate information. Demographic data and details of treatment were tabulated, as were outcomes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 32 patients (19 males, 13 females; age range, 43 to 92 years) met the inclusion criteria. Of the 32 cases, 26 were bilateral fractures, and most occurred through the region of the body of the mandible. Most patients had significant medical comorbidities. Most of the fractures were treated through an extraoral approach with a rigid internal fixation technique. Immediate bone grafts were used in 23 of the 32 patients. No intraoperative or postoperative complications occurred. All patients healed uneventfully. In 4 patients, plates had to be removed for various reasons after fracture healing was complete.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of a seemingly more aggressive approach for managing fractures through the atrophic mandible produced healing in all patients and, in the end, may be more "conservative" than a less aggressive approach. Despite the advanced age and medical comorbidities of most of the patients, all patients tolerated the surgery and did well postoperatively.</AbstractText>
</Abstract>
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<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<MeshHeading><DescriptorName UI="D001860" MajorTopicYN="N">Bone Plates</DescriptorName>
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<MeshHeading><DescriptorName UI="D005593" MajorTopicYN="N">Fracture Fixation, Internal</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D016268" MajorTopicYN="N">Internal Fixators</DescriptorName>
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<MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008337" MajorTopicYN="N">Mandibular Fractures</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
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