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Management of Fractures in the Edentulous Mandible

Identifieur interne : 000163 ( Pmc/Checkpoint ); précédent : 000162; suivant : 000164

Management of Fractures in the Edentulous Mandible

Auteurs : Suraj Jaisinghani [États-Unis] ; Nicholas S. Adams ; Reynaldo D. Rivera

Source :

RBID : PMC:5503905
Url:
PubMed: 28736597
PubMed Central: 5503905


Affiliations:


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PMC:5503905

Le document en format XML

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<name sortKey="Jaisinghani, Suraj" sort="Jaisinghani, Suraj" uniqKey="Jaisinghani S" first="Suraj" last="Jaisinghani">Suraj Jaisinghani</name>
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<nlm:aff id="aff1">Rochester General Hospital Interventional Radiology Residency, Rochester, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Adams, Nicholas S" sort="Adams, Nicholas S" uniqKey="Adams N" first="Nicholas S." last="Adams">Nicholas S. Adams</name>
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<name sortKey="Rivera, Reynaldo D" sort="Rivera, Reynaldo D" uniqKey="Rivera R" first="Reynaldo D." last="Rivera">Reynaldo D. Rivera</name>
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<journal-id journal-id-type="nlm-ta">Eplasty</journal-id>
<journal-id journal-id-type="iso-abbrev">Eplasty</journal-id>
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<journal-title>Eplasty</journal-title>
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<article-id pub-id-type="pmid">28736597</article-id>
<article-id pub-id-type="pmc">5503905</article-id>
<article-id pub-id-type="publisher-id">17</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Interesting Case Series</subject>
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<article-title>Management of Fractures in the Edentulous Mandible</article-title>
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<contrib contrib-type="author">
<name>
<surname>Jaisinghani</surname>
<given-names>Suraj</given-names>
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<degrees>MS, MD</degrees>
<xref ref-type="aff" rid="aff1">
<sup>a</sup>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Adams</surname>
<given-names>Nicholas S.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff2">
<sup>b</sup>
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<xref ref-type="corresp" rid="cor1"></xref>
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<contrib contrib-type="author">
<name>
<surname>Rivera</surname>
<given-names>Reynaldo D.</given-names>
</name>
<degrees>DDS, MD</degrees>
<xref ref-type="aff" rid="aff2">
<sup>b</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>c</sup>
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<aff id="aff1">
<sup>a</sup>
Rochester General Hospital Interventional Radiology Residency, Rochester, NY</aff>
<aff id="aff2">
<sup>b</sup>
GRMEP/Michigan State University Plastic Surgery Residency, Grand Rapids, Mich</aff>
<aff id="aff3">
<sup>c</sup>
West Michigan Oral and Maxillofacial Surgery, Grand Haven, Mich</aff>
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<author-notes>
<corresp id="cor1">Correspondence:
<email xlink:href="Nick.Adams@GRMEP.com">Nick.Adams@GRMEP.com</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>6</month>
<year>2017</year>
</pub-date>
<volume>17</volume>
<elocation-id>ic17</elocation-id>
<permissions>
<copyright-statement>Copyright © 2017 The Author(s)</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/">
<license-p>This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
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<kwd-group kwd-group-type="kwd">
<kwd>edentulous</kwd>
<kwd>mandible fracture</kwd>
<kwd>condyle</kwd>
<kwd>body</kwd>
<kwd>ORIF</kwd>
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<fig id="F1" position="float">
<label>Figure 1</label>
<caption>
<p>Preoperative panoramic radiographic imaging indicating a right mandibular body (solid arrow) and left subcondylar (dashed arrow) fractures in an edentulous mandible.</p>
</caption>
<graphic xlink:href="eplasty17ic17_fig1"></graphic>
</fig>
<fig id="F2" position="float">
<label>Figure 2. (a, b)</label>
<caption>
<p>Maxillofacial computed tomography with 3-dimensional reconstruction demonstrating an atrophic, edentulous mandible with fractures of the right body and left subcondylar region.</p>
</caption>
<graphic xlink:href="eplasty17ic17_fig2"></graphic>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption>
<p>Incidence of mandible fracture by location.
<xref rid="B1" ref-type="bibr">1</xref>
However, in the edentulous mandible, the percentage of body fractures may be higher due to thinner bone in this region. Approximately half of all mandibular fractures are bilateral. Because of the increased instability of bilateral fractures, it is currently recommended that at least one of the fractures be fixed with heavier plates.
<xref rid="B2" ref-type="bibr">2</xref>
</p>
</caption>
<graphic xlink:href="eplasty17ic17_fig3"></graphic>
</fig>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption>
<p>(a) ORIF of the right mandibular body with a locking reconstruction plate via a transfacial, modified Risdon approach. Use of the locking, reconstruction plate provides load-bearing fixation. (b) ORIF of the left subcondylar fracture with a load-sharing miniplate. The fracture was accessed through a retromandibular incision. ORIF indicates open reduction and internal fixation.</p>
</caption>
<graphic xlink:href="eplasty17ic17_fig4"></graphic>
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<name sortKey="Adams, Nicholas S" sort="Adams, Nicholas S" uniqKey="Adams N" first="Nicholas S." last="Adams">Nicholas S. Adams</name>
<name sortKey="Rivera, Reynaldo D" sort="Rivera, Reynaldo D" uniqKey="Rivera R" first="Reynaldo D." last="Rivera">Reynaldo D. Rivera</name>
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<region name="État de New York">
<name sortKey="Jaisinghani, Suraj" sort="Jaisinghani, Suraj" uniqKey="Jaisinghani S" first="Suraj" last="Jaisinghani">Suraj Jaisinghani</name>
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