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Different Surgical Approaches for Multiple Fractured Atrophic Mandibles

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Different 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.

RBID : PMC:3208337

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:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3208337

DOI: 10.1055/s-0031-1272898
PubMed: 22379503
PubMed Central: 3208337

Affiliations:

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PMC:3208337

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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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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Craniomaxillofac Trauma Reconstr</journal-id>
<journal-title-group><journal-title>Craniomaxillofacial Trauma & Reconstruction</journal-title>
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<issn pub-type="ppub">1943-3875</issn>
<issn pub-type="epub">1943-3883</issn>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Different Surgical Approaches for Multiple Fractured Atrophic Mandibles</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Pereira</surname>
<given-names>Felipe Ladeira</given-names>
</name>
<degrees>D.D.S.</degrees>
<xref ref-type="aff" rid="a04019-1">1</xref>
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<contrib contrib-type="author"><name><surname>Gealh</surname>
<given-names>Walter Cristiano</given-names>
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<degrees>D.D.S.</degrees>
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<given-names>Carlos Eduardo Braga</given-names>
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<degrees>D.D.S.</degrees>
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<contrib contrib-type="author"><name><surname>Filho</surname>
<given-names>Liogi Iwaki</given-names>
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<degrees>D.D.S., Ph.D.</degrees>
<xref ref-type="aff" rid="a04019-4">4</xref>
</contrib>
 
 
 <aff id="a04019-1"><label>1</label>
Brazilian Army, Juiz de Fora General Hospital (HGeJF), Juiz de Fora, Minas Gerais, Brazil</aff>
<aff id="a04019-2"><label>2</label>
Univ Estadual Paulista, Araçatuba, São Paulo, Brazil</aff>
<aff id="a04019-3"><label>3</label>
Private Practice, Londrina, Paraná, Brazil</aff>
<aff id="a04019-4"><label>4</label>
Maringá State University, Maringá, Paraná, Brazil</aff>
</contrib-group>
<author-notes><corresp>Address for correspondence and reprint requests: Liogi Iwaki Filho, D.D.S., Ph.D. <institution>Avenida Curitiba 486, sala 701 Zona 4</institution>
 <addr-line>CEP-87013-380 Maringá, Paraná, Brazil</addr-line>
 <email>liogifilho@gmail.com</email>
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<pub-date pub-type="epreprint"><month>2</month>
<day>24</day>
<year>2011</year>
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<pub-date pub-type="ppub"><month>3</month>
<year>2011</year>
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<volume>4</volume>
<issue>1</issue>
<fpage>19</fpage>
<lpage>24</lpage>
<permissions><copyright-statement>© Thieme Medical Publishers</copyright-statement>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Atrophic mandible</kwd>
<kwd>mandibular fracture</kwd>
<kwd>rigid internal fixation</kwd>
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<tree><country name="Brésil"><region name="Minas Gerais"><name sortKey="Pereira, Felipe Ladeira" sort="Pereira, Felipe Ladeira" uniqKey="Pereira F" first="Felipe Ladeira" last="Pereira">Felipe Ladeira Pereira</name>
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<name sortKey="Barbosa, Carlos Eduardo Braga" sort="Barbosa, Carlos Eduardo Braga" uniqKey="Barbosa C" first="Carlos Eduardo Braga" last="Barbosa">Carlos Eduardo Braga Barbosa</name>
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Different Surgical Approaches for Multiple Fractured Atrophic Mandibles

Different Surgical Approaches for Multiple Fractured Atrophic Mandibles

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Abstract

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