Interrami intraoral fixation technique utilized as a conservative approach to edentulous/atrophic mandibular fractures.
Identifieur interne : 000448 ( PubMed/Curation ); précédent : 000447; suivant : 000449Interrami intraoral fixation technique utilized as a conservative approach to edentulous/atrophic mandibular fractures.
Auteurs : Sabri T. Shuker [États-Unis]Source :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Atrophie.
- Fils métalliques, Fractures mandibulaires, Humains, Mâchoire édentée, Ostéosynthèse interne, Plaques orthopédiques.
English descriptors
- KwdEn :
- MESH :
- complications : Jaw, Edentulous, Mandibular Fractures.
- methods : Fracture Fixation, Internal.
- pathology : Atrophy.
- surgery : Jaw, Edentulous, Mandibular Fractures.
- Bone Plates, Bone Wires, Humans.
Abstract
Interrami intraoral Kirschner wire fixation (IRIF) technique is presented as new conservative successful indirect rigid fixation utilized for the reduction and fixation of edentulous/atrophic mandible fractures. This technique is carried out under local anesthesia without the need for open reduction internal fixation, which can lead to a compromise in the blood supply of fracture region. It is also quicker, easier, requires fewer postoperative visits, and cheaper than small or large bone plate fixations.Five edentulous mandibular fractures, 2 of them atrophic, 2 non-atrophic, and 1 partial edentulous, were successfully treated. In all cases, the IRIF technique was utilized to establish an indirect rigid fixation using horseshoe-shaped Kirschner wire with a 2-mm diameter. No complication was reported during these cases. This technique prevails over the Gunning splint and external edentulous fracture fixation techniques as it provides adequate fracture site stability, is more comfortable, and is better tolerated for a longer period of time by the patient. In addition, there are fewer complications caused by malunions from direct intraoral or extraoral small and large plate fixation techniques. Other advantages of the IRIF technique are that it enables the mandible to function as a single unit and preserves its function and anatomical position immediately after surgery. In contrast, the Gunning splint acts only to preserve the balance of a single segment's position.
DOI: 10.1097/SCS.0000000000001532
PubMed: 25974771
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Shuker</name><affiliation wicri:level="2"><nlm:affiliation>West Bloomfield, MI.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>West Bloomfield</wicri:cityArea></affiliation></author></analytic><series><title level="j">The Journal of craniofacial surgery</title><idno type="eISSN">1536-3732</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atrophy (pathology)</term><term>Bone Plates</term><term>Bone Wires</term><term>Fracture Fixation, Internal (methods)</term><term>Humans</term><term>Jaw, Edentulous (complications)</term><term>Jaw, Edentulous (surgery)</term><term>Mandibular Fractures (complications)</term><term>Mandibular Fractures (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Atrophie (anatomopathologie)</term><term>Fils métalliques</term><term>Fractures mandibulaires ()</term><term>Humains</term><term>Mâchoire édentée ()</term><term>Ostéosynthèse interne ()</term><term>Plaques orthopédiques</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Atrophie</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandibular Fractures</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>Atrophy</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Bone Plates</term><term>Bone Wires</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Fils métalliques</term><term>Fractures mandibulaires</term><term>Humains</term><term>Mâchoire édentée</term><term>Ostéosynthèse interne</term><term>Plaques orthopédiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Interrami intraoral Kirschner wire fixation (IRIF) technique is presented as new conservative successful indirect rigid fixation utilized for the reduction and fixation of edentulous/atrophic mandible fractures. This technique is carried out under local anesthesia without the need for open reduction internal fixation, which can lead to a compromise in the blood supply of fracture region. It is also quicker, easier, requires fewer postoperative visits, and cheaper than small or large bone plate fixations.Five edentulous mandibular fractures, 2 of them atrophic, 2 non-atrophic, and 1 partial edentulous, were successfully treated. In all cases, the IRIF technique was utilized to establish an indirect rigid fixation using horseshoe-shaped Kirschner wire with a 2-mm diameter. No complication was reported during these cases. This technique prevails over the Gunning splint and external edentulous fracture fixation techniques as it provides adequate fracture site stability, is more comfortable, and is better tolerated for a longer period of time by the patient. In addition, there are fewer complications caused by malunions from direct intraoral or extraoral small and large plate fixation techniques. Other advantages of the IRIF technique are that it enables the mandible to function as a single unit and preserves its function and anatomical position immediately after surgery. In contrast, the Gunning splint acts only to preserve the balance of a single segment's position.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25974771</PMID><DateCompleted><Year>2016</Year><Month>01</Month><Day>04</Day></DateCompleted><DateRevised><Year>2015</Year><Month>05</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-3732</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>May</Month></PubDate></JournalIssue><Title>The Journal of craniofacial surgery</Title><ISOAbbreviation>J Craniofac Surg</ISOAbbreviation></Journal><ArticleTitle>Interrami intraoral fixation technique utilized as a conservative approach to edentulous/atrophic mandibular fractures.</ArticleTitle><Pagination><MedlinePgn>677-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/SCS.0000000000001532</ELocationID><Abstract><AbstractText>Interrami intraoral Kirschner wire fixation (IRIF) technique is presented as new conservative successful indirect rigid fixation utilized for the reduction and fixation of edentulous/atrophic mandible fractures. This technique is carried out under local anesthesia without the need for open reduction internal fixation, which can lead to a compromise in the blood supply of fracture region. It is also quicker, easier, requires fewer postoperative visits, and cheaper than small or large bone plate fixations.Five edentulous mandibular fractures, 2 of them atrophic, 2 non-atrophic, and 1 partial edentulous, were successfully treated. In all cases, the IRIF technique was utilized to establish an indirect rigid fixation using horseshoe-shaped Kirschner wire with a 2-mm diameter. No complication was reported during these cases. This technique prevails over the Gunning splint and external edentulous fracture fixation techniques as it provides adequate fracture site stability, is more comfortable, and is better tolerated for a longer period of time by the patient. In addition, there are fewer complications caused by malunions from direct intraoral or extraoral small and large plate fixation techniques. Other advantages of the IRIF technique are that it enables the mandible to function as a single unit and preserves its function and anatomical position immediately after surgery. 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