Microplate Fixation without Maxillomandibular Fixation in Double Mandibular Fractures
Archives of Craniofacial Surgery
; : 53-58, 2014.
Article
Dans En
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| ID: wpr-135931
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ABSTRACT
BACKGROUND: Maxillomandibular fixation (MMF) is usually used to treat double mandibular fractures. However, advancements in reduction and fixation techniques may allow recovery of the premorbid dental arch and occlusion without the use of MMF. We investigated whether anatomical reduction and microplate fixation without MMF could provide secure immobilization and correct occlusion in double mandibular fractures. METHODS: Thirty-four patients with double mandibular fractures were treated with open reduction and internal fixation without MMF. Both fracture sites were surgically treated. For bony fixations, we used microplates with or without wire. After reduction, each fracture site was fixed at two or three points to maintain anatomical alignment of the mandible. Interdental wiring was used to reduce the fracture at the superior border and to enhance stability for 6 weeks. Mouth opening was permitted immediately. RESULTS: No major complications were observed, including infection, plate exposure, non-union, or significant malocclusion. Five patients experienced minor complications, among whom the only one patient experienced a persistant but mild malocclusion with no need for additional management. CONCLUSION: This study showed that double mandibular fractures correction with two- or three-point fixation without MMF simplified the surgical procedure, increased patient comfort, and reduced complications, due to good stability and excellent adaptation.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Fixateurs externes
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Techniques de contention de la mâchoire
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Arcade dentaire
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Immobilisation
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Malocclusion dentaire
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Mandibule
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Fractures mandibulaires
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Bouche
Limites du sujet:
Humans
langue:
En
Texte intégral:
Archives of Craniofacial Surgery
Année:
2014
Type:
Article