Management of fractures of the atrophic mandible: a case series  

Oleh:

Flores-Hidalgo, Andres ; Altay, Mehmet Ali ; Atencio, Isabel C. ; Manlove, Ashley E. ; Schneider, Keith M.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology (keterangan: ada di ClinicalKey) vol. 119 no. 06 (Jun. 2015), page 619–627.

Ketersediaan

Perpustakaan FK Nomor Panggil: O04.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective This study aims to report the outcome of patients with atrophic mandible fractures. Study Design Atrophic mandible fractures in 11 patients (7 females and 4 males) were approached with a transcervical incision, and bone segments were stabilized with 2.7-mm reconstruction titanium plates and locking screws placed at the lateral border of the mandible. In 6 of the 11 cases, autogenous cancellous bone was used to repair a continuity defect or to augment the vertical height of the bone in the region of the fracture(s). Results No major intraoperative or postoperative complications were encountered in any patient. Two patients presented with postoperative infections that resolved with incision–drainage and antibiotics, and removal or replacement of the reconstruction plates or the bone grafts was not required. Conclusions Treatment of atrophic mandible fractures can be performed safely and effectively with reconstruction plates, with or without bone grafting. The most conservative and predictable treatment in the long term is the definitive reconstructive surgical procedure to restore form and immediate function.

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