A Rare Case of Mediastinal and Cervical Emphysema Secondary Mandibular Angle Fracture: A Case Report

2011 ◽  
Vol 69 (10) ◽  
pp. 2626-2630 ◽  
Author(s):  
Saulo Ellery Santos ◽  
Renato Sawazaki ◽  
Luciana Asprino ◽  
Márcio de Moraes ◽  
Roger William Fernandes Moreira
2018 ◽  
Vol 1 (3) ◽  
pp. 263-267
Author(s):  
Gabriela Mayrink ◽  
Marcelo Mendes ◽  
Roger Moreira ◽  
Ferdinando De Conto ◽  
Renato Sawazaki

The treatment of mandibular angle fractures involves several postsurgical complications and is in greater demand when compared to therapeutic approaches for other types of mandibular fractures. Such postsurgical complications as bleeding, swelling, infection, dehiscence, pseudoarthrosis and paresthesia might affect individuals in both sexes and at all age groups. The presence of a mandibular third molar, a cross-sectional area thinner than the tooth-bearing region, and biomechanical forces might hamper the surgery, making it longer and more complex. Internal fixation is aimed at undisturbed healing under condition of functional and without any period of intermaxillary fixation. Adequate fixation depends on different fracture types, patients' general health and compliance, and the timing of the operation. This case report involves a mandibular angle fracture successfully treated with the lag screw technique, a simple approach to treat one of the most common fractures involving the mandible, quickly restoring the patient ́s oral functions.


2017 ◽  
Vol 10 (4) ◽  
pp. 314-317
Author(s):  
Jesse Falk ◽  
Ryan Borgwardt ◽  
Stephen MacLeod

Blunt trauma to the parotid resulting in the formation of a sialocele is rare, with only three cases identified in the literature. We present a unique case involving a 32-year-old man with blunt trauma resulting in a left mandibular angle fracture. The patient underwent open reduction and internal fixation of the left mandibular angle fracture via transoral approach. At follow-up, after resolution of the edema from the injury, a sialocele was noted in the region of the left anterior parotid gland. The patient was treated conservatively with antisialagogues, pressure dressings, and multiple percutaneous aspirations that ultimately resulted in resolution of the sialocele.


Oral Surgery ◽  
2020 ◽  
Author(s):  
Carolina Chaves Gama Aires ◽  
Eugênia Leal de Figueiredo ◽  
Bruno José Carvalho Macêdo Neres ◽  
Fernando Ferreira dos Santos Neto ◽  
Ricardo José de Holanda Vasconcellos ◽  
...  

2018 ◽  
Vol 22 (2) ◽  
pp. 231-233
Author(s):  
Rodrigo dos Santos Pereira ◽  
Jonathan Ribeiro da Silva ◽  
João Paulo Bonardi ◽  
Eduardo Hochuli-Vieira

2017 ◽  
Vol 45 (4) ◽  
pp. 526-539 ◽  
Author(s):  
Jürgen Wallner ◽  
Knut Reinbacher ◽  
Matthias Feichtinger ◽  
Mauro Pau ◽  
Georg Feigl ◽  
...  

2013 ◽  
Vol 6 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Amy S. Xue ◽  
John C. Koshy ◽  
Erik M. Wolfswinkel ◽  
William M. Weathers ◽  
Kristina P. Marsack ◽  
...  

This prospective randomized clinical trial compared the treatment outcomes of strut plate and Champy miniplate in fixation of mandibular angle fractures. Patients with mandibular angle fracture were consented and enrolled into this study. Exclusion criteria include patients with severely comminuted fractures. The patients were randomly assigned to receive the strut plate or Champy miniplate for angle fracture fixation. Patient demographics, fracture characteristics, operative and postoperative outcomes were collected prospectively. Statistical analysis was performed to evaluate the significance of the outcome. A total of 18 patients were included in this study and randomly assigned to receive either the strut plate or Champy miniplate. Out of which five patients were excluded postoperatively due to complex fracture resulting in postoperative maxillomandibular fixation. The final enrollment was 13 patients, N = 6 (strut) and N = 7 (Champy). There was no statistically significant difference in the pretreatment variables. Nine of these patients had other associated facial fractures, including parasymphyseal and subcondylar fractures. Most of the (11) patients had sufficient follow-up after surgery. Both groups exhibited successful clinical unions of the mandibular angle fractures. The complications associated with the mandibular angle were 20% in the strut plate group and 16.7% in the Champy group. One patient in the strut plate group had a parasymphyseal infection, requiring hardware removal. The strut plate demonstrated comparable surgical outcome as the Champy miniplate. It is a safe and effective alternative for management of mandibular angle fracture.


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