What Factors are Associated with Open Reduction and Internal Fixation in Pediatric Mandibular Fractures?

Background: A great deal of work has been directed toward using these symptoms to classify the severity of head injury. Loss of consciousness or coma and posttraumatic amnesia (difficulty in remembering new information after waking up from the coma) are the two most common symptoms used. A mild head injury is one in which the period of unconsciousness is less than twenty minutes and post traumatic amnesia lasts for less than one hour, while a head injury in which the person is unconscious for at least one day and experiences post traumatic amnesia for more than twenty four hours is considered severe. Methods: 50 Cases coming to O.P.D and casualty of Chigateri general hospital and Bapuji hospital attached to JJM Medical College, Davangere were studied. Results: Evidence of C.S.F rhinorrhoea was noticed in 1(2%) case which managed conservatively. Maxillary fracture was noticed in 05 (10%) cases which were managed conservatively. Zygomatic fractures were noticed in 07 (14%) cases which were managed by open reduction and internal fixation with mini plates under general anesthesia. Conclusions: Mandibular fractures were noticed in 10 (20%) of cases which were managed by open reduction and internal fixation with mini plates under general anesthesia.

Download Full-text

The role of Close Reduction Intra Maxillary Fixation management of comminuted mandibular fractures in the Iraq War compared to the Open Reduction Internal Fixation under Special Criteria's

10.36295/asro.2021.24509 ◽

2021 ◽

Vol 24 (05) ◽

Author(s):

NazhatMahmoodAbdlKareem Al -Zubaidi ◽

FirasTaha Ahmed ◽

Akadali Al-Alasadi

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Iraq War ◽

Open Reduction Internal Fixation ◽

Mandibular Fractures

Download Full-text

Efficacy of open reduction and internal fixation in achieving bony union of comminuted mandibular fractures caused by civilian gunshot injuries

The Surgeon ◽

10.1016/j.surge.2019.10.004 ◽

2020 ◽

Vol 18 (4) ◽

pp. 214-218

Author(s):

Saad-ud-din Siddiqui ◽

Naveed Iqbal ◽

Mirza Hamid Baig ◽

Hassan Mehdi ◽

Syed Mahmood Haider

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Bony Union ◽

Mandibular Fractures ◽

Gunshot Injuries

Download Full-text

Retrospective review of 69 patients undergoing open reduction and internal fixation of mandibular fractures at a regional maxillofacial centre

British Journal of Anaesthesia ◽

10.1016/j.bja.2018.02.058 ◽

2018 ◽

Vol 121 (1) ◽

pp. e13-e14 ◽

Cited By ~ 1

Author(s):

J. Major ◽

K. Horner ◽

C. Oti ◽

R. Soysa ◽

S. Kaur ◽

...

Keyword(s):

Internal Fixation ◽

Retrospective Review ◽

Open Reduction ◽

Mandibular Fractures

Download Full-text

Teeth in the Line of Mandibular Fractures

Canadian Journal of Plastic Surgery ◽

10.1177/229255039400200308 ◽

1994 ◽

Vol 2 (3) ◽

pp. 113-116

Author(s):

Duncan Nickerson ◽

Donald Mcphalen

Keyword(s):

Risk Factor ◽

Internal Fixation ◽

Closed Reduction ◽

Open Reduction ◽

Careful Consideration ◽

Fracture Site ◽

Fracture Line ◽

Mandibular Fractures ◽

Third Molars ◽

Infection Rates

D Nickerson, D McPhalen. Teeth in the line of mandibular fractures. Can J Plast Surg 1994;2(3):113-116. This study considers 710 mandibular fractures occurring in 546 patients over a five-year period and notes the fate of 114 teeth involved in the line of 104 of these fractures. Analysis of retention versus removal of teeth in the fracture line and any associated infection was undertaken. Overall, 15.5% of cases that involved retained teeth became infected, as compared with 7.1% of cases in which a tooth was extracted from the fracture site. for third molars, the teeth most commonly involved in mandibular fractures, infection was associated with 20.5% of retained teeth and 10% of cases where teeth were extracted from the fracture site. These data support careful consideration of a tooth's disposition before a decision regarding retention or extraction is made. Furthermore, they suggest that even in the absence of a grossly evident risk factor for infection, such as a fractured tooth, the tooth itself may inherently predispose to infection if retained. Infection rates were higher for retained teeth regardless of whether open reduction with rigid internal fixation or closed reduction with maxillomandibular fixation was used.

Download Full-text

A double-blind, randomized, placebo-controlled trial of short- and extended-regime antibiotics in infection rates after open reduction and internal fixation of uncomplicated single mandibular fractures

Journal of Oral and Maxillofacial Surgery Medicine and Pathology ◽

10.1016/j.ajoms.2014.01.003 ◽

2015 ◽

Vol 27 (3) ◽

pp. 318-322

Author(s):

Suruchi Dogra ◽

Ongkila Bhutia ◽

Shakil Ahmed Nagori ◽

Ajoy Roychoudhury ◽

Anson Jose ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Controlled Trial ◽

Mandibular Fractures ◽

Infection Rates ◽

Double Blind

Download Full-text

Treatment of comminuted mandibular fractures by open reduction and rigid internal fixation

Journal of Oral and Maxillofacial Surgery ◽

10.1016/s0278-2391(96)90754-5 ◽

1996 ◽

Vol 54 (3) ◽

pp. 328-331 ◽

Cited By ~ 18

Author(s):

Brian R Smith ◽

Thomas J Teenier

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Mandibular Fractures ◽

Rigid Internal Fixation

Download Full-text

Mandibular Ramus Fractures: A Rarity

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1266 ◽

2013 ◽

Vol 14 (1) ◽

pp. 39-42 ◽

Cited By ~ 5

Author(s):

Tejraj Pundalik Kale ◽

SM Kotrashetti ◽

Archana Louis ◽

JB Lingaraj ◽

BU Sarvesh

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Maxillofacial Surgery ◽

Post Treatment ◽

Oral And Maxillofacial Surgery ◽

Mandibular Fractures ◽

Trauma Patients ◽

Mandibular Ramus ◽

Anatomic Reduction ◽

Age Range

ABSTRACT Aim To determine the incidence of mandibular ramus fractures in KLE's PK Hospital and to analyze the outcome of open reduction and internal fixation of these fractures. Materials and methods Using a retrospective study design, records of all trauma patients who reported to the Department of Oral and Maxillofacial Surgery, KLE's PK Hospital Belgaum, between the years January 2006 to October 2011 was obtained from the medical records office. The data variables that were analyzed were the name, age, sex, cause of injury, pretreatment occlusion, treatment given, period of MMF and post-treatment occlusion. Results Total number of mandibular fracture cases was 298. Ramus fractures were 10 in number which accounted for 3.3% of fractures. The age range of these 10 patients was seen to be between 20 to 80 years with the average age being 35.6 years. Of these 10 patients, 9 were male and 1 was female and 7 patients were treated by open reduction and internal fixation and the remaining 3 by closed reduction. The average period of MMF was 3 days for the patients who underwent open reduction and internal fixation. There was improvement in occlusion in all 10 patients post-treatment and there was no complication reported in any of the cases. Conclusion Ramus fractures accounted for 3.3% of all mandibular fractures. Open reduction and internal fixation of ramus fractures ensures adequate functional and anatomic reduction. Clinical significance This study makes an attempt to throw a light on the increasing incidence of ramus fractures and a successful management of these fractures by open reduction and internal fixation. How to cite this article Kale TP, Kotrashetti SM, Louis A, Lingaraj JB, Sarvesh BU. Mandibular Ramus Fractures: A Rarity. J Contemp Dent Pract 2013;14(1):39-42.

Download Full-text