scholarly journals Inferior Alveolar Nerve Injuries Associated with Mandibular Fractures at Risk: A Two-Center Retrospective Study

2014 ◽  
Vol 7 (4) ◽  
pp. 280-283 ◽  
Author(s):  
Paolo Boffano ◽  
Fabio Roccia ◽  
Cesare Gallesio ◽  
K. Karagozoglu ◽  
Tymour Forouzanfar
Keyword(s):  
At Risk ◽  
Retrospective Study ◽  
Medical Center ◽  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Mandibular Fractures ◽  
Nerve Injuries ◽  
Mandibular Angle ◽  
Maxillofacial Fractures ◽  
Angle Fractures

The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments—Department of Maxillofacial Surgery, Vrije Universiteit University Medical Center, Amsterdam, the Netherlands, and Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Demographic, anatomic, and etiology variables were considered for each patient and statistically assessed in relation to the neurosensory IAN impairment. Statistically significant associations were found between IAN injury and fracture displacement ( p = 0.03), isolated mandibular fractures ( p = 0.01), and angle fractures ( p = 0.004). A statistically significant association was also found between IAN injury and assaults ( p = 0.03). Displaced isolated mandibular angle fractures could be considered at risk for increased incidence of IAN injury. Assaults seem to be the most important etiological factor that is responsible for IAN lesions.

scholarly journals Surgical Management of Unusual Biangular Mandibular Fractures

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Stefan Cocis ◽  
Umberto Autorino ◽  
Fabio Roccia ◽  
Chiara Corio
Keyword(s):  
Internal Fixation ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Angle Fractures ◽  
Inferior Border ◽  
Surgery Department

Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the third molar in the fracture line, the best surgical approach, and the fixation methods. In this report the authors present the case of 40-year-old man presenting with a bilateral mandibular angle fracture referred to the Maxillofacial Surgery Department of Turin. Open reduction and internal fixation has been made for both sides. The left side third molar was removed and the internal fixation was achieved through internal fixation with one miniplate according to Champy’s technique and transbuccal access for a 4-hole miniplate at the inferior border of the mandible. Right side third molar was not removed and fixation was achieved through intraoral access and positioning of a 4-hole miniplate along the external ridge according to Champy. An optimal reduction was achieved and a correct occlusion has been restored.

scholarly journals Transoral versus extraoral approach for mandibular angle fractures: A comparative study

2014 ◽  
Vol 47 (03) ◽  
pp. 354-361 ◽  
Author(s):  
Sathya Kumar Devireddy ◽  
R.V. Kishore Kumar ◽  
Rajasekhar Gali ◽  
Sridhar Reddy Kanubaddy ◽  
Mallikarjuna Rao Dasari ◽  
...  
Keyword(s):  
Masseter Muscle ◽  
Third Molar ◽  
Fracture Line ◽  
Difficulty Level ◽  
Mandibular Angle ◽  
Group I ◽  
Maxillofacial Fractures ◽  
Severe Difficulty ◽  
Group Ii ◽  
Angle Fractures

ABSTRACT Introduction: Mandibular fractures represent approximately two-thirds of all the maxillofacial fractures (nearly 70%) out of which fractures of mandibular angle represent for 26-35%. Aim of the Study: The aim of this study is to compare the transoral and extraoral (submandibular) approaches for fixation of mandibular angle fractures. Objectives of Study: The objectives of the following study are to evaluate ease of accessibility, time taken for the procedure, ease of anatomic reduction and complications. Materials and Methods: A prospective study was carried out in 30 patients reporting to the Department of Oral and Maxillofacial surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh during the period of months from November 2011 to August 2013 who were randomly divided in two groups based on computer generated simple randomization chart. Group I patients underwent transoral reduction and fixation and Group II patients underwent extraoral reduction and fixation. The ease of accessibility was analysed by visual analogue scale by the operating surgeon, time taken from incision to closure with digital clock, difficulty level index of surgeon based on the time taken for the procedure and approach related complications. Results: The ease of accessibility in Group I was good in 53.3% while in Group II patients approached extraorally it was good in 86.7%. Group I patients approached transorally showed a mean of 49.7 min while that of Group II patients approached extraorally showed a mean of 73.4 min. Group I had a minimum difficulty level index in 60%, moderate difficulty level in 33.3% and severe difficulty level in 6.7% while Group II had a minimum and moderate difficulty level in 46.7% and severe difficulty level in 6.7%. There was 1 (6.7%) complication reported in each group. Conclusion: The statistical analysis of this study concludes that fracture line starting anterior to mandibular third molar and ending at anteroinferior border of the insertion of the masseter muscle or posterior body of mandible can be approached transorally. Fracture line starting posterior or distal to the third molar or posterior to the insertion of the masseter muscle to the angle of the mandible or fracture line extending high in the ramus, extraoral approach provides a better choice for reduction and fixation of the fractured segments with restoration of anatomical and functional occlusion.

scholarly journals Retrospective study of mandibular angle fractures treated with three different fixation systems

2015 ◽  
Vol 6 (1) ◽  
pp. 31 ◽  
Author(s):  
Ajoy Roychoudhury ◽  
Krushna Bhatt ◽  
Satyavrat Arya ◽  
Ongkila Bhutia ◽  
Sandeep Pandey
Keyword(s):  
Retrospective Study ◽  
Mandibular Angle ◽  
Angle Fractures

scholarly journals Otorhinolaryngology emergency department hospitalizations in a secondary medical center

2020 ◽  
pp. 99-99
Author(s):  
Zorana Radin ◽  
Dejan Bakic ◽  
Dimitrije Ilic ◽  
Ana Jotic
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Medical Center ◽  
Maxillofacial Surgery ◽  
Emergency Department Visits ◽  
Neck Trauma ◽  
Medication Therapy ◽  
Growth Industry ◽  
Emergency Hospitalization ◽  
Invasive Intervention

Introduction/Objective. Overall number of emergency department visits, including otorhinolaryngology, has increased. Due to population growth, industry and traffic expansion, workload of the otorhinolaryngology emergency department is steadily on the rise. The objective of this study was to determine most common indications for emergency hospitalization in otorhinolaryngology department in secondary medical center. Also, we examined course of diagnostics and treatment upon admittance, outcome of hospitalization and possible referral to tertiary medical center. Methods. Retrospective study included patients who were urgently hospitalized on the Department of otorhinolaryngology and maxillofacial surgery in Djordje Joanovic General Hospital in Zrenjanin in a two-year period. The data were obtained by processing patients? medical charts. Results. The study included 428 patients who were urgently hospitalized on the Department of otorhinolaryngology of the secondary medical center in two-year period. 245 (57.2%) were male and were 183 (42.8%) female, with average age of 48.5 years. Patients were most frequently hospitalized because of tonsillopharyngitis and its? complications, followed by head and neck trauma. Most of the patients were treated conservatively with medication therapy (72%), and 28% underwent surgical or other invasive intervention. 27 (6.3%) patients were referred to tertiary medical center, which was correlated significantly with number of comorbidities and consultative exams. Conclusion. Otorhinolaryngology inflammatory/infectious diseases are the most frequent indication for urgent hospital admission in secondary medical center. Most of the patients were treated conservatively. Referral to tertiary medical center was significantly correlated to number of comorbidities and consultative exams.

scholarly journals A Review of Mandibular Angle Fractures

2011 ◽  
Vol 4 (2) ◽  
pp. 69-72 ◽  
Author(s):  
Ramiro Perez ◽  
John C. Oeltjen ◽  
Seth R. Thaller
Keyword(s):  
Motor Vehicle ◽  
Treatment Plan ◽  
Neck Region ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Vehicle Accidents ◽  
Appropriate Treatment ◽  
Common Causes ◽  
Angle Fractures

After studying this article, the reader will be able to: (1) review the incidence and etiology of mandibular angle fractures; (2) gain an understanding of patient evaluation and general management principles; and (3) discuss indications and available techniques for management of mandibular angle fractures. Angle fractures represent the highest percentage of mandibular fractures. Two of the most common causes of mandibular angle fractures are motor vehicle accidents and assaults or altercations. With any patient who has sustained facial trauma, a thorough history and comprehensive physical examination centering on the head and neck region as well as proper radiological assessment are essential. These elements are fundamental in establishing a diagnosis and developing an appropriate treatment plan for any mandibular fracture.

Sign in / Sign up

Export Citation Format

Share Document