scholarly journals Posttraumatic Parotid Sialocele Complicating a Mandibular Fracture: A Case Report

2017 ◽  
Vol 10 (4) ◽  
pp. 314-317
Author(s):  
Jesse Falk ◽  
Ryan Borgwardt ◽  
Stephen MacLeod
Keyword(s):  
Case Report ◽  
Parotid Gland ◽  
Blunt Trauma ◽  
Mandibular Fracture ◽  
Transoral Approach ◽  
Mandibular Angle ◽  
Unique Case ◽  
Mandibular Angle Fracture ◽  
Angle Fracture

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.

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
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Angle Fracture

scholarly journals MANDIBULAR ANGLE FRACTURE;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Anand Kumar ◽  
Syed Fida Hussain Shah ◽  
Muhammad Hamid Ali ◽  
Syed Ghazanfar Hassan
Keyword(s):  
Maxillofacial Surgery ◽  
Mandibular Angle ◽  
Non Union ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Oral Approach ◽  
Randomized Controlled Trail ◽  
Surgery Department ◽  
Department Faculty

Objectives: To compare the outcome of treatment of mandibular angle fracture by using intra oral, vs. transbuccal approaches in terms of complications. Setting: Oral & Maxillofacial surgery department, Faculty of dentistry Liaquat University of Medical & Health Sciences, Jamshoro/ Hyderabad. Duration: 1st March 2017 to 31st August 2017. Design: Randomized controlled trail. Subject and Methods: 180 patients consuming bilateral mandible angle fracture were involved in this study. 90 randomly allocated patients were managed with transbuccal approach and 90 managed by intra oral approach. Follow up was continued for each patient after every one week for 8 weeks. Results: The average age of the patients was 35.09±5.96 years. Rate of infection, malocclusion, scar formation, facial nerve injury and non-union was significantly low in transbuccal approach as compare to intra oral approach. Conclusion: In conclusion, transbuccal approach was preferred over the intra oral approach due to easy usage, negligible requirement for plate twisting, and enablement of plate engagement in the neutral mid-point zone.

STUDY OF THE CLINICAL AND RADIOLOGICAL CHARACTERISTICS OF THE FRACTURE OF VERTICAL MANDIBULAR UNITS

2014 ◽  
pp. 68-73
Author(s):  
Quang Hai Nguyen ◽  
Y Nhi Luong
Keyword(s):  
Road Traffic ◽  
Mandibular Fracture ◽  
Clinical Diagnostics ◽  
University Hospital ◽  
High Rate ◽  
Ct Scans ◽  
Mandibular Angle ◽  
Condylar Fracture ◽  
Mandibular Angle Fracture ◽  
Angle Fracture

Background: Fracture of the vertical mandibular units caused by trauma are very common, difficulty in clinical diagnostics, if the emergency management is incorrect it will be dangerous to life of patients. Objective of this study: describe the clinical and radiological characteristics of fracture of the vertical mandibular units. Materials and method: Cross-sectional descriptive methods on 71 patients with the fracture of the vertical mandibular units caused by trauma, examined and treated at the Hue University Hospital and Hue Central Hospital from 05/2012 to 04/2013. Results: the majority of the patients were males (83.1%), 19 - 39 years of age (63.4%), the most common cause was road traffic accident (77.5%). The majority of them had associated fractures (74.6%), associated horizontal mandibular fracture (63.4%), occuring often in parasymphyseal region (49.4%). The majority of the vertical mandibular fracture were caused by traumatic force on parasymphyseal region (49.4%) and direction of traumatic force on one side of mandible (63.3%). Condylar fracture (55.0%) was the most fracture of vertical mandibular units, followed by mandibular angle fracture (38%); mandibular angle fracture is often unfavorable (92.6%) and displaced (63.0%) fracture; the majority of the condylar fracture was condylar head (48.7%) and displaced fracture (61.5%). The most common symptoms were difficult chewing (97.2%), painful swelling (91.5%), limited mouth openning (88.7%), throbbing pain (85.9%) and malocclusion (77.5%). The rate of films used to diagnose including panorama (97.2%), facial film (54.9%), oblique lateral film (45.0%) and CT Scans (39.4%). The rate of fractured detection of CTScans is 100%, of panoramic and posterior-anterior radiographs in mandibular angle fracture was in succession 100% and 94.4%, in condylar fracture was 94.9% and 26.3%. Conclusion: vertical mandibular fracture occured often in condyle and angle, associated often with parasymphyseal fractures; clinical diangosis based on limited mouth openning, throbbing pain and malocclusion; radiographs used often and had high rate of fractured detection were panorama and CT Scans. Key words: vertical mandibular fracture, clinical and radiological characteristics

scholarly journals Lag Screw Technique for Treating a Mandibular Angle Fracture: Case Report

2018 ◽  
Vol 1 (3) ◽  
pp. 263-267
Author(s):  
Gabriela Mayrink ◽  
Marcelo Mendes ◽  
Roger Moreira ◽  
Ferdinando De Conto ◽  
Renato Sawazaki
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Intermaxillary Fixation ◽  
Cross Sectional ◽  
Postsurgical Complications ◽  
Lag Screw ◽  
Mandibular Angle Fracture ◽  
Angle Fracture

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.

Right mandibular angle and left comminuted mandibular body fractures stabilised with a combination of an acetabular plate and secured pin intermandibular ventral epoxy resin (SPIVER) frame in a four-month-old puppy

2020 ◽  
Vol 8 (3) ◽  
pp. e001131
Author(s):  
Fabrizio di Virgilio ◽  
Alexandros Bourbos ◽  
Filippo Cinti ◽  
Guido Pisani
Keyword(s):  
Epoxy Resin ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Mandibular Body ◽  
Fracture Configuration ◽  
Osteosynthesis Techniques ◽  
One Year

This case report aimed to describe a surgical technique combining a secured pin intermandibular ventral epoxy resin (SPIVER) frame and an acetabular plate to manage a complex mandibular fracture configuration in a puppy. A four-month-old, entire male, German wirehaired pointer was referred for assessment of a combination of recent (three days before hospitalisation) and older traumatic (45 days before hospitalisation) facial injuries inflicted by the dam. CT revealed multiple mandibular and maxillary fractures with complex acute mandibular fractures requiring surgical stabilisation. wo techniques were combined on stabilisation of the mandible: a single acetabular plate 2.7 to repair the mandibular angle fracture and a SPIVER frame to repair the comminuted mandibular fracture. Both fractures healed uneventfully, and the dog had normal jaw function one year postoperatively. Occlusion was not modified compared with the preoperative condition, considering that the patient already had a malocclusion defect due to old lesions. The combination of two different osteosynthesis techniques had satisfactory short-term and long-term outcomes in this puppy.

scholarly journals Late mandibular fracture after attempted third molar surgery: case report

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Rodrigo Capalbo-Silva ◽  
Henrique Hadad ◽  
Jonathas Eduardo Virgilio Piassi ◽  
Luara Teixeira Colombo ◽  
Bruno Coelho Mendes ◽  
...  
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Mandibular Fracture ◽  
Third Molar Surgery ◽  
Mandibular Fractures ◽  
Third Molars ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Maxillofacial Fractures ◽  
Surgical Extraction

Removal of lower third molar corresponds to one of the most common procedures in oral surgery. The extraction can result in several intraoperative or postoperative complications, especially when fully impacted molars are involved. This case report describes a mandibular angle fracture following removal of a fully impacted lower third molar of a 41 years old male patient. The fracture occurred 3 days after the attempt to extract the tooth 38 by a dentist surgeon. Several factors influencing the possibility of fracture including gender, age, dental position, and angulation were reviewed and associated with the injury. A fracture line in the angular region of the jaw was observed in radiological and tomographic analysis, both essential to perform the diagnosis. Open reduction internal fixation treatment approach was realized to ensure the best patient’s recovery. We conclude that the difficult to maintain a soft diet and the complete dentition factor could have been determinant to cause the fracture.Descriptors: Mandibular Fractures; Fracture Fixation; Molar, Third.ReferencesAl-Belasy FA, Tozoglu S, Ertas U. Mastication and late mandibular fracture after surgery of impacted third molars associated with no gross pathology. J Oral Maxillofac Surg. 2009; 67(4):856-61.daBodner L, Brennan PA, McLeod NM. Characteristics of iatrogenic mandibular fractures associated with tooth removal: review and analysis of 189 cases. Br J Oral Maxillofac Surg. 2011;49(7):567-72.Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007;  19(1):117-28.Joshi A, Goel M, Thorat A. Identifying the risk factors causing iatrogenic mandibular fractures associated with exodontia: a systemic meta-analysis of 200 cases from 1953 to 2015. Oral Maxillofac Surg. 2016;20(4):391-96.Libersa P, Roze D, Cachart T, Libersa JC. Immediate and late mandibular fractures after third molar removal. J Oral Maxillofac Surg. 2002;60(2):163-66.Perry PA, Goldberg MH. Late mandibular fracture after third molar surgery: a survey of Connecticut oral and maxillofacial surgeons. J Oral Maxillofac Surg. 2000;58(8):858-61.Pires WR, Bonardi JP, Faverani LP, Momesso GAC, Muñoz XMJP, Silva AFM et al. Late mandibular fracture occurring in the postoperative period after third molar removal: systematic review and analysis of 124 cases. Int J Oral Maxillofac Surg. 2017;46(1):46-53.Krimmel M, Reinert S. Mandibular fracture after third molar removal. J Oral Maxillofac Surg. 2000;58(10):1110-12.Wagner KW, Otten JE, Schoen R, Schmelzeisen R. Pathological mandibular fractures following third molar removal. Int J Oral Maxillofac Surg. 2005;34(7):722-26.Ethunandan M, Shanahan D, Patel M. Iatrogenic mandibular fractures following removal of impacted third molars: an analysis of 130 cases. Br Dent J. 2012;212(4):179-84.Ellis E 3rd. Management of fractures through the angle of the mandible. Oral Maxillofac Surg Clin North Am. 2009;21(2):163-74.Pell GJ, Gregory GT. Report on a ten year study of a tooth division technique for removal of impacted teeth. Am J Orthodont Surg. 1942; 28:660-71.Antoun JS, Lee KH. Sports-related maxillofacial fractures over an 11-year period. J Oral Maxillofac Surg. 2008;66(3):504-8.Chrcanovic BR, Custódio AL. Considerations of mandibular angle fractures during and after surgery for removal of third molars: a review of the literature. Oral Maxillofac Surg. 2010; 14(2):71-80. Iizuka T, Tanner S, Berthold H. Mandibular fractures following third molar extraction. A retrospective clinical and radiological study. Int J Oral Maxillofac Surg. 1997;26(5):338-43.Woldenberg Y, Gatot I, Bodner L. Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented?. Med Oral Patol Oral Cir Bucal. 2007;12(1):E70-2.Miyaura K, Matsuka Y, Morita M, Yamashita A, Watanabe T. Comparison of biting forces in different age and sex groups: a study of biting efficiency with mobile and non-mobile teeth. J Oral Rehabil. 1999;26(3):223-27.Bezerra TP, Studart-Soares EC, Pita-Neto IC, Costa FW, Batista SH. Do third molars weaken the mandibular angle?. Med Oral Patol Oral Cir Bucal. 2011;16(5):e657-63.Grau-Manclús V, Gargallo-Albiol J, Almendros-Marqués N, Gay-Escoda C. Mandibular fractures related to the surgical extraction of impacted lower third molars: a report of 11 cases. J Oral Maxillofac Surg. 2011;69(5):1286-90.

Late mandibular angle fracture after third molar removal: A case report and critical review

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 ◽  
...  
Keyword(s):  
Case Report ◽  
Critical Review ◽  
Third Molar ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Angle Fracture
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