Secondary Management of Mandible Fractures

2019 ◽  
Vol 35 (06) ◽  
pp. 627-632
Author(s):  
Likith Reddy ◽  
Daniel Lee ◽  
Aurora Vincent ◽  
Tom Shokri ◽  
Mofiyinfolu Sokoya ◽  
...  
Keyword(s):  
Surgical Management ◽  
Surgical Intervention ◽  
Mouth Opening ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Secondary Intervention ◽  
Facial Symmetry ◽  
Common Causes ◽  
Mandible Fractures ◽  
Causes Of Failure

AbstractMandibular fractures are the most common facial fractures that need surgical intervention. If untreated, these fractures affect a patient's occlusion, degree of mouth opening, and facial symmetry, and could cause infection with significant pain. The goal of any surgical intervention is to restore the preinjury occlusion, even if the preinjury occlusion is abnormal. Initial therapies, whether surgical or conservative, are not always successful, however, and revision or delayed surgical intervention can be challenging. Herein, we review common causes of failure of primary surgical management of mandibular fractures and provide tips to successful secondary intervention.

Incidence of Eye Injuries in Facial Fractures: An Analysis of 727 Cases

1983 ◽  
Vol 91 (3) ◽  
pp. 276-279 ◽  
Author(s):  
G. Richard Holt ◽  
Jean Edwards Holt
Keyword(s):  
Mandibular Fractures ◽  
Facial Fractures ◽  
Eye Injuries ◽  
Midfacial Fractures ◽  
Ocular Injuries ◽  
Mandible Fractures ◽  
Nasal Fractures

From 1973 to 1980, 727 patients with facial fractures received formal ophthalmologic consultation. The series included 174 mandible fractures, 29 nasal fractures, 436 midfacial fractures, and 88 frontal fractures. Of these, a total of 67% sustained some degree of ocular injuries. Seventy-nine percent of the eye injuries were categorized as temporary, 18% were serious, and 3% were blinding. Of the mandibular fractures, 29% had ocular injuries, 59% nasal fractures, 59% midfacial fractures, and 89% frontal fractures.

scholarly journals The effect of facial fractures on mouth opening range: a case series

RSBO ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 142-06
Author(s):  
Alexandre Meireles Borba ◽  
Alessandra Nogueira Porto ◽  
Andreia Santini ◽  
Thiago Iafelice dos Santos ◽  
Michael Miloro ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Case Series ◽  
Mean Value ◽  
Facial Fractures ◽  
Functional Impairments ◽  
Direct Trauma ◽  
Negative Effect ◽  
Mandible Fractures

Facial fractures can result in limitation of mouth opening range, which consequently leads to functional impairments. Objective: To identify the influence of facial fractures and their corrective surgery on mouth opening range. Material and methods: Consecutive patients submitted to maxillofacial surgery had their mouth opening range measured at four different moments: preoperative (T0), immediate post-operative (within 24 hours after operation) (T1), one-week post-operative (T2) and one-month postoperative (T3). Eighteen subjects composed the sample, majorly represented by male gender, fractures caused by direct trauma as in traffic accidents, age among 21-30 years old and presenting mandible fracture. Results: Mouth opening at T0 demonstrated a mean value of 26.63 mm, T1 decreased to a mean of 22.59 mm, T2 mean value evolved to 26.42 mm and T3 displayed mean value of 34.57 mm. Statistical evaluation demonstrated overall significance for the comparison among all different periods, particularly for isolated mandible fractures, except between T0 and T2. Conclusion: It can be suggested that fracture itself and surgery for its correction have a negative effect on mouth opening range; however, the capacity of mouth opening presents signs of recovery since the first post-operative week, with notable progression until one month after surgery.

scholarly journals The Device of Ethylene Vinyl Acetate Sheet for Trismus Caused by Bilateral Mandible Fractures

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Yoshiaki Ihara ◽  
Yuka Nakamichi ◽  
Yuichi Tashimo ◽  
Shinji Nozue ◽  
Kota Hayashi ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Vinyl Acetate ◽  
Mouth Opening ◽  
Ethylene Vinyl Acetate ◽  
Temporomandibular Joint Disorders ◽  
Mandibular Fractures ◽  
Training Device ◽  
Custom Made ◽  
Maxillofacial Fractures ◽  
Mandible Fractures

Trismus is commonly caused by temporomandibular joint disorders and maxillofacial fractures. We report the case of a 62-year-old woman with trismus and difficulty in mastication caused by bilateral mandibular fractures. She had a maximal interincisal opening distance (MID) of 22 mm. Mouth-opening training was administered using a novel dental mouth-training device custom-made using ethylene vinyl acetate sheets and according to the dentition and extent of mouth-opening of the patient. After 2 months of training, the MID increased to 42 mm. With adequate training, this device is effective in treating trismus due to scarring.

scholarly journals The effect of facial fractures on mouth opening range: a case series

RSBO ◽  
2018 ◽  
Vol 1 (3) ◽  
pp. 142
Author(s):  
Alexandre Meireles Borba ◽  
Alessandra Nogueira Porto ◽  
Andreia Santini ◽  
Thiago Iafelice dos Santos ◽  
Michael Miloro ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Case Series ◽  
Mean Value ◽  
Facial Fractures ◽  
Functional Impairments ◽  
Direct Trauma ◽  
Negative Effect ◽  
Mandible Fractures

Introduction: Facial fractures can result in limitation of mouth opening range, which consequently leads to functional impairments. Objective: To identify the influence of facial fractures and their corrective surgery on mouth opening range. Material and methods: Consecutive patients submitted to maxillofacial surgery had their mouth opening range measured at four different moments: preoperative (T0), immediate post-operative (within 24 hours afteroperation) (T1), one-week post-operative (T2) and one-month postoperative (T3). Eighteen subjects composed the sample, majorly represented by male gender, fractures caused by direct trauma as in traffic accidents, age among 21-30 years old and presenting mandible fracture. Results: Mouth opening at T0 demonstrated a mean value of 26.63 mm, T1 decreased to a mean of 22.59 mm, T2 mean value evolved to 26.42 mm and T3 displayed mean value of34.57 mm. Statistical evaluation demonstrated overall significance forthe comparison among all different periods, particularly for isolated mandible fractures, except between T0 and T2. Conclusion: It can be suggested that fracture itself and surgery for its correction have a negative effect on mouth opening range; however, the capacity of mouth opening presents signs of recovery since the first post-operative week, with notable progression until one month after surgery.

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

2006 ◽  
Vol 120 (8) ◽  
pp. 676-680 ◽  
Author(s):  
R W Ridley ◽  
J B Zwischenberger
Keyword(s):  
Operating Room ◽  
Surgical Management ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Rare Condition ◽  
Innominate Artery ◽  
Significant Potential ◽  
High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.

scholarly journals Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Medical Treatment ◽  
Immunosuppressive Therapy ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Surgical Options ◽  
Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

scholarly journals Wire internal fixation: an obsolete, yet valuable method for surgical management of facial fractures

2014 ◽  
Vol 17 ◽  
Author(s):  
Rasmané Béogo ◽  
Pierre Bouletreau ◽  
Tarcissus Konsem ◽  
Ibraïma Traoré ◽  
Antoine Toua Coulibaly ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Surgical Management ◽  
Facial Fractures ◽  
Valuable Method

Non-syndromic double upper lip with triple frena: cosmetic cheiloplasty

2021 ◽  
Vol 14 (9) ◽  
pp. e243156
Author(s):  
Monika Gupta ◽  
Harshita Vig ◽  
Yajas Kumar ◽  
Aliza Rizvi
Keyword(s):  
Psychological Distress ◽  
Present Article ◽  
Surgical Management ◽  
Surgical Intervention ◽  
The Other ◽  
Upper Lip ◽  
Lower Lip ◽  
Facial Anomaly ◽  
The Aesthetic ◽  
Functional Problems

Double lip or macrocheilitis is a rare facial anomaly, mostly congenital in origin. It commonly involves the upper lip than the lower lip. It may occur in isolation or as part of the Ascher’s syndrome. It results due to deposition of excessive areolar tissue and non-inflammatory hyperplasia of labial mucosa gland of pars villosa. It may be acquired as a result of injury to the lips or lip-biting habit. The double lip becomes conspicuous when the lips are retracted during smiling resulting in the characteristic ‘cupid’s bow’ appearance. This disfigurement can pose aesthetic and functional problems and may result in psychological distress. A surgical intervention is must for restoration of functions and to address the aesthetic concerns. The present article reports a case of non-syndromic double upper lip with triple labial frena and its surgical management with laser on one side and with scalpel on the other side.

scholarly journals Submental method for orotracheal intubation in treating facial trauma

1998 ◽  
Vol 116 (5) ◽  
pp. 1829-1832 ◽  
Author(s):  
Luiz Carlos Manganello-Souza ◽  
Nicolas Tenorio-Cabezas ◽  
Luiz Piccinini Filho
Keyword(s):  
Tracheal Intubation ◽  
General Anesthesia ◽  
Surgical Intervention ◽  
Orotracheal Intubation ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Surgical Team ◽  
Visible Scar ◽  
Alternative Method

OBJECTIVE: To demonstrate an alternative method for intubating patients with fractures of maxilla and nose, prior to surgery. DESIGN: Cases Report. PARTICIPANTS: We studied 10 patients with facial fractures that affected maxilla and nose. INTERVENTION: The patients were submitted to surgery under general anesthesia and submental oro-tracheal intubation. RESULTS: This type of intubation allowed the surgical team to work on the whole face of the patient and left no visible scar. CONCLUSION: This procedure is indicated for patients with fractures of maxilla and nose who need surgical intervention under general anesthesia.

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