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.

APPLICATION STUDY OF CHAMPY’S TECHNIQUE IN SURGICAL TREATMENT OF MANDIBULAR ANGLE FRACTURE

2019 ◽  
pp. 93-100
Author(s):  
Minh Phuong Hoang ◽  
Tan Tai Tran ◽  
Hong Loi Nguyen ◽  
Van Minh Nguyen ◽  
Thi Phuong Dung Le
Keyword(s):  
Surgical Treatment ◽  
Postoperative Outcome ◽  
Mandibular Fractures ◽  
Success Rates ◽  
Mandibular Angle ◽  
Application Study ◽  
Facial Surgery ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Angle Fractures

Background: Angle mandibular fractures are among the most common traumatic injuries of the maxillofacial region. The optimal treatment modality for angle fractures remains controversial. The present study was designed to describe the clinical and radiographic features of patients who had suffered mandibular angle fractures and evaluate the postoperative outcome in patients treated for the Champy’s technique. Materials and methods: 32 patients with 32 fractures of the mandibular angle were treated by the Champy’s technique at the department of maxillo facial surgery of Hue University of Medicine and Pharmacy and Hue Central Hospital, from April 2018 to February 2019. Evaluating of results when patients were discharged from hospital, 3 and 6 months after surgery. Results: The majority of the patients were males (84.4%). The majority of angle fractures have unfavorable fractures (96.9%) and displaced fractures (68.7%). The most common symptoms were pain, throbbing pain, mouth limited opening, swelling, malocclusion. Panoramic radiographs plays an important role in diagnosis (96.9). The patients were treated successfully according to Champy’s principle of osteosynthesis. Conclusions: The Michelet – Champy’s technique for surgical treatment of mandibular angle fractures was simple, easy to use, had high success rates and few complications. Key words: mandibular angle fracture, Champy’s technique

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.

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.

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.

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 The influence of wisdom tooth impaction and occlusal support on mandibular angle and condyle fractures

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hesham Mohammed Al-Sharani ◽  
Zhang Bin ◽  
Mubarak Ahmed Mashrah ◽  
Endi Lanza Galvão ◽  
Essam Ahmed Al-Moraissi ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Third Molar ◽  
Epidemiological Data ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Medical Institutions ◽  
Tooth Impaction ◽  
Angle Fracture ◽  
Relationship Of

AbstractThis study aimed to analyze the relationship of the occlusal support together with the lower third molars to the mandibular fractures of the angle and condyle among patients in our medical institutions. This was a retrospective study that reviewed the medical records and radiographs of all patients treated for mandibular fractures from 2015 to 2019. The data collected by using picture archiving and communicating system. Only records with mandibular angle or condyle fractures were included. The dependent variable was the presence of the fractures of the mandibular angle or condyle. The independent variables were epidemiological data, third molar characteristics, existence or absence of occlusal support. The data was analyzed through Univariate logistic regression and multivariate logistic regression. From a total of 187 mandibular fractures, 44 presented mandibular angle fracture and 29 shown condyle fractures. The average age was 40.34 ± 13.47 years. The absence of occlusal support increased the chance of condyle fractures by 5.1 times (95% CI 1.61–17.29). The lack of occlusal support is more associated with condyle fractures than the presence of occlusal support, regardless of third molar presence and characteristics and other variables evaluated.

Osteosynthesis using cannulated headless Herbert screws in mandibular angle fracture treatment: A new approach?

2017 ◽  
Vol 45 (4) ◽  
pp. 526-539 ◽  
Author(s):  
Jürgen Wallner ◽  
Knut Reinbacher ◽  
Matthias Feichtinger ◽  
Mauro Pau ◽  
Georg Feigl ◽  
...  
Keyword(s):  
Fracture Treatment ◽  
Mandibular Angle ◽  
New Approach ◽  
Mandibular Angle Fracture ◽  
Angle Fracture

scholarly journals A Prospective Study of Strut versus Miniplate for Fractures of Mandibular Angle

2013 ◽  
Vol 6 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Amy S. Xue ◽  
John C. Koshy ◽  
Erik M. Wolfswinkel ◽  
William M. Weathers ◽  
Kristina P. Marsack ◽  
...  
Keyword(s):  
Mandibular Angle ◽  
Patient Demographics ◽  
Mandibular Angle Fracture ◽  
Plate Group ◽  
Angle Fracture ◽  
Significant Difference ◽  
Comminuted Fractures ◽  
Angle Fractures ◽  
A Prospective Study ◽  
To Receive

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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