scholarly journals TRATAMENTO CIRÚRGICO DE FRATURA COMINUTIVA DE MANDÍBULA: RELATO DE CASO

2019 ◽  
Author(s):  
Eugênio Braz Rodrigues Arantes
Keyword(s):  
Open Reduction ◽  
Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Open Approach ◽  
Titanium Screws ◽  
Mandibular Injuries ◽  
Jaw Fractures ◽  
Good Treatment Option ◽  
Open Fracture Reduction ◽  
Rehabilitation Time

ResumoUm dos maiores desafios no tratamento de fraturas cominutivas da mandíbula é restaurar o contorno anatômico das áreas fraturadas, pois, a maioria dos casos apresenta deslocamento ósseo severo e perda óssea que diminuem a previsibilidade da redução dos fragmentos. Nesse contexto o tratamento deste tipo de fraturas mandibulares ainda permanece um desafio para a cirurgia maxilofacial no que se refere à técnica de redução. Nesse sentido, a redução aberta com fixação interna rígida se apresenta como uma boa opção de tratamento, por encurtar o tempo de reabilitação orofuncional e diminuir as chances de infecção. O presente trabalho tem como objetivo apresentar o caso clínico de um paciente do sexo masculino vítima de acidente com animal cursando com múltiplas fraturas de face. A abordagem cirúrgica eleita para o tratamento da fratura mandibular cominutiva foi a redução aberta e instalação de placa de reconstrução e parafusos de titânio. A abordagem aberta evitou o bloqueio maxilo-mandibular pós-operatório em um paciente jovem. Esta técnica permitiu a redução precisa dos fragmentos devolvendo a função mastigatória de maneira precoce.Palavras-chave: Fraturas maxilomandibulares, traumatismos mandibulares, redução aberta, fixação de fratura.AbstractOne of the biggest challenges in treating comminuted jaw fractures is restoring the anatomical contour of the fractured areas. Most cases have severe bone dislocation and bone loss that decreases reduction predictability. In this context, the treatment of this type of mandibular fractures still remains a challenge for maxillofacial surgery regarding the reduction technique. In this sense, open reduction with rigid internal fixation is a good treatment option because it decreases orofunctional rehabilitation time and reduces the chances of infection. The present work aims to present the clinical case of a male patient victim of animal accident with multiple facial fractures. The chosen surgical approach for the treatment of comminuted mandibular fracture was open reduction and installation of reconstruction plate and titanium screws. The open approach favored not performing postoperative maxillomandibular block in a young patient. This technique allowed the precise reduction of fragments and the early masticatory function.Key-words: Jaw fractures, mandibular injuries, open fracture reduction, fracture fixation.

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

scholarly journals Mandibular Ramus Fractures: A Rarity

2013 ◽  
Vol 14 (1) ◽  
pp. 39-42 ◽  
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.

scholarly journals A Comparative Assessment of Postoperative Analgesic Efficacy of Lornoxicam versus Tramadol after Open Reduction and Internal Fixation of Mandibular Fractures

2017 ◽  
Vol 10 (3) ◽  
pp. 171-174 ◽  
Author(s):  
Ankesh Dilip Jain ◽  
VSM Ravisankar ◽  
KSN Siva Bharani ◽  
KM Sudheesh ◽  
Nisha Tewathia
Keyword(s):  
Adverse Effects ◽  
Internal Fixation ◽  
Pain Intensity ◽  
Pain Control ◽  
Open Reduction ◽  
Opioid Analgesic ◽  
Maxillofacial Surgery ◽  
Analgesic Efficacy ◽  
Mandibular Fractures ◽  
Study Results

Pain after any surgical procedure is inevitable but can be controlled by administration of analgesics in most cases. Postoperative pain after surgical treatment of mandibular fractures can be treated by nonsteroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics. The purpose of this study is to critically compare the postoperative analgesic efficacy of small doses of intravenous TRAMADOL (opioid analgesic) versus LORNOXICAM (NSAID) in patients with mandibular trauma undergoing open reduction and internal fixation (ORIF) and to assess the presence of any adverse effects due to NSAID or opioid use. Forty adult ASA grade I–II patients with mandibular trauma, scheduled for ORIF under general anesthesia in the Department of Oral and Maxillofacial Surgery, College of Dental Sciences, Davangere, were selected for the study. The patients were randomly assigned into a tramadol group (Group T) and a lornoxicam group (Group L) and were administered intravenous tramadol 50 mg and intravenous lornoxicam 8 mg, respectively, at specific postoperative intervals. Pain intensity was quantitatively assessed at the 2nd, 4th, 6th, 12th, and 24th postoperative hours using a visual analog scale of 10 cm. Adverse effects of the analgesics were also recorded and compared. Both the drugs resulted in a significant decrease in pain intensity from 2nd to 24th postoperative hours, but better pain control was observed in Group L at 24th postoperative hour. Only two patients experienced nausea and vomiting in Group T and one patient experienced gastric acidity in Group L. The comparative results clearly demonstrate that pain control by intravenous lornoxicam is significantly better than by intravenous tramadol at 24th postoperative hour after ORIF of mandibular trauma. Side effects produced by both the drugs were minor and had no apparent effect on the study results.

scholarly journals METHODS FOR FIXATION OF BONE FRAGMENTS IN LOWER JAW FRACTURES

2021 ◽  
Vol 17 (3) ◽  
pp. 7-12
Author(s):  
Guzel Gilmanova ◽  
Sahil Soltanov ◽  
Said Ksembaev ◽  
Oleg Ivanov
Keyword(s):  
Muscle Tension ◽  
Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Lower Jaw ◽  
Metal Plates ◽  
Surgical Methods ◽  
Jaw Fractures ◽  
Bone Fragments ◽  
Methods Of Treatment ◽  
Delayed Consolidation

Thing. A review of the literature devoted to the topical problem of maxillofacial surgery and surgical dentistry – methods of treating patients with mandibular fractures was carried out. The aim of the study is to review the materials of publications on the methods of treatment of patients with mandibular fractures. Methodology. The publications of domestic and foreign authors, considering methods of fixation of bone fragments in lower jaw fractures, have been studied. Results. Publications indicate that there are many treatments for mandibular fractures. Research results demonstrate the importance of bone stabilization for bone fusion. A common disadvantage of conservative and surgical methods of treatment is unstable fixation of bone fragments, which is the most common cause of delayed consolidation of a mandibular fracture. The presented studies show that bone osteosynthesis with metal plates is considered the most appropriate method for treating mandibular fractures. Conclusions. Splinting as a method of treating fractures of the lower jaw has a large number of disadvantages. A common disadvantage of methods for splinting the lower jaw is that these structures do not always provide anatomical reduction and stability for the entire period of consolidation or require mandatory intermaxillary fixation, the lower jaw is fixed in the central occlusion position, which is not a position of physiological rest, and leads to passive muscle tension. depriving them of active function. The main disadvantage of the methods of osteosynthesis using a suture and using wires is that it is difficult to achieve stable fixation of fragments using these techniques. Combined methods of fixation of bone fragments (use of a bone suture and dental splints) provide a stronger fixation of the fragments. In the past two decades, in the treatment of mandibular fractures, there has been an increase in the trend towards rigid or semi-rigid osteosynthesis using plates. The disadvantages of compression osteosynthesis is that significant compression can lead to ischemia and slow down the formation of callus. A common disadvantage of conservative and surgical methods of treatment is unstable fixation of bone fragments, which is the most common reason for their delayed consolidation. Bone osteosynthesis with metal plates is considered a more progressive method of treating mandibular fractures.

scholarly journals Exposure to Ti4Al4V Titanium Alloy Leads to Redox Abnormalities, Oxidative Stress, and Oxidative Damage in Patients Treated for Mandible Fractures

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Jan Borys ◽  
Mateusz Maciejczyk ◽  
Bożena Antonowicz ◽  
Adam Krętowski ◽  
Danuta Waszkiel ◽  
...  
Keyword(s):  
Titanium Alloy ◽  
Oxidative Damage ◽  
Activity Concentration ◽  
Maxillofacial Surgery ◽  
Redox Balance ◽  
Passive Layer ◽  
Oxidative Modification ◽  
Mandibular Fractures ◽  
Mandible Fractures ◽  
Increased Activity

Due to the high biotolerance, favourable mechanical properties, and osseointegration ability, titanium is the basic biomaterial used in maxillofacial surgery. The passive layer of titanium dioxide on the surface of the implant effectively provides anticorrosive properties, but it can be damaged, resulting in the release of titanium ions to the surrounding tissues. The aim of our work was to evaluate the influence of Ti6Al4V titanium alloy on redox balance and oxidative damage in the periosteum surrounding the titanium miniplates and screws as well as in plasma and erythrocytes of patients with mandibular fractures. The study included 31 previously implanted patients (aged 21–29) treated for mandibular fractures and 31 healthy controls. We have demonstrated increased activity/concentration of antioxidants both in the mandibular periosteum and plasma/erythrocytes of patients with titanium mandibular fixations. However, increased concentrations of the products of oxidative protein and lipid modifications were only observed in the periosteum of the study group patients. The correlation between the products of oxidative modification of the mandible and antioxidants in plasma/erythrocytes suggests a relationship between the increase of oxidative damage at the implantation site and central redox disorders in patients with titanium miniplates and screws.

scholarly journals Nasal/maxillofacial manifestations of head and neck injury

2017 ◽  
Vol 3 (3) ◽  
pp. 555
Author(s):  
Siddaram Patil ◽  
Girish P. B.
Keyword(s):  
Head Injury ◽  
Internal Fixation ◽  
General Anesthesia ◽  
Open Reduction ◽  
Mandibular Fractures ◽  
Medical College ◽  
Traumatic Amnesia ◽  
Post Traumatic ◽  
Waking Up ◽  
Head And Neck Injury

<p class="abstract"><strong>Background:</strong> 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<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> 50 Cases coming to O.P.D and casualty of Chigateri general hospital and Bapuji hospital attached to JJM Medical College, Davangere were studied<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> 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<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Mandibular fractures were noticed in 10 (20%) of cases which were managed by open reduction and internal fixation with mini plates under general anesthesia<span lang="EN-IN">.</span></p>

Maxillofacial surgery

2014 ◽  
pp. 463-501 ◽  
Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul
Keyword(s):  
Life Support ◽  
Maxillofacial Surgery ◽  
Soft Tissue Injuries ◽  
Advanced Trauma Life Support ◽  
Mandibular Fractures ◽  
Facial Soft Tissue ◽  
Salivary Gland Tumours ◽  
Preprosthetic Surgery ◽  
Facial Surgery ◽  
Primary Management

Contents. Advanced trauma life support (ATLS). Primary management of maxillofacial trauma. Assessing head injury. Mandibular fractures. Mid-face fractures. Nasal and malar fractures. Treatment of facial fractures. Facial soft-tissue injuries. Surgery and the temporomandibular joint. Major preprosthetic surgery. Clefts and craniofacial anomalies. Orthognathic surgery. Salivary gland tumours. Surgery of the salivary glands. Facial skin cancer. Oral cancer. Neck lumps. Flaps and grafts. Aesthetic facial surgery.

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