scholarly journals Variants of temporary mmobilization in jaw fractures

2018 ◽  
Vol 26 (4) ◽  
pp. 559-566
Author(s):  
Nikolay E. Mitin ◽  
Tat`yana S. Rodina ◽  
Nikolay N. Strelkov ◽  
Maria I. Zolotova ◽  
Vasilisa V. Volkova
Keyword(s):  
Microbial Contamination ◽  
Mandibular Fractures ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
High Quality ◽  
Emergency Situations ◽  
Nasal Bones ◽  
Analysis Of Means ◽  
Jaw Fractures ◽  
Sufficient Strength

In peacetime and in wartime, fractures of the bones of the facial skeleton are an important phenomenon (5-6% to 7-9% of all traumatic skeletal injuries) requiring use of rational treatment methods. The share of mandibular fractures accounts for 65-85%, of maxilla – 4-6%, of zygomatic and nasal bones – 7-9% and 4-7%, respectively. The need for immobilization is associated with the risk of development of pain and complications, such as bleeding, microbial contamination, asphyxia, injury of nerves and blood vessels. The article gives a comparative analysis of means of transport immobilization of jaws on examples of traumas received in the wartime and in emergency situations. There were chosen extraoral methods that hold jaw fragments with the help of bandage secured to the cerebral cranium, and intraoral methods with maxillomandibular ligature fixation. Conclusion. Standard Entin head-chin strap has certain advantages over Hippocratic cap bandage and Pomerantseva-Urbanskaya method. It is sufficiently universal and may be adjusted to any size of the head, possesses sufficient strength and provides reliable fixation of jaws. Ivy’s method was found to have advantages in comparison with other methods of maxillomandibular ligature fixation, which are strong and high-quality immobilization of the jaw fragments, possibility of use with multiple fractures, simplicity of application. All this permits to recommend Ivy’s method for use in case of indications.

scholarly journals FACTORS INFLUENCING THE CLINICAL COURSE OF LOWER JAW FRACTURES AND DURATION OF TEMPORARY DISABILITY

2021 ◽  
Vol 17 (2) ◽  
pp. 103-109
Author(s):  
Faniya Mirsaeva ◽  
Timur Hanov
Keyword(s):  
Chronic Infection ◽  
Clinical Course ◽  
Poor Quality ◽  
Mandibular Fractures ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Lower Jaw ◽  
Factors Influencing ◽  
Jaw Fractures

Thing. Among the fractures of the bones of the facial skeleton are most often re-breaking down the lower jaws. The diagnosis of them does not represent difficulties, but despite this, the clinical course of the lower jaw fractures is often complicated by the development of herbal osteomyelitis, which affects the reparative processes in the bone and for the duration of the temporary disability of patients. In connection with the foregoing, the study of factors af-fecting the clinical course of the lower jaw fractures, and the investigator, but on the duration of the temporary disability of patients, is relevant. Purpose — to study the factors influencing the clinical course of mandibular fractures and the timing of temporary disability of patients Methodology. An analysis of 918 stories of the disease of patients with fractures of the Low-er Chelf. The share of traumatic osteomyelitis is determined. Possible factors that contribute to the development of this complication and an increase in the duration of temporary disability is studied. Results. The development of traumatic osteomyelitis in the fractures of the lower jaw is due to the complex of interrelated factors. The most significant among them are: non-timely appeal of the victims of specialized help, senior wagon, poor-quality assistance in the pre-hospital stage, the presence of a stroke of Zu-Ba, having a chronic infection in the periapical tissues and the incorrect tactics of the doctor in relation to this tooth, Multiple fractures on one side of the chemistry, the choice of the method of fixing fragments. The duration of the temporary disability of patients with the development of traumatic osteomyelitis is significantly larger than with the uncomplicated clinical course of the lower jaw fractures. Conclusions. In order to reduce the frequency of development of traumatic osteomyelitis, it is necessary to conduct targeted prophylactic work aimed at improving the quality of the provi-sion of specialized assistance to patients with fractures of the lower person, both in the dogoital and hospital stages.

scholarly journals Post-Traumatic Defects And Face Deformations: Features Of Diagnostics And Treatment

2021 ◽  
Vol 03 (01) ◽  
pp. 55-66
Author(s):  
Iftikhor Obidjonovich Nigmatov ◽  
◽  
Shukhrat Abdujalilovich Boymuradov ◽  
Jamolbek Abdukakhkhorovich Djuraev ◽  
Yusupov Shokhrukh Shukhratovich ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Soft Tissues ◽  
Road Traffic ◽  
Craniocerebral Trauma ◽  
High Growth ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Number Of Patients ◽  
The Face ◽  
Post Traumatic

The high growth of injuries, the absence in the country of a unified approach to the treatment of victims with pathology of the bones of the face and skull leads to a sharp increase in the number of patients with post-traumatic deformities, defects, often to their disability and death. This problem has recently acquired the greatest importance in connection with the increase in the number of victims in areas of natural disasters and road traffic accidents. Severe multiple fractures of the bones of the middle zone of the facial skeleton, accompanied by craniocerebral trauma of varying degrees, bleeding and liquorrhea, are often outwardly unnoticeable, since they are hidden by pronounced edema, hemorrhages in soft tissues, and can only be determined with a targeted specialized examination. These types of examinations and the provision of specialized medical care are possible only in multidisciplinary centers. Therefore, these types of injuries are not always diagnosed in a timely manner, especially in severely injured with the presence of pronounced injuries of other localizations.

scholarly journals Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

2017 ◽  
Vol 8 (4) ◽  
pp. 315-320
Author(s):  
Puneet Bansal ◽  
Vijay Mishra ◽  
Yashmi Jaiswal ◽  
Gourab Das
Keyword(s):  
Postoperative Complications ◽  
Screw Fixation ◽  
Healing Process ◽  
Good Stability ◽  
Mandibular Fractures ◽  
Facial Skeleton ◽  
Strict Adherence ◽  
Screw Osteosynthesis ◽  
Lag Screw ◽  
Duration Of Surgery

ABSTRACT Introduction The management of facial trauma is one of the most important and demanding aspects of maxillofacial surgery. Mandible is the most movable and prominent bone of facial skeleton. The management of the injuries to the maxillofacial complex remains a challenge for oral and maxillofacial surgeons. The aim of mandibular fracture treatment is the restoration of anatomical form and function with particular care to establish occlusion. The lag screw technique was first introduced to maxillo facial surgery by Brons and Boering in 1970, who cautioned that at least two lag screws are necessary to prevent rotational movement of the fragments in oblique fractures of mandible. Aim The aim of the study was to evaluate the outcome of lag screw osteosynthesis in the management of mandibular body, symphysis, and parasymphysis fractures. Materials and methods About 15 cases presenting with mandibular oblique, sagittally displaced mandibular fractures, and requiring open reduction and internal fixation (ORIF) were selected. Titanium lag screws were placed in such a way that their axes bisect the angle between a perpendicular drawn to the fracture line and perpendicular to the bone surface. About 3 months postoperatively, follow-up was done to evaluate the duration of surgery intraoperatively, stability of fracture segments, occlusion, biting efficiency postoperatively, and record any postoperative complications with lag screw fixation technique. Results The maximum intraoperative time was 120 minutes and minimum was 40 minutes. The average intraoperative time was 72 minutes. In postoperative complications, deranged occlusion was seen in two patients; in one patient, it was due to associated condylar fracture and technical error in the placement of lag screw in another patient; but, it was not significant statistically with a p-value of 0.483 and which was managed easily by placing guiding elastics for 2 weeks in both patients. All the patients in the study showed good stability of fixation and significant increase in biting efficiency over a period of time. No postoperative complications, such as lag screw exposure, neurosensory disturbance, and malunion/nonunion were seen in any of the patients. Conclusion Titanium lag screw fixation was found to have good stability, rigidity, was inexpensive, and less time consuming in some types of mandibular fractures, though there exist few contraindications regarding its usage. This technique is a very sensitive procedure, requiring strict adherence to the lag screw placement principle and sufficient knowledge about the surgical anatomy of the mandible. Clinical significance Fixation of the anterior mandible fracture using this technique can achieve good stability and appropriate compression. The technique reduces the chances of infection due to less exposure and promotes the healing process by producing stress in the fracture lines. Lag screw showed faster improvement in terms of biting efficiency and a significant reduction in fracture gap, which is not seen in miniplate fixation. How to cite this article Bansal P, Kumar S, Mishra V, Jaiswal Y, Das G. Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures. World J Dent 2017;8(4):315-320.

scholarly journals MANDIBULAR FRACTURES AND THEIR RELATION TO FACIAL SKELETON TRAUMA AND CERVICAL SPINE DAMAGE

2021 ◽  
Vol 121 (1) ◽  
pp. 28-32
Author(s):  
M Mozoľa ◽  
P Tvrdý ◽  
P Michl ◽  
P Heinz ◽  
R Pink
Keyword(s):  
Cervical Spine ◽  
Mandibular Fractures ◽  
Facial Skeleton

scholarly journals Nasal Fractures: The Role of Primary Reduction and Secondary Revision

2019 ◽  
Vol 35 (06) ◽  
pp. 590-601 ◽  
Author(s):  
Weitao Wang ◽  
Thomas Lee ◽  
Scott Kohlert ◽  
Sameep Kadakia ◽  
Yadranko Ducic
Keyword(s):  
Rigid Fixation ◽  
Open Rhinoplasty ◽  
Facial Skeleton ◽  
Acute Setting ◽  
Nasal Bones ◽  
Secondary Deformity ◽  
Primary Reduction ◽  
Nasal Trauma ◽  
Nasal Fractures

AbstractThe nasal bones are among the most commonly fractured bones in the facial skeleton. Proper management of nasal trauma acutely is important in minimizing secondary deformities and impaired function with nasal airway obstruction. Septal hematoma, if present, should be drained right away. Acutely closed nasal reduction and limited septoplasty can be performed. Unrecognized septal fracture may play a role in the failure of closed nasal reduction of fractured nasal bones. Complex nasoorbitoethmoid fractures are approached openly and treated with rigid fixation. Primary use of open rhinoplasty in an acute setting is debated, and there are no clearly accepted indications for timing, patient selection, and surgical technique. However, open septorhinoplasty is more commonly used in a delayed fashion to provide definitive correction of any residual cosmetic or functional problems. Recent algorithms provide a systematic approach to nasal trauma and may improve secondary deformity rates following closed reduction.

scholarly journals Clinical examination of various jaw fractures and evaluation of open and closed reductions: Six case reports

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 274-278
Author(s):  
Tahir Ataözden ◽  
Mustafa Mert Başaran ◽  
Semanur Özüdoğru
Keyword(s):  
Clinical Examination ◽  
Closed Reduction ◽  
Case Reports ◽  
Mandibular Fractures ◽  
Fracture Type ◽  
Medial Condyle ◽  
Medial Condyle Fracture ◽  
Jaw Fractures ◽  
Native Speakers Of English ◽  
Condyle Fracture

Aim: This study aims to present the fracture types and treatment methods of jaw fracture cases that presented at our center. Methodology: Of six presenting cases, two were angulus, one was parasymphysis, three were subcondylar, and one was a medial condyle fracture only. All patients were evaluated both clinically and radiologically by CT of the atlanto-occipital joint. We managed two of the mandibular fractures with open and closed reduction (mixed) and four with closed reduction only. Dislocation was observed in only two patients. Internal fixation was performed using either mini plates (Medartis, Basel, Switzerland) or mini-screws. All cases united within three weeks to three months. Results: After analyzing the epidemiology of six fractures and the outcomes of the surgical treatment, as well as assessing the complications related to the surgical procedures, it was determined that in cases with dislocation, bimaxillary fixation should be applied as a maintenance to open reduction therapy. In cases without dislocation, bimaxillary fixation only is sufficient. Conclusion: An analysis of dislocation conditions according to fracture type supports that the incidence of dislocation is low in condyle fractures. Conclusion: An analysis of dislocation conditions according to fracture type supports that the incidence of dislocation is low in condyle fractures.   How to cite this article: Özüdoğru S, Başaran MM, Ataözden T. Clinical examination of various jaw fractures and evaluation of open and closed reductions: Six case reports. Int Dent Res 2021;11(Suppl.1):274-8.  https://doi.org/10.5577/intdentres.2021.vol11.suppl1.40   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.  

scholarly journals Submandibular approach for orotracheal intubation in Oral and Maxillofacial Surgery and Traumatology

2021 ◽  
Vol 10 (12) ◽  
pp. e49101220158
Author(s):  
Edela Puricelli ◽  
Deise Ponzoni
Keyword(s):  
Tracheal Intubation ◽  
Maxillofacial Surgery ◽  
Orotracheal Intubation ◽  
Dental Occlusion ◽  
Oral And Maxillofacial Surgery ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Adjacent Structures ◽  
Intraoperative Control ◽  
The Face

Introduction: Submandibular tracheal intubation is a technique that can be applied in Oral and Maxillofacial Surgery and Traumatology, as well as other surgical specialties. Its main advantages are helping in the surgical manipulation of the middle facial skeleton and jaw and allowing the intraoperative control of dental occlusion. The technique is an alternative to elective tracheostomy. Objective and case report: The article presents the treatment of an adult patient, with sequelae of multiple fractures in the face due to a car accident, with endotracheal intubation using submandibular approach. Final considerations: In large surgical manipulations of the face, the submandibular approach for tracheal intubation allows a faster, facilitated anatomical access with a lower risk of damage to adjacent structures when compared to other pathways. It also guarantees excellent cervical mobility, the possibility of wide manipulation and the use of occlusion as a guide for surgical intervention.

DIAGNOSIS AND PREVENTION OF PERIODONTAL DISEASE IN PATIENTS WITH MANDIBULAR FRACTURES

2019 ◽  
Vol 25 (4) ◽  
pp. 215-219
Author(s):  
Natalya M. Khelminskaya ◽  
L. V Gankovskaya ◽  
A. V Goncharova ◽  
V. I Kravets
Keyword(s):  
Periodontal Disease ◽  
Mandibular Fractures ◽  
Pathological Changes ◽  
Working Age ◽  
Jaw Fractures

The article discusses the diagnosis, prognosis and prevention of periodontal disease in patients with jaw fractures, where the wearing of orthopedic construction acts as a provoking factor in the formation of pathological changes in the periarticular tissues in patients of working age.

scholarly journals Pattern of Mandibular Fractures in Western Region of Nepal

2012 ◽  
Vol 1 (1) ◽  
pp. 45-48 ◽  
Author(s):  
RB Adhikari ◽  
A Karmacharya ◽  
N Malla
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Physical Assault ◽  
Mandibular Fractures ◽  
Western Region ◽  
Loss Of Function ◽  
Facial Skeleton ◽  
Dental Surgery ◽  
Female Ratio

Background: Mandible and nasal bones are the most prominent part of the facial skeleton and are commonly fractured. Its fractures result in severe loss of function and disfigurement. This study was conducted to evaluate and analyze the pattern of mandibular fractures in Western region of Nepal. Methods: This hospital based, descriptive, cross sectional study included 120 patients treated in the Department of Dental surgery, Manipal Teaching Hospital, Pokhara, Nepal from 1st August 2008 to1st December2011.These patients were examined both clinically and radiologically for mandibular fractures. Data concerning age, gender, causes of fracture and sites of fracture were analyzed. Results: The age range was 3-80 years (mean26.3±13.43years) and male to female ratio was 1:0.69. Highest frequency was seen in 21-30 years age group. The leading cause of mandibular fracture was road traffic accident (n=56; 46.6%), followed by accidental fall from height or tree (n=28; 23.3%), physical assault (n=18; 15%), sports injuries (n=12; 10%), industrial accidents (n=4; 3.3%) while 2 cases (1.6%) were associated with other causes. The most common site was parasymphysis (n=42; 35%) followed body (n=22; 18.33%), angle (n=20; 16.6%), condyle (n=18;15%) and symphysis (n=10;8.33%). Conclusion: The study reveals that the majority of the patients were young adult male. The most common etiological factor was road traffic accident and commonly fractured site was the parasymphysis. Keywords: Mandible fracture; etiology; road traffic accidents; pattern DOI: http://dx.doi.org/10.3126/njms.v1i1.5798   Nepal Journal of Medical Sciences. 2012; 1(1): 45-48

scholarly journals Iatrogenic Oculocardiac Reflex in a Patient with Head Injury

2012 ◽  
Vol 5 (4) ◽  
pp. 235-237 ◽  
Author(s):  
Panagiotis Stathopoulos ◽  
Michael Mezitis ◽  
George Kostakis ◽  
George Rallis
Keyword(s):  
Computed Tomography ◽  
Blood Pressure ◽  
Heart Rate ◽  
Facial Fractures ◽  
Airway Protection ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
The Third ◽  
Nasal Catheter ◽  
History Of

A 16-year-old girl with a history of a recent fall from the third floor was transferred to the emergency room. On presentation, the patient, who had sustained multiple facial fractures, was in clinical shock with a blood pressure 80/40 mm Hg, heart rate 130/min, tachypnea (>30/min), PO2 50 mm Hg, and SO2 82%, and she was intubated for airway protection. Severe nasal hemorrhage was detected (hematocrit: 22%), therefore a bilateral anteroposterior balloon nasal catheter was inserted and inflated with air. Bleeding was controlled. A few minutes later, her heart rate dropped to 40/min. Atropine was administered intravenously and the rate increased to 60/min. Computed tomography of the head revealed brain and subarachnoid hemorrhage, multiple fractures of the facial skeleton, and a round foreign body, full of air, compressing the left eye. The medial wall and the floor of the ipsilateral orbit were also fractured, establishing a naso-orbital communication. The left catheter was immediately removed. Heart rate was restored to normal. Facial fractures were addressed surgically. Patient's vision is intact.

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