scholarly journals Treatment of Gunshot-Related Mandibular Fracture with Splint-Guided Reduction: Case Report

2021 ◽  
Vol 25 (3) ◽  
pp. 188-192
Author(s):  
Demet Kaya ◽  
Ersoy Konaş ◽  
İlken Kocadereli ◽  
Mehmet Emin Mavili
Keyword(s):  
Case Report ◽  
Treatment Protocol ◽  
Specific Treatment ◽  
Fracture Site ◽  
Mandibular Fracture ◽  
Open Bite ◽  
Gunshot Injury ◽  
Patient Specific ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation

Summary Background/Aim: Gunshot injury-related mandibular fractures often have a complex pattern, characterized by comminution, bone loss, and soft-tissue avulsion. The management is difficult and varies between individual cases. Case Report: A 41-year-old male patient presented with marked swelling and ecchymosis in the left mandibular region. Intraorally, he had a deviated open bite on the left side. A unilateral comminuted mandibular fracture was diagnosed by panoramic radiograph and computed tomography. An acrylic dental splint-guided open reduction and internal fixation, including intermaxillary fixation through brackets and intermaxillary elastics, was planned. No complications were observed throughout the healing period, and healing at the fracture site was satisfactory. The occlusion returned to the preinjury position and was stable. Conclusions: This case report shows that successful functional and esthetic results can be achieved with a strict patient-specific treatment protocol for a comminuted mandibular fracture due to gunshot injury.

scholarly journals Management of Mandibular Fracture in Pediatric Patient Using Vacuum-Formed Splint: A Case Report

2017 ◽  
Vol 05 (03) ◽  
pp. 112-115
Author(s):  
Arti Dolas ◽  
Anand Shigli ◽  
Nupur Ninawe ◽  
Ritesh Kalaskar
Keyword(s):  
Case Report ◽  
Pediatric Patient ◽  
Closed Reduction ◽  
Open Reduction ◽  
Fracture Site ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Noninvasive Treatment

AbstractMandibular fractures are less prevalent in children as compared with adults. This is due to the anatomic differences present in children. Treatment of mandibular fractures ranges from conservative noninvasive treatment to open reduction and fixation of fracture site. A case of 12-year-old boy with left parasymphyseal fracture managed by closed reduction using a vacuum-formed splint is reported here.

Determining Peritoneal Dialysis Prescriptions by Employing a Patient -Specific Protocol

1993 ◽  
Vol 13 (3) ◽  
pp. 189-193 ◽  
Author(s):  
Paul M. Zabetakis ◽  
Randi Krapf ◽  
Maria v. DeVita ◽  
Gilbert W. Gleim ◽  
Michael F. Michelis
Keyword(s):  
New York ◽  
Peritoneal Dialysis ◽  
Creatinine Clearance ◽  
Treatment Protocol ◽  
Specific Treatment ◽  
Simple Calculation ◽  
Patient Specific ◽  
Specific Protocol ◽  
Continuous Cycling ◽  
Dialysate Volume

Objective To develop a formula that would permit a rapid and simple calculation of required dialysate volume needed to provide a predetermined daily creatinine clearance. Design Prospective study of peritoneal dialysis patients followed for 6 months. Setting A primary care teaching hospital in New York. Patients Twenty-six patients beginning peritoneal dialysis entered and completed the study. Intervention By employing each patient's measured peritoneal equilibration test (PET) and a standard clearance formula, a patient-specific treatment protocol (PSP) was calculated. The PET 2-hour DIP croat was used for continuous cycling peritoneal dialysis (CCPD) and the 4hour DIP patients on continuous ambulatory peritcornoeal dialysis (CAPD) to determine a PSP that would provide a minimum of 6 L of creatinine clearance daily. Main Outcome Measures Patients were followed for 6 months to assess the ability of this approach of maintaining acceptable levels of blood urea nitrogen, creatinine, albumin, and hematocrit over the 6–month period of observation. Results Our study of 26 patients revealed that only 6 patients (23%) could be treated with the standard prescription of 8 L/day on CAPD. The remaining 77% of our patients required 9–13 L/day for CAPD and 12–21 L/day for CCPD. All patients were free of uremic symptoms and demonstrated acceptable biochemical parameters over a 3–6 month period of observation. Conclusions A patient-specific protocol utilizing individually derived PET data provides an acceptable and easy to calculate initial treatment prescription for each patient that avoids the necessity for trial and error that has heretofore been employed.

TO COMPARE THE EFFECTIVENESS OF INTERMAXILLARY FIXATION USING ERICH ARCH BAR AND SCREWS IN MANDIBULAR FRACTURES – A RANDOMIZED CLINICAL STUDY.

2021 ◽  
pp. 24-27
Author(s):  
Ayeshwarya Chaudhary ◽  
Aashish Deshmukh ◽  
Manasi Bavaskar ◽  
Mehul Bhoye ◽  
Rajwardhan Shinde
Keyword(s):  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation ◽  
Glove Perforation ◽  
Randomized Clinical Study ◽  
Arch Bar ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Time

Purpose: Intermaxillary xation (IMF) is an essential principle in the management of mandibular fractures; but with the recent advent of open reduction and internal xation (ORIF), the use of IMF is almost limited to intraoperative procedure only. This study aims to investigate and compare the effectiveness of Erich arch bar & intermaxillary xation (IMF) screws for the management of mandibular fractures. Materials And Method: A randomized prospective study was conducted on 20 patients with mandibular fracture, who were randomly allotted to two groups. Group A patients received intermaxillary xation using Erich arch bar and group B patients received IMF screws. The parameters assessed were time taken for application and removal of appliance, stability of occlusion, glove perforation, and pre-and post-operative plaque accumulation. Results: The mean time for placement of the Erich arch bar was 43.10 minutes as compared to 18.60 minutes with intermaxillary xation screws. Better occlusal stability was shown with an arch bar over IMF screws, and was statistically signicant. More glove tears or penetrations occurred during application in group A than Group B (p<0.01). Also, The Plaque Index assessment on removal of appliance showed a statistically signicant difference between the two groups; higher in the arch bar group. Conclusion: This study indicates that with acceptable occlusal stability, IMF screws technique is an effective and favourable alternative to Erich arch bars for temporary intermaxillary xation in mandibular fractures.

scholarly journals A Simplified Digital Workflow for the Treatment of Pediatric Mandibular Fractures Using Three-Dimensional (3D) Printed Cap Splint: A Case Report

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1694765
Author(s):  
Chitra Chakravarthy ◽  
Nitish Chandra Gupta ◽  
Ravi Patil
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Three Dimensional ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Digital Workflow ◽  
Mandibular Growth ◽  
Dental Model ◽  
3D Printed ◽  
Tooth Germs

Pediatric mandibular fracture needs special consideration by clinicians. The management of pediatric mandibular fracture differs from that in adults considering the presence of tooth germs and the potential for mandibular growth. One of the most common forms of conservative management for pediatric mandibular fractures is the use of cap splint along with circummandibular wiring. The conventional workflow prior to performing surgery with this technique is impression taking and dental model fabrication. Additionally, it is also recommended that mock surgery should be performed to achieve proper reduction before acrylic splint fabrication. However, these procedures are effortful and time consuming when performed under general anesthesia during surgery and require additional sedation if performed prior to surgery. The aim of this case report is to describe a simpler preoperative digital workflow for the treatment of pediatric mandibular fractures, in which closed reduction is achieved with a three-dimensional printed cap splint stabilized with circummandibular wiring under general anesthesia.

scholarly journals Closed reduction in the treatment of neglected mandibular fractures at the Department of Oral and Maxillofacial Surgery, Universitas Airlangga

2019 ◽  
Vol 52 (3) ◽  
pp. 147
Author(s):  
Olivia Jennifer Gunardi ◽  
Riska Diana ◽  
David Buntoro Kamadjaja ◽  
Ni Putu Mira Sumarta
Keyword(s):  
Closed Reduction ◽  
Reduction Method ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Mandibular Fracture ◽  
Patient Treatment ◽  
Dental Occlusion ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation

Background: The mandible is one of the bones most affected by facial fractures commonly resulting from trauma to the face. The ultimate goal of treatment is to re-establish the pre-injury dental occlusion (bite), mandibular anatomy and jaw function of the patient. Treatment approaches range from conservative non-invasive management by ’closed’ reduction and immobilization using intermaxillary fixation (IMF) to the more invasive surgery-based ’open’ reduction incorporating an internal fixation approach. Purpose: The purpose of this case series was to describe the close reduction method as a form of treatment in cases of neglected mandibular fracture. Cases: Four cases of single or multiple mandibular fracture were presented. Case management: All of the cases were managed using a closed reduction method and IMF. Conclusion: A closed reduction method in this case series produced encouraging results and could be considered an alternative in the treatment of neglected mandibular fractures with displacement.

Open Reduction and Internal Fixation of Mandibular Fractures

1982 ◽  
Vol 90 (5) ◽  
pp. 576-581 ◽  
Author(s):  
James I. Cohen ◽  
William L. Meyerhoff
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Surgical Techniques ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation ◽  
Advantages And Disadvantages ◽  
Key Points ◽  
Principles Of Treatment ◽  
Indications For Use

Open reduction and internal fixation of mandibular fractures by intraosseous wiring in conjunction with intermaxillary fixation remains the mainstay of mandibular fracture treatment despite the availability of newer methods. The principles of treatment are reviewed, including indications for use of this technique and its advantages and disadvantages. Various surgical techniques are also reviewed and key points in their application emphasized.

scholarly journals Adequacy of Three Dimensional Miniplate In Treatment Of Mandibular Fracture In Interforaminal Region

2019 ◽  
Vol 9 (2) ◽  
pp. 97-102
Author(s):  
Vivek Singh ◽  
Ritesh Giri
Keyword(s):  
Road Traffic ◽  
Dynamic Compression ◽  
Maxillofacial Surgery ◽  
Three Dimensional ◽  
Wound Dehiscence ◽  
Mandibular Fracture ◽  
Oral And Maxillofacial Surgery ◽  
Prospective Clinical Study ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation

Background: Mandible is one of the commonly fractured bone due to trauma, assault and falls. Treatment includes closed and open methods. Methods of open reduction and internal fixation have changed and di­versified enormously in the past few years. Champy’s miniplate fixation, dynamic compression plating has become a standard approach. More recently, three dimensional miniplates have been developed by Farmand which may be effectively used in mandibular fractures. The aim of this study was to check the adequacy of three dimensional miniplate in man­agement of mandibular fracture occurring in the interforaminal region. Methods: A prospective clinical study was carried out in patients attend­ing Emergency Department and Department of Oral and Maxillofacial Surgery, Nobel Medical College and Teaching Hospital (NMCTH) suffer­ing from mandibular fractures in interforaminal region from May 2018 to January 2019. Results: A total of 17 patients with 18 fracture in interforaminal region, all male were included in the study. The age ranged from 16 to 50 years with a mean of 29.17 ± 9.48. Road traffic accident was the leading cause of injury with 15 out of 17 patients (88.23%). There was no incidence of wound infection, wound dehiscence, malunion, nonunion, plate fracture within the follow up period of 3 months. One fracture was unstable on 1st postoperative day and also had mildly deranged occlusion which was man­aged with intermaxillary fixation for two weeks. Conclusions: Three dimensional plates fulfills the treatment goals of ad­equate stabilization and fixation of mandibular interforaminal fractures.

scholarly journals Pediatric mandibular fracture therapy: A case report

2020 ◽  
Vol 77 (6) ◽  
pp. 647-650
Author(s):  
Ivan Tusek ◽  
Miroslav Ilic ◽  
Jasmina Tusek ◽  
Stojan Ivic ◽  
Branislav Tusek
Keyword(s):  
Case Report ◽  
Developmental Disorders ◽  
Mouth Opening ◽  
Treatment Method ◽  
Mandibular Fracture ◽  
Fracture Line ◽  
Mixed Dentition ◽  
Dental Occlusion ◽  
Mandibular Fractures ◽  
Efficient Treatment

Introduction. Frequency of pediatric mandibular fractures is relatively uncommon. Apart from rare exceptions, there is minimal invasive access in the treatment of those injuries in order to avoid the future developmental disorders. Case report. During the game with a colt, a 6-year-old boy was kicked by hoof in the chin. The child did not lose consciousness and did not experience nausea or vomiting. According to clinical examination and radiological analysis, diagnosis was assigned as dislocated mandibular fracture in the parasymphysis part of the jaw and luxation injury of teeth 31 and 72. The surgical treatment under general anesthesia encompassed reduction and bimanual manipulation of bone fragments up to the optimal restoration of the dental occlusion, along with osteosynthesis with titanium miniplates. Luxated deciduous tooth 72 at the fracture line was extracted and luxated permanent tooth 31 was fixed to tooth 41 with wire. The patient was given antibiotic therapy. Additional immobilization of the luxated tooth 31 and mandibular fracture was performed after surgery by composite resin splint. During five-month follow-up period there were no signs of pathological movements in the fracture line, no luxation of tooth 31 and no restriction in mouth opening. Conclusion. Osteosynthesis with miniplates is adequate and very efficient treatment method in dislocated mandibular fracture that is recommended in children with both deciduous and mixed dentition. It is necessary to remove miniplates after fracture consolidation.

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 Management Of Mandibular Fracture in 5 Year Old Child : A Case Report

2015 ◽  
Vol 03 (01) ◽  
pp. 051-053
Author(s):  
Priyanka Dhawan ◽  
Taranjot Kaur ◽  
Sanjay Chachra ◽  
Kamaljeet Kaur
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Reduction Method ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Trauma Patients ◽  
Maxillofacial Injuries ◽  
Non Invasive ◽  
Body Fracture ◽  
Mandibular Body

AbstractTrauma induced maxillofacial injuries may affect function as well as estheticsin children. In hospitalized paediatric trauma patients, mandibular fractures are the most common. Boys are affected twice than girls. In children, management of mandibular fractures differ somewhat from that in adults. The objective of treatment is to restore the underlying bony architecture in a stable and non invasive fashion to pre injury position. Closed reduction method is preferred in most paediatric cases. This case report demonstrates the use of fabricated acrylic splint in the stabilization and fixation of a mandibular body fracture in a 5 yr old patient.

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