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 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.

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 Feasibility of three-dimensional CT reconstruction in assessing mandibular fractures

2021 ◽  
Vol 20 ◽  
pp. e219912
Author(s):  
Victor Nogueira Moura ◽  
Emerson Nogueira ◽  
Ewerton Daniel Rocha Rodrigues ◽  
Caio Gonçalves Silva ◽  
Ricardo José De Holanda Vasconcellos
Keyword(s):  
Computed Tomography ◽  
Correct Diagnosis ◽  
Maxillofacial Surgery ◽  
Three Dimensional ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
3D Ct ◽  
Ct Reconstruction ◽  
Cross Sectional ◽  
3D Computed Tomography

Aim: Evaluation of the reliability of 3D computed tomography (3D-CT) in the diagnosis of mandibular fractures. Methods: A cross-sectional, quantitative and qualitative study was carried out, through the application of a questionnaire for 70 professionals in the area of Oral and Maxillofacial Surgery and Radiology. 3D-CT images of mandibular fractures were delivered to the interviewees along with a questionnaire. Participants answered about the number of traces, the region and the type of fracture. The correct diagnosis, that is, the expected answer, was based on the reports of a specialist in oral and maxillofacial radiology after viewing the images in the axial, sagittal and coronal sections. The resulting data from the interviewees was compared with the expected answer and then, the data was analyzed statistically. Results: In the sample 56.9% were between 22 and 30 years old, 52.8% were oral and maxillofacial surgeons (OMF), 34.7% were residents in OMF surgery and 12.5% OMF radiologists. Each professional answered 15 questions (related to five patients) and 50.8% of the total of these was answered correctly. Specialists in Oral and Maxillofacial Surgery and Traumatology correctly answered 53.9%. Interviewees with experience between 6 and 10 years correctly answered 58.2%. In identifying fracture traces, 46.1% of the questions were answered correctly. In terms of location, 5.6% of interviewees answered wrongly while 14.2% answered wrongly regarding classification. Conclusion: 3D computed tomography did not prove to be a reliable image for diagnosing mandibular fractures when used alone. This made necessary an association with axial, sagittal and coronal tomographic sections.

Pattern of Mandible fracture reported in a single institute: A retrospective analysis of 1230 cases to determine causes of facial trauma and preventive strategies in Lahore Population

2021 ◽  
Vol 11 (1) ◽  
pp. 35-39
Author(s):  
Kirn Zulfiqar ◽  
Faiz Rasul Awan
Keyword(s):  
Road Traffic ◽  
Maxillofacial Surgery ◽  
Secondary Data ◽  
Ethical Review ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Anatomical Site ◽  
Maxillofacial Fractures ◽  
Dental Hospital

Background: Maxillofacial fractures are the most commonly reported injuries in developed as well as developing countries, among all facial bones; mandible is most commonly fractured. The pattern of mandibular bone fracture has changed drastically over the past two decades due to increase occurrence of high velocity impact. The objective of this study was to determine the pattern and causes of mandibular fractures that have reported in the Department of Surgery at Punjab Dental Hospital Lahore. Methods: Ethical Review Committee of de’Montmorency College of Dentistry (DCD), Lahore, granted the Ethical approval for this retrospective study. Data was taken from the Department of Oral and Maxillofacial Surgery of de’Montmorency College of Dentistry/ Punjab Dental Hospital (DCD/PDH) by using secondary data of indoor register from January 2017 to December 2020. Record which met our inclusion criteria was included in this study and record having incomplete data was excluded. A total of 1230 cases were entered in SPSS version 21 to determine descriptive statistic of the data. Percentages and frequencies of variables like gender, site of fracture and causes of fracture were calculated.   Results: Our study included 1230 patients out of which 873 were males and 357 were females. The most affected age group was the fourth decade of life (38.1%) and the major etiological factor was road traffic accident (RTA) which led to fractures in 1067 patients (86.7%). Para-symphysis and symphysis was the most commonly affected area comprising of 36.2% of all fractures. The second most common sit was condyle (23.9%). Least commonly fractured site was coronoid process of the mandible. Conclusion: Cause of majority of mandible fractures is RTA and most commonly affected anatomical site were Para-symphysis and Symphysis.

scholarly journals Benefit of Leukocyte- and Platelet-Rich Plasma in Operative Wound Closure in Oral and Maxillofacial Surgery

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Agata Cieślik-Bielecka ◽  
Justyna Glik ◽  
Rafał Skowroński ◽  
Tomasz Bielecki
Keyword(s):  
Oral Mucosa ◽  
Platelet Rich Plasma ◽  
Healing Process ◽  
Maxillofacial Surgery ◽  
Mandibular Fracture ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
The Right ◽  
Healing Processes

This article reports the influence of an autologous leukocyte- and platelet-rich plasma (L-PRP) injection as a minimally invasive method on supporting wound healing processes after a mandibular odontogenic cystectomy and double mandibular fracture fixation. 113 patients were enrolled into a control group (received no L-PRP injection) and 102 patients were enrolled into an L-PRP group with an oral mucosa incision. 18 patients after a double mandibular fracture were operated on using 2 external submandibular approaches receiving no fluids in the right site (a control group) and an L-PRP injection in the left incision (L-PRP group). Clinical observations showed that the oral mucosa healed faster in patients treated with L-PRP, in comparison to cases where inductive biomaterial was not added. Pain at the L-PRP injection site was relieved within few hours after an operation in patients with double mandibular fractures. However, there were no differences observed in the progression of the healing process. L-PRP possesses inductive properties that could stimulate healing processes and it seems to be one of the most promising methods in the future for the treatment of soft tissue defects.

scholarly journals Incidence and etiology of mandibular fractures treated in Vilnius University Hospital Žalgiris clinic, Lithuania: a review of 1 508 cases

2013 ◽  
Vol 20 (1) ◽  
pp. 53-60
Author(s):  
Linas Zaleckas ◽  
Povilas Drobnys ◽  
Jūratė Rimkuvienė
Keyword(s):  
Interpersonal Violence ◽  
Road Traffic ◽  
Maxillofacial Surgery ◽  
University Hospital ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Female Ratio ◽  
Fracture Area ◽  
Late Evening ◽  
Vilnius University

Relevance of the study: this is the first Lithuanian study, which analyzes in detail the incidence, etiology and circumstances of mandibular fractures treated in the Vilnius University Hospital, Lithuania. The data and findings of this study are compared with other studies, identifying specific mandibular trauma patterns in Lithuania. Background. During past few decades, the socioeconomic situation in Lithuania has been changing significantly, and there is a need to evaluate data about mandibular fracture epidemiology and etiology. The aim of the study was to analyse the incidence, etiology, circumstances and localization of mandibular fractures treated in the Department of Oral and Maxillofacial Surgery, Vilnius University Hospital Žalgiris Clinic, Lithuania. Materials and methods. The medical records of 1 508 patients with mandibular fractures, treated between 1 January 2005 and 31 December 2009, were reviewed. The following data were analysed: age, gender, trauma date and time, etiology and circumstances of trauma, fracture area. Results. The male : female ratio was 7.3 : 1. The majority of patients (53.6%) were young people, aged 16–30 years. Mandibular fractures most often (53%) occurred between May and September, mostly at weekends (61%) and in the late evening (60%). The main cause of mandibular fractures was interpersonal violence (70%), followed by falls and accidents (19%), and road traffic accidents (6%). Even 15% of men and 10% of women were alcohol intoxicated at the time of trauma. The most common fracture area was mandibular angle (32%) and condylar process fractures (31%). Conclusions. The incidence of mandibular fractures was remarkably larger in the male, during the second and third decade of life. Most mandibular fractures occurred in the warm period of the year, especially at weekends and late evening. The mandibular basis region was the most common fracture site. The most common cause of mandibular fractures was assault.

scholarly journals Treatment of Mandible Fractures Using a Miniplate System: A Retrospective Analysis

2020 ◽  
Vol 9 (9) ◽  
pp. 2922
Author(s):  
Lauren Bohner ◽  
Fabian Beiglböck ◽  
Stephanie Schwipper ◽  
Rômulo Maciel Lustosa ◽  
Carla Pieirna Marino Segura ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Three Dimensional ◽  
Fracture Site ◽  
University Hospital ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Biomechanical Behavior ◽  
Initial Stability ◽  
Tension And Compression ◽  
Mandible Fractures

Three-dimensional (3D) mini plate systems are used in the treatment of mandibular fractures. The system is advantageous in comparison to conventional plates due to the stabilization of tension and compression areas, improved initial stability, and biomechanical behavior. The aim of this retrospective study was to evaluate the use of a 3D miniplate system for the treatment of patients with mandibular fractures. Patients with mandibular fractures treated with a 3D plate system at the Department of Oral and Maxillofacial Surgery, University Hospital Münster, during a period of 5 years, were included in this study. Mandibular fracture conditions and minor and major post-operative complications were reported. In total, 336 patients and 391 mandibular fractures were assessed. The most common fracture site was anterior mandible, and 155 cases involved a tooth-bearing area. Minor complications were seen in 8.03% of cases, whereas only 1.49% of patients suffered from major complications. The treatment of mandible fractures using 3D miniplates resulted in fracture reduction with a low complication rate.

scholarly journals Clinical and functional rationale for the use of intraosseous composite materials-covered screw retainers for mandibular fracture osteosynthesis

2014 ◽  
Vol 95 (2) ◽  
pp. 219-223
Author(s):  
S A Safarov ◽  
A E Shcherbovskih ◽  
Yu V Petrov ◽  
I M Bayrikov
Keyword(s):  
Composite Materials ◽  
Main Part ◽  
Plate Osteosynthesis ◽  
Maxillofacial Surgery ◽  
Mandibular Fracture ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Rigid Fixation ◽  
Bone Fragments ◽  
Fracture Osteosynthesis

Aim. To increase the effectiveness of mandibular fracture osteosynthesis by using the composite materials-covered intraosseous screw retainers with active combined cutting edge. Methods. 282 patients with mandibular fractures were examined and operated in the clinic of Oral and Maxillofacial Surgery and Dentistry of Samara State Medical University from 2011 to 2013. Surgeries were performed in 257 (91.1%) patients, including plate osteosynthesis - in 133 (47.2%), intraosseous composite materials-coated screw retainers - in 42 (14.9%), uncoated pins - in 65 (23.0%), bone sutures - in 17 (6.0%). Orthopedic and other methods of bone fragments fixation were used in 25 (8.9%) patients. Proposed composite materials-coated osteosynthesis retainer is a square pin with cutting angle of 60-80° and 4 longitudinal grooves of 5-10 mm. The main part is a two-tier helical ribbon with alternating cutting portions, wherein some areas have the same diameter as the main part of the retainer, and the others are 20-100 microns thinner and are covered with TiC0, 65+25% Ca10(PO4)OH2. RESULTS. A comparative analysis with the traditionally used methods was carried out. The main advantages of the proposed method are rigid fixation of mandibular bone fragments and optimal osteogenesis in complex treatment of patients with trauma. Conclusion. The use of the proposed method of mandibular fractures surgical treatment using intraosseous screw retainers with bioactive coating reduced the risk of complications and the length of hospital stay.

scholarly journals An Epidemiological Study on Pattern and Incidence of Mandibular Fractures

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Subodh S. Natu ◽  
Harsha Pradhan ◽  
Hemant Gupta ◽  
Sarwar Alam ◽  
Sumit Gupta ◽  
...  
Keyword(s):  
Gender Bias ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Maxillofacial Surgery ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Road Traffic Accidents ◽  
Facial Fracture ◽  
Male Predominance ◽  
History Of

Mandible is the second most common facial fracture. There has been a significant increase in the number of cases in recent years with the advent of fast moving automobiles. Mandibular fractures constitute a substantial proportion of maxillofacial trauma cases in Lucknow. This study was undertaken to study mandibular fractures clinicoradiologically with an aim to calculate incidence and study pattern and the commonest site of fractures in population in and around Lucknow. Patient presenting with history of trauma at various centers of maxillofacial surgery in and around Lucknow were included in this study. Detailed case history was recorded followed by thorough clinical examination, and radiological interpretation was done for establishing the diagnosis and the data obtained was analyzed statistically. Out of 66 patients with mandibular fractures, highest percentage was found in 21–30 years of age with male predominance. Road traffic accidents were the most common cause of fracture with parasymphysis being commonest site. Commonest combination was parasymphysis with subcondyle. There was no gender bias in etiology with number of fracture sites. The incidence and causes of mandibular fracture reflect trauma patterns within the community and can provide a guide to the design of programs geared toward prevention and treatment.

scholarly journals Three-Dimensional Technology Applications in Maxillofacial Reconstructive Surgery: Current Surgical Implications

Nanomaterials ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 2523
Author(s):  
Yasmin Ghantous ◽  
Aysar Nashef ◽  
Aladdin Mohanna ◽  
Imad Abu-El-naaj
Keyword(s):  
3D Printing ◽  
Head And Neck ◽  
Donor Site ◽  
Maxillofacial Surgery ◽  
Three Dimensional ◽  
Oral And Maxillofacial Surgery ◽  
3D Technology ◽  
Printing Technology ◽  
Reconstructive Procedures ◽  
3D Printing Technology

Defects in the oral and maxillofacial (OMF) complex may lead to functional and esthetic impairment, aspiration, speech difficulty, and reduced quality of life. Reconstruction of such defects is considered one of the most challenging procedures in head and neck surgery. Transfer of different auto-grafts is still considered as the “gold standard” of regenerative and reconstructive procedures for OMF defects. However, harvesting of these grafts can lead to many complications including donor-site morbidity, extending of surgical time, incomplete healing of the donor site and others. Three-dimensional (3D) printing technology is an innovative technique that allows the fabrication of personalized implants and scaffolds that fit the precise anatomy of an individual’s defect and, therefore, has attracted significant attention during the last few decades, especially among head and neck surgeons. Here we discuss the most relevant applications of the 3D printing technology in the oral and maxillofacial surgery field. We further show different clinical examples of patients who were treated at our institute using the 3D technology and discuss the indications, different technologies, complications, and their clinical outcomes. We demonstrate that 3D technology may provide a powerful tool used for reconstruction of various OMF defects, enabling optimal clinical results in the suitable cases.

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