scholarly journals Complications of the use of trans-osseous wire osteosynthesis in the management of compound, unfavorable and non-comminuted mandibular angle fractures

2016 ◽  
Vol 50 (3) ◽  
pp. 172-179
Author(s):  
Charles E Anyanechi ◽  
Otasowie D Osunde ◽  
Birch D Saheeb
Keyword(s):  
Time Lag ◽  
Mouth Opening ◽  
Outcome Variable ◽  
P Value ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Female Ratio ◽  
Angle Fracture ◽  
Angle Fractures ◽  
Wire Osteosynthesis

Objective: To analyze cases of compound, unfavorable and non-comminuted mandibular angle fractures treated by trans-osseous wiring, presenting postoperative complications, in a low resource center.Materials and methods: This was a 13-year retrospective study of 1,324 fractures in 1,317 subjects. The predictor variables were age, gender, aetiology, time lag between injury and treatment, and concomitant mandibular and midfacial fractures. The outcome variable was the development of complication(s) after treatment. Descriptive and bivariate statistics were computed with EPI INFO 7 version software, and the P value was set at 0.05.Results: The sample size was composed of 63/1317 (4.8%) of patients with complications. There were 48 males and 15 females with male: female ratio of 3.2:1. The age of the patients ranged from 21 to 62 years (mean 37.4± 5.6 years). The test of significance showed statistically significant association between complications of mandibular angle fractures and increasing age (P<0.002), male gender (P<0.001), road traffic accident (P<0.001), longer time lag between injury and treatment of fractures (P<0.000), and concomitant mandibular fractures (P<0.000). Deranged occlusion (n=19, 28.8%) and limited mouth opening <35mm (n=16, 24.2%) were the common complications. The complications were successfully treated during follow-up.Conclusion: The use of trans-osseous wire osteosynthesis gave good results, and can still be useful in centres that are less well equipped and where access to rigid internal fixation with mini plates is either limited or unavailable. Funding: Self-fundedKeywords: Mandible, angle, fracture, trans-osseous wiring, complications

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

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 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.

scholarly journals Qualitative and quantitative assessment of relationship between mandibular third molar and angle fracture on North Indian population: A clinico-radiographic study

2013 ◽  
Vol 07 (02) ◽  
pp. 212-217 ◽  
Author(s):  
Suresh Yadav ◽  
Shallu Tyagi ◽  
Naveen Puri ◽  
Prince Kumar ◽  
Puneet Kumar
Keyword(s):  
Third Molar ◽  
Indian Territory ◽  
Mandibular Angle ◽  
The North ◽  
Mandibular Angle Fracture ◽  
Mandibular Third Molar ◽  
Angle Fracture ◽  
Angle Fractures ◽  
Inferior Border ◽  
The Relationship

ABSTRACT Objective: To assess the relationship between impacted mandibular third molar presence and the risk for mandibular angle fracture with the effect of various positions of mandibular third molar and the risk of mandibular angle fracture. Materials and Methods: In the North Indian territory, a total of 289 patients with mandibular angle fractures were studied and evaluated for the possible relationship with impacted third molar on the basis of clinical and panoramic radiographical findings. Results: Results that confirmed the highest risk for mandibular angle fracture was associated with mesioangular angulations (45.42%) followed by vertical (26.34%), distoangular in sequence and least risk was found with bucco-version angulations (2.67%) according to Winter′s classification. Additionally, the highest risk of mandibular angle fracture was reported with partially erupted third molar (47.75%), followed by erupted (23.53%) and unerupted third molar (19.38%). Conclusion: The risk for mandibular angle fracture is not only affected by status of eruption, angulations, position, number of roots present in third molar but also by the distance of mandibular third molar from inferior border of mandible and the percentage of remaining amount of bone at the mandibular angle region.

scholarly journals Transoral Miniplate Fixation of Mandibular Angle Fracture with and without 2 Weeks of Maxillomandibular Fixation: A Clinical Trial Study

2013 ◽  
Vol 6 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Kazem S. Khiabani ◽  
Meghdad Khanian Mehmandoost
Keyword(s):  
Facial Trauma ◽  
Mandibular Angle ◽  
Maxillomandibular Fixation ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Ideal Line ◽  
External Oblique ◽  
Angle Fractures ◽  
Sufficient Strength ◽  
Single Miniplate

Background and Objectives The ideal line of osteosynthesis in mandibular angle fractures indicates that a plate might be placed either along or just below the external oblique ridge. Some authors believe that using one miniplate at this line at the mandibular angle region provides sufficient strength to stabilize the fracture but others imply a second plate is required. Such controversies exist in the use of maxillomandibular fixation (MMF). The intention of the present study was to compare efficiency and complications of using one miniplate with and without MMF in mandibular angle fractures. Methods and Materials Forty patients with facial trauma with mandibular angle fractures including displaced and unfavorable fractures were categorized into two groups of 20 persons. In all patients, one miniplate was placed on the external oblique ridge. In the first group, patients had light maxillomandibular elastic bands just after surgery but no rigid MMF. In the second group, patients had rigid MMF for 2 weeks after surgery. Patients were followed to evaluate complications and treatment efficiency. Conclusions Our study showed that use of a single miniplate in the external oblique ridge is a functionally stable treatment for all types of angle fractures (including displaced and unfavorable fractures) except comminuted and long oblique fractures, which were not included in our study. Use of postoperative MMF did not improve the results.

scholarly journals Inferior Alveolar Nerve Injuries Associated with Mandibular Fractures at Risk: A Two-Center Retrospective Study

2014 ◽  
Vol 7 (4) ◽  
pp. 280-283 ◽  
Author(s):  
Paolo Boffano ◽  
Fabio Roccia ◽  
Cesare Gallesio ◽  
K. Karagozoglu ◽  
Tymour Forouzanfar
Keyword(s):  
At Risk ◽  
Retrospective Study ◽  
Medical Center ◽  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Mandibular Fractures ◽  
Nerve Injuries ◽  
Mandibular Angle ◽  
Maxillofacial Fractures ◽  
Angle Fractures

The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments—Department of Maxillofacial Surgery, Vrije Universiteit University Medical Center, Amsterdam, the Netherlands, and Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Demographic, anatomic, and etiology variables were considered for each patient and statistically assessed in relation to the neurosensory IAN impairment. Statistically significant associations were found between IAN injury and fracture displacement ( p = 0.03), isolated mandibular fractures ( p = 0.01), and angle fractures ( p = 0.004). A statistically significant association was also found between IAN injury and assaults ( p = 0.03). Displaced isolated mandibular angle fractures could be considered at risk for increased incidence of IAN injury. Assaults seem to be the most important etiological factor that is responsible for IAN lesions.

scholarly journals A Review of Mandibular Angle Fractures

2011 ◽  
Vol 4 (2) ◽  
pp. 69-72 ◽  
Author(s):  
Ramiro Perez ◽  
John C. Oeltjen ◽  
Seth R. Thaller
Keyword(s):  
Motor Vehicle ◽  
Treatment Plan ◽  
Neck Region ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Vehicle Accidents ◽  
Appropriate Treatment ◽  
Common Causes ◽  
Angle Fractures

After studying this article, the reader will be able to: (1) review the incidence and etiology of mandibular angle fractures; (2) gain an understanding of patient evaluation and general management principles; and (3) discuss indications and available techniques for management of mandibular angle fractures. Angle fractures represent the highest percentage of mandibular fractures. Two of the most common causes of mandibular angle fractures are motor vehicle accidents and assaults or altercations. With any patient who has sustained facial trauma, a thorough history and comprehensive physical examination centering on the head and neck region as well as proper radiological assessment are essential. These elements are fundamental in establishing a diagnosis and developing an appropriate treatment plan for any mandibular fracture.

scholarly journals Decrease in Incidence of PONV by using Ondansetron as Preemptive Antiemetic Agent in Liver Donors

2021 ◽  
Vol 15 (7) ◽  
pp. 1764-1766
Author(s):  
Riffat Saeed ◽  
Amer Latef ◽  
Syed Mehmood Ali ◽  
Tariq Banghash ◽  
Irfan Ali ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Nausea And Vomiting ◽  
Outcome Variable ◽  
P Value ◽  
Female Ratio ◽  
Male Predominance ◽  
Surgery Outcome ◽  
Liver Donation ◽  
Post Operative Nausea ◽  
Liver Donors

Objective: To determine the role of preemptive ondansetron in reducing the incidence of post-operative nausea and vomiting in liver donors. Design of the Study: It was a randomized controlled trial. Study Settings: This study was carried out at Department of Anaesthesia and Hepatobiliary Unit, Sheikh Zayed Hospital Lahore from August 2017 to August 2019. Material and Methods: The study involved 100 male and female patients undergoing surgery for liver donation. These patients were randomly allocated into two arms. Subjects in the experimental group received a single pre-emptive dose of ondansetron before surgery. Outcome variable was incidence of post-operative nausea and vomiting as compared to controls. A written informed consent was obtained from every patient. Results of the Study: The mean age of the patients was 34.8±9.4 years. We observed a male predominance among these patients with male to female ratio of 1.9:1. The frequency of post-operative nausea (18.0% vs. 36.0%; p-value=0.043) and vomiting (6.0% vs. 24.0%; p-value=0.012) was significantly lower in patients receiving pre-emptive ondansetron. Conclusion: Preemptive administration of ondansetron substantially reduced the incidence of post-operative nausea and vomiting in patients undergoing surgery for liver donation which advocates preferred use of prophylactic ondansetron among such patients in future practice of donor liver transplant anaesthesia. Keywords: Liver Donors, Post-Operative Nausea, Post-Operative Vomiting, Ondansetron

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