Mandibular Fracture Reduction without Intraoperative Intermaxillary Fixation: A Technique Using Two Modified Reduction Forceps

2006 ◽  
Vol 7 (1) ◽  
pp. 150-156 ◽  
Author(s):  
Elio Hitoshi Shinohara ◽  
Sérgio Takeji Mitsuda ◽  
José Massayoshi Miyagusko ◽  
Fernando Kendi Horikawa
Keyword(s):  
Mandibular Fracture ◽  
The Other ◽  
Fracture Reduction ◽  
Mandibular Fractures ◽  
Neutral Zone ◽  
Anatomical Reduction ◽  
Intermaxillary Fixation ◽  
Anatomic Reduction ◽  
Fixation Plate ◽  
Dentate Patient

Abstract This case report demonstrates a technique that is useful for precompressing mandibular fractures and obtaining anatomical reduction of the fracture edges without the use of peroperative intermaxillary fixation (IMF) in a mandibular fracture by using two modified reduction forceps. The first forcep is positioned at the inferior mandibular border and the other in the neutral zone where it is an ideal location to place a fixation plate in mandibular fractures. This technique is indicated for the anatomic reduction in mandibular fractures of the partial dentate patient. Citation Shinohara EH, Mitsuda ST, Miyagusko JM, Horikawa FK. Mandibular Fracture Reduction without Intraoperative Intermaxillary Fixation: A Technique Using Two Modified Reduction Forceps. J Contemp Dent Pract 2006 February;(7)1:150-156.

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 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 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 ‌dentofacial‌ ‌trauma‌ ‌in‌ ‌an‌ ‌adolescent‌ ‌patient:‌ ‌The‌ ‌ conservative‌ ‌and‌ ‌the‌ ‌preservative‌ ‌approach‌

2020 ◽  
Vol 9 (4) ◽  
pp. 234-240
Author(s):  
Amita Rai ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha
Keyword(s):  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation ◽  
Radiographic Findings ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Patient Reported ◽  
Subcondylar Fracture ◽  
Abutment Teeth ◽  
Trauma Type

Mandibular fractures are one of the most frequent occurrences in maxillofacial trauma. Age of the patient, presence of additional injuries, co-morbid diseases of the patient, trauma type, and localization of the fracture must be considered while choosing the treatment strategy. A 12-year-old female patient reported with the complaint of fallen teeth due to trauma three days back. Clinical and radiographic findings revealed symphysis fracture with left sided parasymphysis and subcondylar fracture along with avulsion of 11 and 21. Intermaxillary fixation was done with Erich arch bars and elastics for the management of mandibular fracture, and rehabilitation of edentulous space was done using the avulsed teeth as pontics which were bonded to the adjacent abutment teeth using fiber-reinforced composite.

Frequency of post-traumatic osteoarthritis in dogs after repair of a humeral condylar fracture

2003 ◽  
Vol 16 (01) ◽  
pp. 01-05 ◽  
Author(s):  
M. F. Besancon ◽  
M. G. Conzemius ◽  
K. G. Miles ◽  
A. S. Kapatkin ◽  
W. T. N. Culp ◽  
...  
Keyword(s):  
Fracture Repair ◽  
Fracture Reduction ◽  
Vertical Force ◽  
Condylar Fracture ◽  
Limb Function ◽  
Anatomic Reduction ◽  
Post Traumatic ◽  
Relationship Of ◽  
The Relationship

SummaryThe frequency of post-traumatic osteoarthritis (PTO) in the dog after repair of a humeral condylar fracture (HCF) and the relationship of fracture reduction to outcome is unknown. The objectives of this study were to determine the frequency of PTO in dogs after HCF repair and to determine the relationship between fracture reduction, limb function and follow-up osteoarthrosis (OA) score. All dogs were evaluated by physical and radiographic examinations and dogs with unilateral fracture repair were also examined by force platform gait analysis. Initial and follow-up radiographs were scored for reduction and evidence of osteoarthrosis using previously published grading scales. This study evaluated 15 fractures in 13 dogs with a mean follow-up time of 43 months. Osteoarthrosis developed or progressed radiographically in all elbows. Peak vertical force (PVF) was significantly reduced (p <0.01) in the affected limb, however vertical impulse (VI) did not differ (p = 0.12) when compared to the opposite normal limb. Pain-free range of motion was reduced in flexion (p <0.01), but not in extension (p = 0.98) when compared to the normal limb. Fracture reduction score did not correlate with follow-up OA score (p = 0.07), PVF (p = 0.40), VI (p = 0.72), flexion (p =0.50), or extension (p = 0.62). Due to the high incidence of PTO, owners should be warned of the possibility of declining limb function over time despite near anatomic reduction.

scholarly journals The use of Portland cement in the repair of mandibular fractures in rats

2011 ◽  
Vol 26 (6) ◽  
pp. 426-432
Author(s):  
Reginaldo Inojosa Carneiro Campello ◽  
Belmiro Cavalcanti do Egito Vasconcelos ◽  
Gerhilde Callou Sampaio ◽  
Antonio Rolim ◽  
Gabriela Granja Porto
Keyword(s):  
Portland Cement ◽  
Bone Healing ◽  
Soft Tissues ◽  
Lethal Dose ◽  
Mandibular Fracture ◽  
Point Of View ◽  
Control Group ◽  
Mandibular Fractures ◽  
Male Wistar Rats ◽  
Experimental Group

PURPOSE: To evaluate the bone healing of mandibular fractures following the use of Portland cement. METHODS: Thirty-two male Wistar rats were divided into control and experimental groups. In the control group the rats were submitted to a mandibular fracture, which was reduced, and the soft tissues were sutured. In the experimental group the rats had the mandibular fracture reduced and maintained with the Portland cement. The animals were euthanized 7 and 21 days after surgery by injecting a lethal dose of anesthetic. The following variables were studied: weight of the animals, radiographic images, histopathological features and time of surgery. RESULTS: A weight loss was observed in the specimens of both groups at the different times of evaluation, a greater difference in weight before and after surgery being found in the experimental group, which was statistically significant (p <0.05, p = 0.041). From the histological point of view, with a margin of error (5.0%) the only two significant differences (p <0.05) recorded in the variables were "Material deployed" and "Bone resorption" during the evaluations at 7 and 21 days, respectively. CONCLUSION: The Portland cement served to promote bone healing.

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