Analysis of complications in fractures of the mandibular angle—a study with finite element computation and evaluation of data of 277 patients

Feller, K.; Schneider, Matthias; Hlawitschka, M.; Pfeifer, Günter; Lauer, Günter; Eckelt, Uwe

doi:10.1016/s1010-5182(03)00015-5

Cited by 62 publications

(44 citation statements)

References 17 publications

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“…Surgical treatment (osteosynthesis) was most performed (71.9%). This rate is comparable to that found in the France series [12] and the Japanese series [17]. Indeed, according to some authors if the isolated intermaxillary fixation can indeed be conceived in certain cases (and in particular in the absence of maxillofacial surgeon trained in the techniques of osteosynthesis, in the case of comminutive fractures or seen late, for example) this type of treatment should no longer be proposed as a first-line treatment in reference centers [12].…”

Section: Discussionsupporting

confidence: 67%

Mandibular Fractures at Sylvanus Olympio Teaching Hospital: About 153 Cases

Bissa¹,

Adam²,

Foma³

et al. 2017

OJST

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Introduction: Mandibular fractures have epidemiological and therapeutic characteristics that vary from one region to another. The aim of our work was to report the particularities of this pathology in Lomé. Material and Methods: We analyzed retrospectively the records of 153 patients admitted for mandibular fractures in the ENT and Head and Neck and Maxillofacial Surgery Department of the Sylvanus Olympio Teaching Hospital in Lomé, between 2010 and 2015. Age, sex, etiology, topography and the therapeutic modalities were the parameters of study. Results: The prevalence of mandibular fractures was 15% with a sex ratio of 9.2. The average age was 33.5 +/− 11.4 years with extremes of 7 years and 67 years. The etiology was marked by the predominance of road accidents (RA) in 63.3% followed by accidents at work in 14.4% and 80.4% motorcyclists involved. Unifocal fractures were found in 68.6% and the parasymphyseal region was the most affected (47%) followed by the corpus (17.7%). The osteosyntheses were performed in 71.9% and intermaxillary fixation in 13.7%. The sequelae were noted in 12 patients (tooth loss, paresthesia in the lower dental nerve area). Discussion: Our results are superimposable with publications in developing countries. Mandibular fractures remain as the prerogative of young men of the 2nd and 3rd decades. However, treatment using modern methods (screw plate osteosynthesis) is still dependent on socioeconomic status.

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Section: Discussionsupporting

confidence: 67%

Mandibular Fractures at Sylvanus Olympio Teaching Hospital: About 153 Cases

Bissa¹,

Adam²,

Foma³

et al. 2017

OJST

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“…The miniplates are applied close to tension zone of mandible. The screws are monocortical to prevent injury to dentition and alveolar nerve [8][9][10][11]. The titanium is the metal of choice for fixation plates; mainly because of its high biocompatibility and ease of manipulation [4,12,13].…”

Section: Discussionmentioning

confidence: 99%

Versatility of Titanium 3D Plate in Comparison with Conventional Titanium Miniplate Fixation for the Management of Mandibular Fracture

Malhotra¹,

Sharma

Giraddi

et al. 2012

J. Maxillofac. Oral Surg.

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Background In the present study, 20 patients with mandibular fracture were included to evaluate the versatility of titanium 3D plate in comparison with conventional titanium miniplate fixation. Methods The patients were alternatively allocated to either the 3D plate group or Miniplate group. The patients were evaluated for the clinical assessment of mobility after fixation, pre and post-surgical occlusal relationship, adequacy of reduction on post operative radiograph and any post surgical complications. Results All 25 fractures in 20 patients were found to be adequately fixed when checked intra-operatively. No postoperative IMF was required in either of the groups. The mean radiographic score at post operative time interval in Miniplate group was found to be 2.80 ± 0.42 and in 3D Plate was found to be 2.90 ± 0.32. The mean radiographic score at 3 months time interval in Miniplate group was found to be 2.70 ± 0.48 and in 3D Plate was found to be 2.70 ± 0.48. Radiolucency at 3 months period was found in 1 patient (10%) in the miniplate group and it was not found in any patients in the 3D plate group. None of the patients in both the groups had complications of non-union or mal-union. In miniplate group, 2 patients (20%) had infections and in 3D plate group 1 patient (10%) had infection. 3 patients in miniplate group had occlusal discrepancies (30%) and 1 patient in 3D plate group had occlusal discrepancies (10%). Overall, complications were found in 6 patients (60%) in miniplate group and 2 patients (20%) in 3D plate group. The data when compared was statistically significant (P \ 0.05). ConclusionThe 3D plating system was found to be advantageous over conventional miniplates. It uses lesser foreign material, reduces the operation time and overall cost of the treatment. Thus 3D plate can be used as an alternative to conventional miniplates. The system is reliable and effective treatment modality for mandibular fractures.

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“…Although there is no consensus in the literature, factors including substance abuse, age, dental condition, location of fracture, degree of fragmentation, fracture exposure and time between trauma and treatment should be considered as those that contribute to the occurrence of such complications [5][6][7][8][9]. One way to overcome these described factors in the treatment of mandibular fractures is the use of more rigid systems [10][11][12], such as locking 2.4 mm plates. On the other hand, some studies have stated that the 2.0-mm locking plates can be used in the cases of fractures with large displacement, mandible reconstruction, and comminuted fractures as well as in the cases of atrophic mandible fracture [13][14][15].…”

Section: Introductionmentioning

confidence: 99%