Bone resorption after bioresorbable fixation of a fractured paediatric mandible – a case report

Bali, Rishi; Sharma, Parveen; Jindal, Shalu; Sharma, R.

doi:10.1111/j.1752-248x.2010.01107.x

Cited by 10 publications

(12 citation statements)

References 9 publications

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“…33 Surgeons prefer it because it offers stable and precise anatomical reduction of fragments, allows immediate recovery of function as it has no IMF, shortens the period of bone healing and decreases the recovery period. Despite the obvious advantages, it has not become popular in many developing countries mainly because of cost factors.…”

Section: Discussionmentioning

confidence: 99%

A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India

et al. 2013

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Abstract:Background:The Department of Oral and Maxillofacial Surgery, D.A.V [C] Dental College and Hospital, Yamuna Nagar, Haryana, India conducted a study on patients with maxillofacial fractures in a time span of seven years (2003-2010). The purpose of this study was to evaluate their aetiology, incidence, patterns and different modalities employed for management.Methods:In this study, 740 patients with 1054 fractures were evaluated clinically and radiographically, based on which closed reduction and open reduction was undertaken. Review of patient records included: Age, sex, time, mechanism and etiology of injury, history of bleeding, unconsciousness and prior first aid, type of vehicle and use of preventive measures, type of fracture and treatment modalities. Results:Road traffic accidents accounted for highest number of fractures predominantly occurring in the age group of 21-30 years (38.3%)1,2. Males incurred more fractures with a male female ratio of 4.2: 1.Mandible was the most commonly fractured bone with parasymphysis being the commonest affected site.76.66% patients had associated head injury and 15.68 % had history of unconsciousness. Open reduction and internal fixation was the preferred modality for mandible whereas the mid face fractures were treated more often by closed methods.Conclusions:Injuries occurred more commonly in 20 – 40 age range with road traffic accident being the major etiological factor. Majority of the patients were driving two wheelers and most were under the effect of alcohol. Most of the injuries occurred during night and road traffic accidents (71.89%) were found to be the major etiological factor. Out of 532 road traffic accidents, 490 patients (66.2%) were on two wheelers, among whom 49(10%) were wearing helmet. In the mandible, fractures occurred most commonly in the parasymphyseal region (224, 30.2%), and out of the 314 fractures of the middle third showed, 155 (49.4%) ZMC. OPG was the most commonly advised X-ray. With regard to treatment modalities, 36.8% of all the mandibular fractures (740) were treated by closed reduction, 62.6% were treated using open reduction and 0.5% was under observation only.

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Section: Discussionmentioning

confidence: 99%

A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India

et al. 2013

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“…In a series of maxillofacial fractures studied by Bali et al 1 , 55.7% of cases were treated by ORIF with complete avoidance of IMF, functional stability and improved mouth opening. However, a lot of people in developing countries still prefer closed reduction over ORIF (16,17) . The complications encountered for patients in the present study with a one year follow up were infections, malocclusions/ malunion, par aesthesia, trismus, diplopia, ectrupion, enophthalmus and TMJ dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…A significant difference in the rate of complications in relation to treatment modality was found. For patients treated with ORIF, the complication rate was 5%, while for those treated with closed reduction the complication rate was 21%.The functional advantages of ORIF includes precise anatomical reduction, functional stability, rapid improvement and short recovery period, which offers optimal results for surgeons as well as for patients (15,16,17) . Arain et al compared the complications of various techniques used to treat maxillofacial fractures for 21 patients.…”

Section: Discussionmentioning

confidence: 99%

Maxillofacial Fractures : Epidemiological Pattern and Treatment Modalities : Experience at King Hussein Medical Center

Al-Rabadi¹,

Aladwan²,

Nsour³

2018

JRMS

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treatment modalities and complications of maxillofacial fractures in a five years period and to compare complications of the various treatment modalities. Methods: Complete records of data for two hundred and forty three patients who sustained two hundred and eighty six maxillofacial fractures were collected and analyzed. For medically fit patients with single fracture, the postoperative complications of the various treatment modalities were compared and analyzed. Results: A total of 194 patients with single fracture were analyzed. The complication rate for those treated with open reduction and internal fixation (ORIF) was much lower compared to those treated with closed reduction, 5% and 21% respectively. Conclusion: ORIF is the treatment of choice for most maxillofacial fractures and associated with lower complication rate compared with closed modalities.

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“…Nowadays, ORIF (open reduction and internal fixation) miniplate was becoming popular, either placed along with Archbarr or IMF (intermaxillary fixation), and was said to be the gold standard in developing countries. 5,6 In Africa, MMF (mandibulomaxillary fixation) and intraosseous wiring dominated the preferred choice of treatment due to the cost problem. 7 In Sanglah General Hospital, the standard management of maxillofacial fracture was using ORIF miniplate and screws.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Fracture Site and Management of Maxillofacial Trauma Cases in The Department of Trauma and Acute Care Surgery in Sanglah General Hospital

Wiargitha¹,

Wiradana²

2019

JBN

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Aim: To know the patterns of fracture site and management of maxillofacial cases in the Department of Trauma and Acute Care Surgery in Sanglah General Hospital Denpasar Bali. Methods: this is a retrospective study, based on medical record were concluded, samples taken in Sanglah General Hospital from January 2012 to December 2018. All of maxillofacial trauma medical records were taken. The data of age, gender, patterns of fractures site and management were taken and described. Results: There were total of 257 cases of maxillofacial trauma managed in the Department of Trauma and Acute Care Surgery in Sanglah General Hospital. Two-hundred and forty-one medical records of maxillofacial trauma were included in this study. About 16 medical records were excluded due to incomplete medical records and could not be contacted. Mostly cases found in male, aged 18-40 years old. The site of fractures majorly located in the mandible (60.12%). About 48% fractures were identified at symphysis or parasymphysis of mandible, followed by the body and angular of mandible. Open reduction and internal fixation (ORIF) were the gold standard of the treatment (83,73%) followed by Archbarr (16,27%). Conclusion: The most common site of maxillofacial fracture was mandible, specifically at symphysis or parasymphysis part. ORIF miniplate, together with Archbarr and interdental wiring fixation were the most common modality of management.

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Bone resorption after bioresorbable fixation of a fractured paediatric mandible – a case report

Cited by 10 publications

References 9 publications

A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India

A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India

Maxillofacial Fractures : Epidemiological Pattern and Treatment Modalities : Experience at King Hussein Medical Center

Patterns of Fracture Site and Management of Maxillofacial Trauma Cases in The Department of Trauma and Acute Care Surgery in Sanglah General Hospital

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