Closed reduction in the treatment of neglected mandibular fractures at the Department of Oral and Maxillofacial Surgery, Universitas Airlangga

Abstract

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.

The Effect of Grape Seed Extract on the Alveolar, Jaw, and Skeletal Bone Remodeling: A Scoping Review

“…Twenty-six studies revealed the potential effect of GSE on the alveolar bone, including maxilla, 15 interpremaxillary, 34 alveolar bone in a molar area, 35 36 37 and incisive area 38 39 the mandibular jaw bone 40 41 and condyle 31 42 skeletal bone including the femur, 28 43 calvaria, 28 and tibia. 28 44 45 46 47 In the disease model, femur, 48 49 50 51 52 tibia, 53 54 and knee were used.…”

“…The study of supplementations of GSE was mostly performed in Wistar rats, 15 31 35 36 37 38 40 41 42 43 44 45 46 47 49 50 54 55 Sprague-Dawley rat, 34 rabbits, 39 51 52 and mice. 28 48 56…”

The Characteristics of Mandibular Fracture In Rsup Dr. Hasan Sadikin General Hospital Bandung, Indonesia

“…This result is in accordance with the statement of Sultana et al, who stated that the prominent position of the mandible in the facial region is prone to trauma, especially in the parasymphysis region. 12 Various pieces of literature also state that the anatomical location of mandibular fractures is influenced by several other factors, such as the mechanism of injury, the direction of trauma, the magnitude of the trauma, and the characteristics of each person's mandible. 6,9,11 The data of this study stated that the most mandibular fracture treatment at RSUP Dr. Hasan Sadikin Hospital during the study period was the open reduction, as many as 197 patients (82.03%).…”

“…11 Ultimate goal of treatment is to re-establish the preinjury dental occlusion (bite), mandibular anatomy and jaw function of the patient. 12 Reduction techniques in mandibular fracture treatment may be classified as open or closed depending on the presence or absence of direct visual access to the fracture site. 13 RSUP Dr. Hasan Sadikin General Hospital, the highest and biggest referral hospital in west java, receives many mandibular fracture cases.…”

Recovery of Post-Traumatic Temporomandibular Joint after Mandibular Fracture Immobilization: A Literature Review

“…The primary objective of the treatment is to reconstruct the pre-injury dental occlusion, as well as the mandibular anatomy and jaw function. The therapeutic management consists of soft diet, closed reduction with intermaxillary fixation (bonded orthodontic brackets, arch bars, direct wires, eyelet wires), and open reduction with internal fixation (wires, plates, hard wares placed directly across the fractured site) [19,22,23].…”