External fixation greatly improves outcomes in the surgical treatment of osteoradionecrosis of the jaws without affecting quality of life: a five-year retrospective study

Mahdian, Nima; Onderková, Anna; Brizman, Eitan; Pavlíková, Gabriela; Vlachopulos, Vasilis; Drahoš, Milan; Foltán, René

doi:10.1016/j.bjoms.2020.05.031

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…Nevertheless, within group B, consisting of patients who underwent closed reduction, it was observed that accurate occlusion could not be achieved in five individuals, even after a six-month period of followup Treatment. According to a prior investigation, a significant majority of patients, specifically 88 percent, did not manifest any form of facial nerve impairment subsequent to the surgical procedure 26 . The present investigation revealed an absence of facial nerve paralysis in patients who underwent closed reduction.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Clinical Outcomes in Patients of Mandibular Condyles Fractures Treated with Open Versus Close Reduction

Abbas,

Nazir,

Khan

et al. 2023

PJMHS

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Aim: The absence of a widely acknowledged and conclusive therapy for condylar fractures is a matter of contemporary debate and contention, with the issue of whether surgical or conservative approaches are better suitable for managing such fractures being unresolved. This study investigates several methodologies pertaining to the conservative, closed, and open surgical interventions for the treatment of condylar fractures. The standardization of fracture classification systems and treatment techniques is necessary to provide a clear and optimum strategy for individual individuals and their respective fractures. Objectives: The objectives of the study are to compare clinical outcomes in patients of mandibular condyles fractures treated with open versus close reduction. Method: A total of 84 individuals diagnosed with subcondylar fractures of the mandible were assessed. All fractures seen in the study exhibited displacement, with either angulation ranging from 10° to 35° or a reduction in length of the ascending ramus by more than 2 mm. A comprehensive assessment, including both clinical and radiographic examination, was conducted at the 6-month mark after the occurrence of the trauma. The clinical criteria assessed in this study included mouth opening, temporomandibular joint (TMJ) discomfort, mandibular deviation, malocclusion, facial damage, and scar formation. Results: The findings indicated a statistically significant difference between the two groups, with a p-value of less than 0.05. The findings suggest that open reduction was found to be more efficacious than closed reduction in enhancing mouth opening, mandibular deviation, TMJ discomfort, and malocclusion. Conversely, closed reduction was shown to be more beneficial than open reduction. Conclusion: The study findings indicate that the open treatment approach yields superior progress compared to closed techniques, and these differences are statistically significant. Patients who had open reduction demonstrated considerably superior results in all functional measures, with the exception of facial nerve damage and scar formation, when compared to those who underwent closed reduction. Keyword: Mandibular fracture, open reduction, closed reduction, clinical outcome

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Section: Discussionmentioning

confidence: 99%

A Comparison of Clinical Outcomes in Patients of Mandibular Condyles Fractures Treated with Open Versus Close Reduction

Abbas,

Nazir,

Khan

et al. 2023

PJMHS

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“…In cases of osteoradionecrosis with sequestrotomy there is also an indication, preventing pathological fractures that are difficult to manage. (Mahdian et al, 2020) Indication for condylar mandibular fractures was also studied and presented good prognoses . Ballistic trauma, in which there is extensive bone comminution and excessive mobility, can develop secondary local necrosis, especially when high-velocity bullets are involved, which contraindicates immediate reconstruction with grafting and internal fixation.…”

Section: Discussionmentioning

confidence: 99%

Wrist external fixator for treatment of comminuted mandible fracture caused by gunshot wound: A case report

Falcão,

Passos,

Mattos

et al. 2024

RSD

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Gunshot wounds may cause extensive damage to the facial skeleton, generating complex fractures. Cases of great bone comminution and poor stability can be a challenge with rigid internal fixation. Thus, the use of an external fixator is indicated. The aim of this study is to report a case of a wrist external fixator for initial treatment of a gunshut injury. A 58-year-old male patient was found on the street with extensive comminution and significant mobility of the mandibular bone, tooth loss, crown-root fractures, multiple metal fragments and a firearm projectile lodged in his face. The treatment implemented was surgical debridement with removal of foreign particles, unviable fragments and submental projectile. Next, wrist external fixator was installed bilaterally in the mandible. Good stability of the bone segments was achieved, in addition to preventing bone displacement into the airways. The use of an external fixator is a viable alternative for Traumatology services and can be useful in urgent cases like this one, allowing subsequent refined reconstructions.

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External fixation for tissue preservation following complex mandible trauma and its sequelae: reminder of a time-honored method and case-series of 23 patients

Rogol

2024

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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External fixation greatly improves outcomes in the surgical treatment of osteoradionecrosis of the jaws without affecting quality of life: a five-year retrospective study

Cited by 5 publications

References 17 publications

A Comparison of Clinical Outcomes in Patients of Mandibular Condyles Fractures Treated with Open Versus Close Reduction

A Comparison of Clinical Outcomes in Patients of Mandibular Condyles Fractures Treated with Open Versus Close Reduction

Wrist external fixator for treatment of comminuted mandible fracture caused by gunshot wound: A case report

External fixation for tissue preservation following complex mandible trauma and its sequelae: reminder of a time-honored method and case-series of 23 patients

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