Fracture of the Atrophic Mandible: Case Series and Critical Review

Melo, Auremir Rocha; Carneiro, Suzana Célia de Aguiar Soares; Leal, Jefferson Luiz Figueiredo; Vasconcelos, Belmiro Cavalcanti do Egito

doi:10.1016/j.joms.2010.05.078

Cited by 29 publications

(14 citation statements)

References 22 publications

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“…14,15 Some studies report many complications related with the use of reconstruction plates, seldom requiring osteosynthesis material removal. 16 Moreover, some authors describe a higher rate of wound dehiscence due to fixation with large plates. 17 These two items have not been observed as a major concern in our series.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Edentulous Mandibular Fractures with Rigid Internal Fixation: Case Series and Literature Review

Franciosi

Mazzaro

Larrañaga

et al. 2014

Craniomaxillofacial Trauma & Reconstruction

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The aim of the study is to analyze the effectiveness of rigid internal fixation (RIF) for treating edentulous mandibular fractures. Because of the low incidence of fractures in edentulous mandible, there is no consensus of the optimal treatment for it. This study included all edentulous patients with mandibular fracture diagnosis, who were treated with internal fixation at the Hospital Italiano de Buenos Aires from November 1991 to July 2011. Data such as age, gender, etiology and location of fracture, surgical approach, type of osteosynthesis used, and postoperative complications were analyzed. A total of 18 patients, 76.2 years mean age, 12 females (66.6%), presented a total of 35 mandibular fractures. The mandibular body was the most common localization of the fractures. Twenty-five fractures received surgical treatment with RIF, mainly approached extraorally. Reconstruction plates were the most common type of fixation used. Fracture reduction was considered satisfactory in 96.5%, with 22.2% of complications and 11.1% of reoperations needed. Open reduction and RIF demonstrated to be a reliable method for treating edentulous mandibular fractures. Nevertheless, there is lack of high-level recommendation publication to support this.

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Section: Discussionmentioning

confidence: 99%

Treatment of Edentulous Mandibular Fractures with Rigid Internal Fixation: Case Series and Literature Review

Franciosi

Mazzaro

Larrañaga

et al. 2014

Craniomaxillofacial Trauma & Reconstruction

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“…The most common etiology of mandibular fractures in elderly people was a fall in several studies in the literature (Nishiike et al, 2002;Brucoli et al, 2019;Melo et al, 2011), as well as how occurred with the patient of this case. Studies indicate that with adequate preparation and management, open surgical techniques regain function and bring immediate benefits to patients (Marciani, 2001;Wittwer et al, 2006;Melo et al, 2011). Brucoli et al (2019) conducted a study in which the average age of patients who had an atrophic mandible fracture was 75 years old.…”

Section: Discussionmentioning

confidence: 62%

“…The open reduction of the fractures and the internal fixation are considered the gold standard of treatment and the most predictable method of managing atrophic mandibular fractures due to the benefits of recovering function immediately (Wittwer et al, 2006;Melo et al, 2011). Usually this type of fracture is fixed with a 2.4 system plate that exhibits an adequate mechanic resistance due to its thickness, this fact requires more time during the modeling process (Mardones, 2011).…”

Section: Introductionmentioning

confidence: 99%

Atrophic mandibular fracture treatment: prototyping as a tool in surgical planning

Silva¹,

Pereira²,

Silva³

et al. 2020

RSD

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Introduction: Atrophic mandibular fractures are injuries found in old age due to facial trauma. Its treatment is a challenge, even for experienced surgeons, due to the different approaches that can be taken from clinical decisions. Taking into consideration the limitations that the age presented by most of the affected patients brigs, there are devices that stand out by seeking benefits in terms of predictability and time gain in the intraoperative period. The additive manufacturing is a valuable resource in the surgical planning and rehabilitation of these patients. Objective: To expose a clinical case that demonstrates the success in the use of surgical planning through a prototype printed in 3D technology. Clinical case: Elderly woman, 75 years old, victim of a fall from her own height who had a bilateral atrophic mandible fracture due to facial trauma. The surgical procedure was planned using a prototype printed in 3D technology providing predictability and reduced surgical time. The patient evolved in the postoperative period without complaints, with function immediately restores and without signs of infection or plate exposure. Conclusions: Atrophic mandible fractures are still related to a challenging treatment, therefore, adequate surgical planning and the use of auxiliary strategies such as 3D prototyping provide greater predictability of results, as well as time gain during the intraoperative.

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“…Satisfactory results have been reported with use of reconstructive plates or multiple miniplates placed at various locations. 25,31,32 Ellis and Price recommend the use of a 2.0-mm locking plate, placed using an extraoral subperiosteal approach with immediate supplemental autogenous bone grafting, citing the advantage of thinner plates with lower likelihood for external palpation, plate exposure, or interference with denture placement. They also report facile adaptability of a thinner plate in comparison to the thicker 2.4 mm reconstruction plate.…”

Section: Management Of the Atrophic Edentulous Mandiblementioning

confidence: 99%

Management of Complex Mandible Fractures

et al. 2019

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Mandible fractures represent a common sequela of craniomaxillofacial trauma encountered by reconstructive surgeons. Management of complex mandibular fractures, and reestablishment of the occlusal relationship, represents a challenging reconstructive endeavor for even the most skilled surgeon. In this article, the authors review the treatment options for particularly complex presentations of this injury pattern.

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Fracture of the Atrophic Mandible: Case Series and Critical Review

Cited by 29 publications

References 22 publications

Treatment of Edentulous Mandibular Fractures with Rigid Internal Fixation: Case Series and Literature Review

Treatment of Edentulous Mandibular Fractures with Rigid Internal Fixation: Case Series and Literature Review

Atrophic mandibular fracture treatment: prototyping as a tool in surgical planning

Management of Complex Mandible Fractures

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