Herbert Cannulated Bone Screw Osteosynthesis in Anterior Mandibular Fracture Treatment: A Comparative Study With Lag Screw and Miniplate

El-Mahallawy, Yehia; Al‐Mahalawy, Haytham

doi:10.1016/j.joms.2018.01.034

Cited by 9 publications

(9 citation statements)

References 20 publications

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“…Wound healing and occlusion status were visually examined, and any abnormalities were recorded. (10) An immediate post-operative CT-scan was used to measure fracture reduction from the buccal and lingual perspectives, and a three-month CT-scan was used to determine mean bone density at the area of fracture line and correlate it to the immediate post-operative CT-scan. (Figure 4).…”

Section: Follow Up Phasementioning

confidence: 99%

Herbert Bone Screw Versus Lag Screw in the Treatment of Anterior Mandibular Fracture (Randomized Clinical Trial)

Al-Hattab

Osman

Sweedan

2022

Alexandria Dental Journal

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INTRODUCTION:The most common type of trauma is the mandibular fracture with various fixation modalities. One of these modalities is the use lag screw and Herbert cannulated bone screw. OBJECTIVES: Comparison of the clinical and radiographic results of Herbert bone screw (HBS) with conventional Lag screws in anterior mandibular fracture. MATERIALS AND METHODS: Twelve patients were randomly allocated into two groups each including six patients. Group 1 received Herbert bone screw, and group 2 received Lag screw. Follow up visits after 24-hours, one, four, six and twelve weeks for clinical assessment. After twelve weeks, a radiographic examination was conducted to measure the mean bone density along the fracture line. RESULT: After twelve weeks, both groups showed normal occlusion, no intra-fragmentary mobility, no wound dehiscence or infection, normal sensory function and decreased pain intensity level which was statistically significant (p value <0.0001). By comparing post-operative 12 weeks to pre-operative values, the mean bone density showed a statistically significant improvement in values in both groups 1 (p <0.001) and 2 (p<0.0001). CONCLUSION: HBS is comparable to gold standard lag screw with similar outcomes in anterior mandibular trauma. Yet, HBS shows higher compressive feature than LS. Also countersinking is not necessary during HBS insertion unlike LS.

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Section: Follow Up Phasementioning

confidence: 99%

Herbert Bone Screw Versus Lag Screw in the Treatment of Anterior Mandibular Fracture (Randomized Clinical Trial)

Al-Hattab

Osman

Sweedan

2022

Alexandria Dental Journal

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“…This fact can be explained by the smaller size of the lag screw and the microscrew compared to the miniplates, requiring less tissue manipulation and providing easy adaptation, less tension in the wound area, and less interruption of the blood supply (19) . In the study by El-Mahalawy and Al-Mahalawy, there were no cases of wound dehiscence as a postoperative complication when treating 21 patients with anterior mandible fracture with lag or Herbert screws (18) .…”

Section: Discussionmentioning

confidence: 92%

“…To El-Mahalawy et al, the advantages of the lag screw technique include unsurpassed interfragmentary compression, functional stability, rapid application, low cost, low complication rate, anatomically more accurate reduction, elimination of a possible lingual gap and low rate of displacement (18) . Elsayed et al found as advantages the provision of strong and rigid fixation, with great stabilization, primary bone consolidation, the need for minimal use of devices and lower cost and surgical time (19) .…”

Section: Discussionmentioning

confidence: 99%

Fixation of Mandibular Fractures with Lag Screw: Integrative Review

Vitro,

Guimarães,

Machado

et al. 2023

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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Introduction: The mandible is the only movable bone of the face and plays a crucial role in masticatory, swallowing, phonation, and aesthetic functions. Mandibular fractures have the potential to cause numerous important changes. Angle, parasymphysis, body and condyle are the anatomical regions most affected by trauma. Rigid Internal Fixation (RIF) facilitated the process of treatment and recovery of mandibular functions. The Lag Screw fixation technique is based on the use of screws that manage to compress the bone fragments without the use of plates.Objective: This integrative review aims to review the fixation of mandibular fractures using the Lag Screw technique.Methods: Through a complete search in PubMed, Web of Science, Embase, and Cochrane databases, nine articles that contemplated the method of fixation of mandibular fractures using the Lag Screw technique were included.Results: The studies showed that the technique was associated with a lower number of intra and postoperative complications, provided safe RIF, greater compression between the stumps, facilitating primary bone healing, and presented a shorter surgical time, economic advantage. On the other hand, the technique proved to be sensitive and limited only to specific cases.Conclusion: The application of the Lag Screw fixation technique is an effective and stable RIF method that can be performed in the treatment of mandibular fractures.

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“…The literate has an unanimity regarding the most sustainable part of the population that suffer from facial trauma, which is the young adult male group [18] . The greater frequency of daily tasks and more participation in taxing activities may account for this age group's susceptibility to traumatic occurrences.…”

Section: Discussionmentioning

confidence: 99%

An Objective Tool for the Assessment of Masticatory Forces Following the Open Reduction and Internal Fixation of Posterior Mandibular Fracture

Dessoky¹,

Fahmy

Al‐Mahalawy

et al. 2022

OMX

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Objective:The purpose of this study was to to present maximum voluntary bite force as a reliable objective assessment tool for the analysis of the management of mandibular fracture. Materials and methods:The study is a prospective case series for evaluation of the postoperative bite force in patients suffering from mandibular fracture posterior to the mental foramen and managed with open reduction and internal fixation. Statistical significance was set at the 5% level. Results: Twelve patients were enrolled in this study. Nine of the involved patients suffered from a mandibular angle fracture, while three patients complained from mandibular body fracture. All patients across the follow-up sessions reported a statistically significant decrease in the level of the experienced pain intensity. All of the operated patients reported a statistically significant increase in the level of the measured inter-incisal mouth opening. Across the examination period, the mean reported maximum voluntary bite force showed a statistically significant increase. Conclusion:Postoperative maximum voluntary bite force analysis is a a reliable objective tool for the assessment of the quality of posterior mandibular fracture management, outlining the favourable outcome of open reduction and internal fixation.

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Herbert Cannulated Bone Screw Osteosynthesis in Anterior Mandibular Fracture Treatment: A Comparative Study With Lag Screw and Miniplate

Cited by 9 publications

References 20 publications

Herbert Bone Screw Versus Lag Screw in the Treatment of Anterior Mandibular Fracture (Randomized Clinical Trial)

Herbert Bone Screw Versus Lag Screw in the Treatment of Anterior Mandibular Fracture (Randomized Clinical Trial)

Fixation of Mandibular Fractures with Lag Screw: Integrative Review

An Objective Tool for the Assessment of Masticatory Forces Following the Open Reduction and Internal Fixation of Posterior Mandibular Fracture

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