Internal fixation of single mandibular fracture under mandibular nerve block

El‐Anwar, Mohammad Waheed; Hegab, Ahmed

doi:10.1007/s10006-015-0527-0

Cited by 10 publications

(6 citation statements)

References 12 publications

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“…Following mandibular fracture treatment, mandibular nerve blocks have been frequently used for postoperative analgesia12. To eliminate the inherent risks associated with GA, regional anesthesia has been successfully used in traumatic maxillofacial cases13.…”

Section: Discussionmentioning

confidence: 99%

A working paradigm for managing mandibular fractures under regional anesthesia

Chellappa

Meshram

Kende

et al. 2018

JKAOMS

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ObjectivesIsolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae. The objective of the study is to design a stepwise approach for managing isolated mandibular fractures using open reduction and internal fixation (ORIF) with regional anesthesia on outpatient basis.Materials and MethodsPatients with isolated mandibular fractures presenting to the department of maxillofacial surgery were selected for ORIF under regional anesthesia based on occlusion, age, socioeconomic status, general condition, habits, and allied medical ailments. Standard preoperative, intraoperative, and postoperative protocols were followed. All patients were followed up for a minimum of 4 weeks up to a maximum of 1 year.ResultsOf 23 patients who received regional anesthesia, all but one had good postoperative functional occlusion. One patient was hypersensitive and had difficulty tolerating the procedure. Two patients developed an extraoral draining sinus, one of whom was managed with local curettage, while the other required hardware removal. One patient, who was a chronic alcoholic, returned 1 week after treatment with deranged fracture segments after he fell while intoxicated.ConclusionWith proper case selection following a stepwise protocol, the majority of mandibular fractures requiring ORIF can be managed with regional anesthesia and yield minimal to no complications.

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Section: Discussionmentioning

confidence: 99%

A working paradigm for managing mandibular fractures under regional anesthesia

Chellappa

Meshram

Kende

et al. 2018

JKAOMS

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“…Secondary outcome variables include dental occlusion, average intrinsic vertical mouth opening (between the upper and lower central incisors) [2,8], post subciliary scar was assessed by the authors as noticeable or unnoticeable at 6 weeks postoperatively, late postoperative complication, and opthalmological assessment concerning ectropion, entropion, scleral show and eye globe affection (enophthalmos or diplopia).…”

Section: Variables and Data Collectionmentioning

confidence: 99%

Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study

El‐Anwar

Elsheikh

Hussein

et al. 2017

Oral Maxillofac Surg

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Transconjunctival approach mostly needs lateral canthotomy that was not needed with subciliary approach. Transient postoperative edema is more in transconjunctival approach while postoperative ectropion and sclera show was detected only with subciliary approach. So, building up of experience in transconjunctival approach will be beneficial for maxillofacial surgeons and more measures to avoid ectropion are needed with subciliary approach.

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“…Therefore, it is critical to guide the healing process. The basic principle of fracture treatment is a reduction, fixation, immobilization, prevention of infection, and rehabilitation [6,7].…”

Section: Biomechanicsmentioning

confidence: 99%

“…So recently, open reduction and internal fixation has become the standard management of displaced maxillofacial fractures because it affords stable three-dimensional rebuilding, promotes primary bone healing, and reduces treatment time [6][7][8].…”

Section: Biomechanicsmentioning

confidence: 99%

Biomechanics of Maxillofacial Trauma and Fractures

El‐Anwar¹

2018

Orthop Muscular Syst

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Tolerability of the maxillofacial bone to trauma depends upon bone thickness (facial buttresses system) and the velocity, directions, and force of trauma besides the paranasal sinuses pneumatizations. Muscle action on the fractured bones determines the degree and severity of displacement of fractured facial bones. The current article tried to increase the understanding of the biomechanics of maxillofacial trauma and fractures in the way for optimum management of such fractures.

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Internal fixation of single mandibular fracture under mandibular nerve block

Abstract: Regional anesthesia can effectively replace GA in selected cases of mandibular fracture obviating the risks of GA.

Cited by 10 publications

References 12 publications

A working paradigm for managing mandibular fractures under regional anesthesia

A working paradigm for managing mandibular fractures under regional anesthesia

Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study

Biomechanics of Maxillofacial Trauma and Fractures

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