Letter to the Editor: a lesson from “European multicenter prospective analysis of the use of maxillomandibular fixation for mandibular fractures treated with open reduction and internal fixation”

Sobrero, Federica; Roccia, Fabio; Zavattero, Emanuele; Raveggi, Elisa

doi:10.1016/j.jormas.2023.101390

Cited by 1 publication

(4 citation statements)

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“…However, as reported by Ellis, 12 some surgeons “tend to treat patients in accordance with their training and experience rather than on scientific data,” which is in line with the results of a recent multicentre study on perioperative maxillomandibular fixation after ORIF 15 . In addition, several previous studies have not provided information regarding the thickness of plates used, a crucial factor for determining the osteosynthesis type and its effects on surgical outcomes 16 …”

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confidence: 71%

“…Comparison with previous studies was complicated by the lack of information regarding the thickness of osteosynthesis plates, generally referred to as "2.0 plates." 16 Finally, subgroup analyses were limited because the incidence of major occlusal complications was low. Future investigations involving a larger number of patients may be helpful to address these issues and confirm the results of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…The impact of these variables on the posttreatment complication rate is difficult to estimate. Comparison with previous studies was complicated by the lack of information regarding the thickness of osteosynthesis plates, generally referred to as “2.0 plates.” 16 …”

Section: Discussionmentioning

confidence: 99%

“…15 In addition, several previous studies have not provided information regarding the thickness of plates used, a crucial factor for determining the osteosynthesis type and its effects on surgical outcomes. 16 The aim of this prospective study was to analyze the current treatment strategies for mandibular fractures using ORIF with titanium plates according to fracture and patients-related factors, in 12 European maxillofacial centers included in the European Maxillofacial Trauma project. 15,17 In addition, postoperative malocclusions and infections were reported.…”

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confidence: 99%

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Current Strategies for Treatment of Mandibular Fractures With Plate Osteosynthesis: A European Prospective Study

Sobrero,

Roccia,

Omedè

et al. 2024

Journal of Craniofacial Surgery

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Purpose: The training and preferences of surgeons influence the type of surgical treatment for mandibular fractures. This multicentre prospective study analyzed the current treatment strategies and outcomes for mandibular fractures with open reduction and internal fixation (ORIF). Material and Methods: This prospective study included patients aged ≥16 years who underwent ORIF for mandibular fractures in 12 European maxillofacial centers. Age, sex, pretrauma dental status, fracture cause, site and type, associated facial fractures, surgical approach, plate number and thickness (≤1.4 or ≥1.5 mm), duration of postoperative maxillomandibular fixation, occlusal and infective complications at 6 weeks and 3 months, and revision surgeries were recorded. Results: Between May 1, 2021 and April 30, 2022, 425 patients (194 single, 182 double, and 49 triple mandibular fractures) underwent ORIF for 1 or more fractures. Rigid osteosynthesis was performed for 74% of fractures and was significantly associated with displaced (P=0.01) and comminuted (P=0.03) fractures and with the number of nonsurgically treated fracture sites (P=0.002). The angle was the only site associated with nonrigid osteosynthesis (P<0.001). Malocclusions (5.6%) and infective complications (5.4%) were not associated with osteosynthesis type. Conclusion: Rigid osteosynthesis was the most frequently performed treatment at all fracture sites, except the mandibular angle, and was significantly associated with displaced and comminuted fractures and the number of nonsurgically treated fracture sites. No significant differences were observed regarding postoperative malocclusion or infections among osteosynthesis types.

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confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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