Mandibular traumas by gunshot. A systematic review with meta-analysis and algorithm of treatment

Rocha, Suellen Sombra da; Sales, Pedro Henrique da Hora; Carvalho, Paulo; Maia, Raimundo Nonato; Gondim, Ricardo Franklin; Junior, José Maria Sampaio Menezes; Mello, Manoel de Jesus Rodrigues

doi:10.1016/j.bjoms.2020.08.019

Cited by 9 publications

(16 citation statements)

References 23 publications

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“…After achieving airway stability, health professionals must assess tissue damage. 4 Despite injuries, the patient of the case reported in this article breathed easily.…”

Section: Discussionmentioning

confidence: 84%

“…When analyzing the most effective treatment method for mandibular fractures due to gunshots, a recent systematic review 4 found intermaxillary fixation (IMF) to be the most commonly used, followed by open surgery with rigid internal fixation (RIF) -the treatment method used in our patient. The authors concluded that patients treated with RIF are six times less likely to present with malunion than those treated with IMF.…”

Section: Discussionmentioning

confidence: 99%

“…When evaluating 115 comminuted mandibular fractures, Rocha et al 4 found 19 of them to evolve with infections: 13 related to RIF; three to external fixators; and three to IMF. To visualize bone fragments involved in the fracture, patients underwent extraoral incisional biopsy.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the various trauma patterns, hard-tissue injuries involving teeth, and the lack treatment standardization, treating these injuries is a quite complex tasks, possibly leading to a large number of trans and postoperative complications. 4 This study aimed to report the case of a victim of a gunshot to the face.…”

Section: Introductionmentioning

confidence: 99%

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Extensive gunshot wound to the face: a case report

Cerioni

Ruman²,

Hassanieh³

et al. 2021

Clin Lab Res Dent

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Facial fractures caused by gunshots are a major challenge for oral and maxillofacial surgeons. Underdeveloped countries present a higher rate of homicides committed by gunshots than developed countries. This case report presents a 25 year-old male victim of a gunshot wound to the mandible, evolving into a complex fracture. The fracture was treated using rigid internal fixation. After 18 months of follow-up, the patient presents good facial appearance and masticatory activity. The gunshot caused the permanent paralysis of the right mandibular branch of the facial nerve. We managed to preserve the involved teeth and mandibular integrity, with complete bone healing. Despite the late infection following plate fixation, healing occurred without further complications, indicating that blood supply was maintained.

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“…After achieving airway stability, health professionals must assess tissue damage. 4 Despite injuries, the patient of the case reported in this article breathed easily.…”

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Extensive gunshot wound to the face: a case report

Cerioni

Ruman²,

Hassanieh³

et al. 2021

Clin Lab Res Dent

View full text Add to dashboard Cite

show abstract

“…In the past, many oral and maxillofacial surgeons have used primarily the interosseous fixation (IMF) and interosseous wirings as a prophylactic treatment for the mandibular symphysis. [9][10] With the advent of monocortical mini plates, both patient occlusion and precise mandible reduction have become possible, raising questions about the need for an IMF. 11…”

Section: Introductionmentioning

confidence: 99%

A Comparative Analysis of Outcome of Open Reduction and Internal Fixation of Mandibular Fracture With or Without Intermaxillary Fixation

Ali¹,

Rahim²,

Nauman³

et al. 2021

PJMHS

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Aim: To evaluate the difference and functional outcome between open reduction and internal fixation (ORIF) and intermaxillary fixation (IMF) in mandibular fractures. Study Design: Retrospective study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Faryal Dental College, Sheikhupura, Lahore from 1st February 2019 to 31st January 2021. Methodology: One hundred and fifty seven patients treated for fractures of mandible and reviewed their prognosis based on use of intermaxillary fixation after reduction of fracture. The patients were divided into two groups; Manual reduction group without the intermaxillary fixation and the intermaxillary fixation group. Results: Good results have been obtained in most patients after mandible fracture reduction. However, complications occurred in 19 (27.5%) patients in group 2 after surgery. 6 patients had an infection, 4 patients had a wound dehiscence, and 4 patients had osteomyelitis. No loosening of the mounting bolts and/or crack of the mounting plates was observed. Correct occlusion was achieved using posterior arch wires and elastic rings in 2 malocclusion patients. Occlusion failed in two patients in Group 1 due to osteomyelitis, and the second operation was performed under general anaesthesia. The mean complication severity scores for Group 1 and Group 2 were 1.37 and 1.38, respectively, with no significant difference. Conclusion: Among the patients treated with manual reduction, 2 patients had malocclusion and 1 patient required a new surgery. Such a simple mandible fracture can give good results even with manual reduction without intermaxillary fixation. For a simple mandible fracture, only manual reduction without intermaxillary fixation or intermaxillary fixation was recommended for a short time. Key words: Complication, Fracture, Internal fixation, Mandible

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Dental Implants Acting as External Fixation for the Fracture of Severe Atrophic Mandible: A Case Report

Kinoshita,

Ogasawara,

Nishibata

et al. 2023

J. Maxillofac. Oral Surg.

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Treatment of edentulous and atrophic mandibular fractures is extremely difficult. Generally, mandibular fractures are repaired and fixed as internal fixation using a reconstruction plate or miniplates with intra- or extraoral approach. Few cases in which external fixation including a transmucosal fixation was performed have also been reported. We report a case of atrophic and edentulous mandibular fracture which was healed by the fixation using dental implants and implant-supported bridge.

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Mandibular traumas by gunshot. A systematic review with meta-analysis and algorithm of treatment

Cited by 9 publications

References 23 publications

Extensive gunshot wound to the face: a case report

Extensive gunshot wound to the face: a case report

A Comparative Analysis of Outcome of Open Reduction and Internal Fixation of Mandibular Fracture With or Without Intermaxillary Fixation

Dental Implants Acting as External Fixation for the Fracture of Severe Atrophic Mandible: A Case Report

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