Secondary Management of Mandible Fractures

Reddy, Likith V.; Lee, Daniel; Vincent, Aurora G.; Shokri, Tom; Sokoya, Mofiyinfolu; Ducic, Yadranko

doi:10.1055/s-0039-1700887

Cited by 18 publications

(26 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The fractured regions vary according to the etiology of the trauma, with the most affected ones being: body (29.5%), angle (27.3%) and condyle (21.1%) (Miloro et al, 2016). The treatment goal is to reestablish the occlusion, therefore, determining the degree of occlusal alteration caused by trauma is a crucial step to choose the best therapeutical approach (Pickrell & Hollier, 2017;Reddy et al, 2019;Ramanathan et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Patients may report pain, functional limitation, dysphagia, occlusal changes and facial deformities, which is why, in most cases, surgical treatment is necessary (Pickrell & Hollier, 2017). Untreated mandibular fractures (MF) may result in trismus, malocclusion, infection and persistent pain; therefore, they must be addressed early to avoid complications, malunion and nonunion of bone fragments (Stone et al, 2018;Reddy et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Three-dimensional biomodel in the treatment of bilateral mandibular fracture sequelae: a case report

Oliveira

Santos

et al. 2021

RSD

View full text Add to dashboard Cite

Mandibular fractures lead to changes in occlusion, aesthetic deformities and functional alterations, when untreated, their sequelae may cause permanent problems, leading to a more complex treatment than the acute trauma. The treatment offers challenges that can be minimized with the aid of biomodels, printed by 3D technology. This article aims to report a biomodel-assisted surgical procedure for mandibular reconstruction, arguing how these prototypes may help to achieve better outcomes. The patient was involved in an automobile accident and sought treatment for the sequelae of mandibular fractures two years after the initial trauma. The biomodel printing of her mandible allowed for the execution of surgery on the model, reestablishing correct occlusion and facial aesthetics, and helping shorten the surgical time through the pre-bending of reconstruction plates. The patient improved uneventfully. The use of biomodels must be encouraged, especially in cases where the patient shows sequelae, when the anatomical landmarks are compromised, they offer more predictability for treatment outcomes, as described on this case report.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Three-dimensional biomodel in the treatment of bilateral mandibular fracture sequelae: a case report

Oliveira

Santos

et al. 2021

RSD

View full text Add to dashboard Cite

show abstract

“…There are certain concepts in the repair of symphyseal fractures that should be adhered to regardless of which technique is utilized to control the transverse dimension. First, consideration should be given to visualizing anatomic reduction of the lingual cortex through a transcervical approach if preoperative imaging suggests the presence of lingual splay 1,5 . This step is critical as the lingual cortex may remain splayed even if the buccal cortex and occlusion appear restored to their premorbid state 2 .…”

Section: Discussionmentioning

confidence: 99%

Correction of Traumatic Transverse Mandibular Widening With Interdental Wiring

Lee

Hajibandeh

2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Mandibular symphysis fractures pose several technical challenges for the craniomaxillofacial surgeon. One classic challenge is restoration of the transverse dimension when the mandible is widened secondary to splaying of the lingual cortex. Failure to diagnose or correct this problem can result in widening of the lower facial third, inadequate fracture reduction, and/or a malocclusion. Surgeons have traditionally utilized techniques such as manual pressure to the rami or lingual splint application to address transverse defects intraoperatively. However, these methods may be inadequate in situations with significant widening, such as in the case of concomitant subcondylar fractures. More recently, virtual surgical planning and custom hardware have been utilized to address mandibular widening, though this method also has various shortcomings. In this technical note, the authors present a simple technique using interdental wiring to precisely control mandibular width intraoperatively. The technique is cost effective, does not require an assistant, and can be used in conjunction with any of the above methods. The authors also present a case of secondary reconstruction in which use of this technique was necessary given a large degree of mandibular widening not amenable to reduction and fixation with manual pressure alone.

show abstract

“…Mandibular fractures are the most common facial fractures requiring surgical intervention, accounting for 41.6–75.2% [ 81 ], which affect the patient's occlusion, speech, and facial symmetry [ 82 ]. Mandibular fractures usually require open reduction fixation with rigid plates and screws [ 83 ].…”

Section: Mg-based Bms For Oral and Maxillofacial Applicationmentioning

confidence: 99%

Research status of biodegradable metals designed for oral and maxillofacial applications: A review

Xia

Yang

Zheng

et al. 2021

Bioactive Materials

View full text Add to dashboard Cite

The oral and maxillofacial regions have complex anatomical structures and different tissue types, which have vital health and aesthetic functions. Biodegradable metals (BMs) is a promising bioactive materials to treat oral and maxillofacial diseases. This review summarizes the research status and future research directions of BMs for oral and maxillofacial applications. Mg-based BMs and Zn-based BMs for bone fracture fixation systems, and guided bone regeneration (GBR) membranes, are discussed in detail. Zn-based BMs with a moderate degradation rate and superior mechanical properties for GBR membranes show great potential for clinical translation. Fe-based BMs have a relatively low degradation rate and insoluble degradation products, which greatly limit their application and clinical translation. Furthermore, we proposed potential future research directions for BMs in the oral and maxillofacial regions, including 3D printed BM bone scaffolds, surface modification for BMs GBR membranes, and BMs containing hydrogels for cartilage regeneration, soft tissue regeneration, and nerve regeneration. Taken together, the progress made in the development of BMs in oral and maxillofacial regions has laid a foundation for further clinical translation.

show abstract

Secondary Management of Mandible Fractures

Cited by 18 publications

References 20 publications

Three-dimensional biomodel in the treatment of bilateral mandibular fracture sequelae: a case report

Three-dimensional biomodel in the treatment of bilateral mandibular fracture sequelae: a case report

Correction of Traumatic Transverse Mandibular Widening With Interdental Wiring

Research status of biodegradable metals designed for oral and maxillofacial applications: A review

Contact Info

Product

Resources

About