Surgical Management of Mandibular Subcondylar Fractures Under Local Anesthesia: A Proposed Protocol

Howlader, Debraj; Ram, Hari; Mohammad, Shadab; Singh, Vibha; Gamit, Jagdish; John, Rubin S

doi:10.1016/j.joms.2019.01.010

Cited by 5 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…New approaches have been explored as well. Seeking to develop a “safe, sound, and effective protocol for surgical management of mandibular subcondylar fractures under local anesthesia,” Howlader et al [32] assessed feasibility of this novel procedure in 7 patients, finding that the local anesthesia, along with adequate central muscle relaxation to reduce masticatory muscle spasm, contributed to conducting a safe, efficacious procedure with no major complications or long-term sequelae. The authors pointed out that general anesthesia, by contrast, is noted for greater metabolic stress and intraoperative blood loss compared to regional or local anesthesia, which have a lower incidence of nausea, vomiting, and procedural complications.…”

Section: Discussionmentioning

confidence: 99%

Open reduction and internal fixation of mandibular condylar fractures

Kuang

He²,

Zheng³

et al. 2019

Medicine

View full text Add to dashboard Cite

The purpose of this study was to compare outcomes of open reduction and internal fixation (ORIF) versus closed reduction (CR) for mandibular condylar fractures.Patients included in the National Inpatient Sample (NIS) database (2005–2014) who were admitted to the hospital for unilateral mandibular condylar fracture were included in the analysis. Patient characteristics and clinical outcomes were compared between those who received ORIF and those receiving CR. Logistic regression analysis was performed to estimate odds ratios (ORs) for each aspect of the main observed events.NIS data of 12,303 patients who underwent ORIF and 4310 patients who underwent CR were analyzed. Compared to CR, ORIF had an increased risk of longer hospital stay (adjusted OR [aOR] = 1.78, 95% confidence intervals [CIs] = 1.51–2.09), higher total medical cost (aOR = 2.57, 95% CI = 2.17–3.05), and hematoma development (aOR = 10.66, 95% CI = 1.43–75.59), but had a lower risk of having wound complications (aOR = 0.86, 95% CI = 0.79–0.93).Patients with mandibular condylar fractures who receive ORIF have greater risk of having an extended hospital stay, higher total medical costs, and hematoma development but lower risk of experiencing wound complications compared to those who receive CR.

show abstract

Section: Discussionmentioning

confidence: 99%

Open reduction and internal fixation of mandibular condylar fractures

Kuang

He²,

Zheng³

et al. 2019

Medicine

View full text Add to dashboard Cite

show abstract

“…Recently, Howlader et al [3] suggested open reduction and internal fixation (ORIF) of isolated subcondylar fractures under local anesthesia by using 2% lidocaine with 1:200,000 epinephrine for mandibular nerve block and superior cervical plexus blocks (SCPB).…”

Section: Lidocaine (Lignocaine)mentioning

confidence: 99%

Local Anesthesia in Oral and Maxillofacial Surgery

John

2021

Oral and Maxillofacial Surgery for the Clinician

View full text Add to dashboard Cite

show abstract

“…This technique has been used in the management of fractures involving both the tooth and nontooth bearing portions of the mandible in well-selected patients. [ 24 25 ] It reduces the need for the operating theatre space (because it can be done in the clinic), admission space, and the duration of hospital stay. This translates to the reduced treatment cost for the patient.…”

Section: Discussionmentioning

confidence: 99%

Fractures of the Mandible

Agbara¹,

Fomete

Omeje

2021

Journal of West African College of Surgeons

View full text Add to dashboard Cite

Background: Epidemiological studies despite their limitations provide information that is useful for the formulation of effective and efficient injury prevention strategies. Aim: The aim is to carry out epidemiology study of mandibular fracture in a Nigerian population. Setting: Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Nigeria. Materials and Methods: A retrospective observational study was carried out at the Ahmadu Bello University Teaching Hospital, Shika-Zaria. Data retrieved from patients’ case notes and operating records were subjected to statistical analysis involving frequencies (count, percent), measures of central tendency (mean), and measures of dispersion (standard deviation) using Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL). Mandibular fracture was classified based on sites, and patients’ socioeconomic status was classified based on United Kingdom National Statistics Socio-economic Classification (NS-SEC, 2010). Results: There were 466 (89.9%) males and 53 (10.1%) females. Based on Socio-economic Classification (NS-SEC, 2010), there was a preponderance of analytical class 6 ( n = 217; 54.9%) and 8 ( n = 127; 32.2%). Road traffic–related accident ( n = 385; 74.2%) was the most common aetiological factor, and a total of 215 (41.4%) patients had a record of loss of consciousness. The mandibular body ( n = 225; 32.0%) followed by the parasymphyseal ( n = 187; 26.6%) regions were the most fractured sites. Closed-reduction technique was the predominant treatment modality. Conclusions: A road traffic accident was the most common aetiological factor for mandibular fracture, and the mandibular body had the highest frequency of fractures. Measures aimed at injury prevention should be continually reviewed and updated to limit the morbidity and economic burden on individuals.

show abstract

Surgical Management of Mandibular Subcondylar Fractures Under Local Anesthesia: A Proposed Protocol

Cited by 5 publications

References 20 publications

Open reduction and internal fixation of mandibular condylar fractures

Open reduction and internal fixation of mandibular condylar fractures

Local Anesthesia in Oral and Maxillofacial Surgery

Fractures of the Mandible

Contact Info

Product

Resources

About