Time lapse from the occurrence of trauma to the definitive management of mandibular fractures: a retrospective study

Mahajan, Shveta; Datarkar, Abhay; Borle, Rajiv

doi:10.1007/s12663-009-0078-8

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…3 ). The data from 2 studies suggested that treatment delay was longer for patients with complications, 28 , 30 whereas 2 studies suggested a longer treatment delay for patients without complications. 27 , 29 The heterogeneity score was 83%, and therefore it was unreliable to pool mean treatment time by postoperative complications.…”

Section: Resultsmentioning

confidence: 99%

“…There was variation among the types of mandible fracture included across studies with Spinelli et al 35 focusing on angle fractures only, Barker et al 29 excluding condylar and alveolar fractures, and 5 of 20 included studies not reporting mandible fracture location. 8 , 29 , 30 , 36 , 43 It is therefore difficult to compare complication rates between such studies, given that mandible fracture location is considered an important factor influencing the development of complications. 16 …”

Section: Discussionmentioning

confidence: 99%

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Treatment Delay Impact on Open Reduction Internal Fixation of Mandibular Fractures: A Systematic Review

Stone¹,

Corneman²,

Sandre³

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:The impact of mandible fracture treatment delay has been contested in the literature for decades, with conventional wisdom favoring earlier surgical treatment to prevent postoperative complications, primarily infection. Through a systematic review of all available evidence, this study aims to determine whether delay to open reduction and internal fixation of traumatic mandibular fractures influences outcomes.Methods:MEDLINE, EMBASE, CINAHL, and Web of Science were systematically searched for English language literature pertaining to the above research question and screened in duplicate. Methodological quality scoring was performed using MINORS criteria. Qualitative and quantitative findings from relevant studies are presented.Results:Twenty eligible studies including 2,671 patients had open reduction internal fixation, with or without adjunct mandibulomaxillary fixation. All studies were observational cohort or case-control studies of low methodological quality with a mean MINORS score of 6.5 of 16 (40.6%) for noncomparative studies and 11.2 of 24 (46.7%) for comparative studies. Only 5 of 20 (25%) studies recommended earlier treatment. Due to insufficient reporting of data and study heterogeneity, the impact of treatment delay on complications could not be quantitatively analyzed.Conclusions:There is substantial heterogeneity and no consensus on the definition of “early” versus “delayed” surgical treatment for patients with traumatic mandibular fractures. The majority of included studies do not make a recommendation for earlier treatment. Future, well-designed prospective studies are essential to determine if there is an optimal surgical treatment delay of mandibular fractures that mitigates the risk of infectious and noninfectious complications.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment Delay Impact on Open Reduction Internal Fixation of Mandibular Fractures: A Systematic Review

Stone¹,

Corneman²,

Sandre³

et al. 2018

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…The importance of patient compliance in the success of this protocol cannot be overemphasized. Lack of patient compliance has been implicated as one of the most definitive factor predisposing to postsurgical infections following maxillofacial trauma 21. A wide range of patient- and clinician-related factors influence the overall compliance.…”

Section: Discussionmentioning

confidence: 99%

“…Lack of patient compliance has been implicated as one of the most definitive factor predisposing to postsurgical infections following maxillofacial trauma. 21 A wide range of patient-and clinician-related factors influence the overall compliance. These include the socioeconomic status of the patient, oral hygiene, abusive habits, and forgetfulness.…”

Section: Discussionmentioning

confidence: 99%

The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible

Krishnan

2016

Craniomaxillofacial Trauma & Reconstruction

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Mandibular fractures are commonly encountered by the maxillofacial surgeon. Maxillomandibular fixation (MMF) and open reduction and internal fixation (ORIF), or a combination of both, are the accepted standard treatments. This study aims to assess the role of a conservative minimal intervention protocol in the management of undisplaced/minimally displaced fractures of the dentate portion of the adult mandible and the complications associated with such minimalistic intervention. Thirty-four patients with undisplaced/minimally displaced fractures of the dentate portion of the adult mandible were advised to restrict mouth opening and limit themselves to a soft diet for a minimum of 4 weeks. All patients were advised follow-up at regular intervals for at least 3 months. Five patients were lost to follow-up. Symphysis and parasymphysis fractures were the most common fracture locations. Fourteen patients needed tension band stabilization with a mandibular arch bar/bridle wiring and three patients required extraction of luxated teeth. All patients showed satisfactory healing except three in whom additional intervention (ORIF) was performed. The improvement in mouth opening was statistically significant. Complications were seen more frequently among smokers and alcoholics. For patients with minimally displaced mandibular fractures, it is necessary to consider if the perceived benefits of intervention justify the associated added costs and possible complications. Patients have to be fully informed about the possible complications while using this minimal intervention protocol. This study concludes that a conservative minimal intervention management protocol for such fractures of the dentate portion of the mandible can produce satisfactory results.

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Infectious complications in compound mandibular fractures undergoing a delayed surgical intervention – a prospective observational study

Sundheepkumar

Saravanan

Krishnan

2023

British Journal of Oral and Maxillofacial Surgery

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Time lapse from the occurrence of trauma to the definitive management of mandibular fractures: a retrospective study

Cited by 5 publications

References 9 publications

Treatment Delay Impact on Open Reduction Internal Fixation of Mandibular Fractures: A Systematic Review

Treatment Delay Impact on Open Reduction Internal Fixation of Mandibular Fractures: A Systematic Review

The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible

Infectious complications in compound mandibular fractures undergoing a delayed surgical intervention – a prospective observational study

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