Timing for repair of mandible fractures

Barker, Daniel A.; Oo, Kenneth K.K.; Allak, Amir; Park, Stephen S.

doi:10.1002/lary.21775

Cited by 41 publications

(27 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the complication rate we encountered (16.7%) in the delayed group is acceptable. It is in the range of results reported by other teams, whether the patients were treated with early or delayed ORIF [7,[11][12][13][14]. We found no statistical significance between an increased delay from trauma to surgery and occurrence of complication.…”

Section: Discussionsupporting

confidence: 56%

“…Some studies even suggest that a slight delay (3-4 days) could allow for better results, as the surgical exposure may be easier after decrease of the facial oedema. Some authors argue that acute injured tissues suffer from restricted vascularization and that the cellular response to trauma is at its maximum between 3 to 4 days [11,15,19]. Furthermore, two studies found that a delayed treatment in selected patients was cost effective, was associated with a shorter stay in hospital and was not associated with a higher rate of complication [18,20].…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Are open mandibular fractures still an emergency?

Zrounba¹,

Hoarau²,

Zweifel³

et al. 2015

Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chiru

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 98%

Are open mandibular fractures still an emergency?

Zrounba¹,

Hoarau²,

Zweifel³

et al. 2015

Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chiru

View full text Add to dashboard Cite

“…[18][19][20] A multiple logistic regression analysis by Czerwinski et al confirmed these findings when treatment was delayed beyond 72 hours (Level of Evidence: Risk, III). 21 There is some disagreement when looking at noninfectious complications.…”

Section: Timing Of Repairsupporting

confidence: 50%

“…Barker et al and Lucca et al did not find any statistically significant difference in malocclusion, malunion, nonunion, and dehiscence in early versus delayed repair, but Biller et al reported an increase in marginal mandibular nerve weakness, malocclusion, pain, and noninfectious wound dehiscence requiring tension band removal. [18][19][20] …”

Section: Timing Of Repairmentioning

confidence: 98%

Evidence-Based Medicine

Morrow

Samson

Schubert

et al. 2014

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

The management of mandibular fractures has undergone significant improvement because of advancements in plating technology, imaging, and instrumentation. As the techniques in management continue to evolve, it is imperative for the practicing physician to remain up-to-date with the growing body of scientific literature. The objective of this Maintenance of Certification article is to present a review of the literature so that the physician may make treatment recommendation based on the best evidence available. Pediatric fractures have been excluded from this article.

show abstract

“…The effect of treatment delay on healing of fractures has been a subject of discussion (27). Whereas some studies failed to find any effect of treatment delay on fracture healing (28,29), others reported an increasing number of complications in case of delayed treatment (30,31). A recent systematic review of the literature on the relation between treatment delay and healing complications concluded that there is no strong evidence for either acute or delayed treatment of mandibular fractures in order to minimize healing complications (27).…”

Section: Discussionmentioning

confidence: 99%

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Dang¹,

Barthélémy²,

Orliaguet³

et al. 2014

Med Oral

View full text Add to dashboard Cite

Purpose: This study evaluated the trends and factors associated with maxillofacial fractures treated from 1997 to 2007 in the Oral and Maxillofacial Surgery Department of the Clermont-Ferrand University Hospital. Material and Methods: This study included 364 patients of which 82% were men and 45%, 20-29-years old. The etiology, anatomical distribution, treatment modality and complications of maxillofacial fractures were examined. Results: Overall, interpersonal violence, traffic accidents and falls were the most common mechanisms of injury. There was a decreasing trend in traffic accidents and increasing one in falls as a cause of fracture over the 11-years period of this study. Young male patients were preferentially victim of interpersonal violence and traffic accidents, while middle-aged ones were of falls and work-related accidents. Middle-aged female patients were preferentially victim of traffic accidents and interpersonal violence, while older ones were of falls. And the number of fractures per patient varied according to the mechanism of injury: low after work-related accidents and high after traffic accidents. About two-third of fractures involved the mandible. Most of these mandibular fractures were treated by osteosynthesis with or without intermaxillary fixation, with the proportion of the latter increasing over time. There were very few postoperative infections and only in mandible. Conclusions: Maxillofacial fractures predominantly occur in young men, due to interpersonal violence. There is nevertheless an increasing trend in falls as a cause of fracture, especially in female patients, consistent with the increasing trend in presentation of older people. Most maxillofacial fractures involve the mandible and there is an increasing trend in treating these fractures by osteosynthesis without intermaxillary fixation. Antibiotic prophylaxis associated with dental hygiene care can be indicated to prevent postoperative infections. Key words:Maxillofacial fractures, Epidemiology, Trends, Influencing factors, Fall, Age, Gender, Antibiotic prophylaxis.

show abstract

Timing for repair of mandible fractures

Abstract: Complications from repair of mandible fractures are rare; it is difficult to detect significant variables that may impact outcomes. We found no relationship between complications and timing to repair.

Cited by 41 publications

References 11 publications

Are open mandibular fractures still an emergency?

Are open mandibular fractures still an emergency?

Evidence-Based Medicine

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Contact Info

Product

Resources

About