Utility of Postoperative Mandibulomaxillary Fixation After Rigid Internal Fixation of Isolated Mandibular Fractures

Diaconu, Silviu C.; McNichols, Colton H.; Liang, Yuanyuan; Orkoulas-Razis, Dennis; Woodall, Jhade D.; Rasko, Yvonne M.; Grant, Michael P.; Nam, Arthur J.

doi:10.1097/scs.0000000000004368

Journal of Craniofacial Surgery

2018

DOI: 10.1097/scs.0000000000004368

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Utility of Postoperative Mandibulomaxillary Fixation After Rigid Internal Fixation of Isolated Mandibular Fractures

Silviu C. Diaconu¹,

Colton H. McNichols

Yuanyuan Liang

et al.

Abstract: Postoperative MMF does not improve clinical outcome after ORIF in patients with isolated mandible fractures but has the potential benefit of improving follow-up compliance.

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Cited by 3 publications

(2 citation statements)

References 27 publications

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“… 5 Furthermore, greater compliance for postoperative follow-up is seen in patients who receive ORIF and MMF versus ORIF alone. 6 Despite these benefits, MMF has several risks including aspiration, gingival trauma, poor oral hygiene, and poor nutrition. In addition, MMF often requires a return to the operating room for hardware removal.…”

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confidence: 99%

“…Although the addition of MMF reinforces the stability of reduced fractures after rigid fixation, MMF can also be performed alone for minimally displaced fractures for closed treatment 5. Furthermore, greater compliance for postoperative follow-up is seen in patients who receive ORIF and MMF versus ORIF alone 6. Despite these benefits, MMF has several risks including aspiration, gingival trauma, poor oral hygiene, and poor nutrition.…”

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confidence: 99%

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Facial Trauma Management During the Coronavirus Disease 2019 Pandemic

Gourishetti

Waghmarae

Shikara

et al. 2023

Journal of Craniofacial Surgery

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Importance: Facial trauma is managed with open or closed treatment modalities; however, the impact of the coronavirus disease 2019 (COVID-19) pandemic on facial trauma management remains unclear. Objective: To determine whether the management of facial trauma varied during the COVID-19 pandemic. Design Setting, Participants: A retrospective review of 127 adults at The R Adams Cowley Shock Trauma Center at the University of Maryland between March 2019 and March 2021. Adults were stratified into pre-COVID (before March 2020) and post-COVID groups. Main Outcomes and Measures: Open reduction internal fixation alone, maxillomandibular fixation (MMF) alone, Open reduction internal fixation and MMF, and closed reduction. Results: Of the 127 patients, 66 were treated pre-COVID (52%) and 61 post-COVID (48%). While the prevalence of mandible fractures did not differ (pre-COVID, n = 39, 59%; post-COVID, n = 42, 69%; P = 0.33), the use of MMF alone decreased (pre-COVID, n = 9, 23%; post-COVID, n = 1, 2%; P = 0.005). In contrast, while the prevalence of displaced nasal bone fractures decreased (pre-COVID, n = 21, 32%; post-COVID, n = 4, 7%; P = 0.0007), management with closed reduction did not differ (pre-COVID, n = 23, 96%; post-COVID, n = 11, 85%; P = 0.27). Conclusions and Relevance: Although the clinical characteristics of patients with facial fractures did not differ during the COVID-19 pandemic, the use of MMF for mandible fractures changed significantly. Level of Evidence: Level IV.

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confidence: 99%

mentioning

confidence: 99%

Facial Trauma Management During the Coronavirus Disease 2019 Pandemic

Gourishetti

Waghmarae

Shikara

et al. 2023

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

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Rigid internal fixation of panfacial fractures without postoperative maxillomandibular fixation: A retrospective study of 25 cases

Murakami¹,

Kimura²,

Minemura³

et al. 2022

Advances in Oral and Maxillofacial Surgery

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A new classification of mandibular fractures

Brown

Khan

Wareing

et al. 2022

International Journal of Oral and Maxillofacial Surgery

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Utility of Postoperative Mandibulomaxillary Fixation After Rigid Internal Fixation of Isolated Mandibular Fractures

Abstract: Postoperative MMF does not improve clinical outcome after ORIF in patients with isolated mandible fractures but has the potential benefit of improving follow-up compliance.

Cited by 3 publications

References 27 publications

Facial Trauma Management During the Coronavirus Disease 2019 Pandemic

Facial Trauma Management During the Coronavirus Disease 2019 Pandemic

Rigid internal fixation of panfacial fractures without postoperative maxillomandibular fixation: A retrospective study of 25 cases

A new classification of mandibular fractures

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