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Journal of the American Dental... Jan 1968
Topics: Famous Persons; Fracture Fixation; Humans; Male; Mandibular Fractures; Middle Aged; Splints; Suppuration; United States
PubMed: 5234505
DOI: 10.14219/jada.archive.1968.0001 -
Acta Otorhinolaryngologica Italica :... Aug 2016Mandibular fracture is usually the clinical end of bisphosphonate-related osteonecrosis of the jaw. This is a painful complication and patients cannot feed as usual,...
Mandibular fracture is usually the clinical end of bisphosphonate-related osteonecrosis of the jaw. This is a painful complication and patients cannot feed as usual, with a worsening of their quality of life. The goal of treatment in bisphosphonate related osteonecrosis of jaw (BRONJ) patients is to slow progression of bone necrosis. We present a novel technique for treatment of severe mandibular BRONJ in stage 3 patients that present with a high risk to develop fracture, since they have a residual unaffected mandibular bone height less than 6 mm. We treated 10 patients in this clinical situation with an extra-oral application of a reconstructive plate superficial to the platysma, to keep the plate separated from the infected site to avoid contamination and consequent need of removal, followed by an intraoral approach for active curettage of mandibular necrosis. The preservation of blood supply to the mandible and avoidance of direct contact of the infected site with the reconstructive plate are some advantages of this technique. This plate allows enhancement of mandibular strength, allowing proper treatment of the BRONJ site on the oral side without fear of causing a mandibular fracture when the residual mandible is thin. This technical solution guarantees these patients an extended disease-free period since it is effective in preventing mandibular fractures in patients with low mandibular residual height left after the BRONJ onset.
Topics: Aged; Aged, 80 and over; Bisphosphonate-Associated Osteonecrosis of the Jaw; Female; Humans; Male; Mandibular Fractures; Middle Aged
PubMed: 27734985
DOI: 10.14639/0392-100X-823 -
Acta Oto-laryngologica Apr 1973
Topics: Anesthesia; Fracture Fixation; Humans; Jaw Fractures; Mandibular Fractures; Temporomandibular Joint
PubMed: 4702647
DOI: 10.3109/00016487309139749 -
Medicinski Pregled 2013The position and prominence are the reasons why the lower jaw is one of the most commonly injured facial bones.
INTRODUCTION
The position and prominence are the reasons why the lower jaw is one of the most commonly injured facial bones.
MATERIAL AND METHODS
A retrospective study was conducted to analyze medical records of patients who had been treated at the Department of Maxillofacial and Oral Surgery in the period from January 1st, 1998 to December 31st, 2012. These data included patients' age and gender, mechanism of injury, anatomic localization of the fracture, associated injuries and treatment of fractures.
RESULTS
Out of 630 treated patients, 531 were men (84.3%) and 99 were women (15.7%). The highest incidence of the lower jaw fractures was found in the age group 21-30 years (36.2%) and the lowest in the age group over 70 years (1.1%). The most common causes, of injuries were physical assault (47.3%), followed by traffic accidents (24.3%) and falls (20.8%). Most patients referred to our Department were treated non-surgically 436 (69.2%), 165 of them (26.2%) were treated surgically, whereas in 29 patients (4.6%) none of the above treatments was performed.
DISCUSSION AND CONCLUSION
This study has shown that fractures of the lower jaw are mainly found in men aged 21-30 years. The obtained statistical data could certainly be used to establish the health system that would allow better prevention of these injuries, and the possibility of an adequate and effective treatment modality.
Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Female; Humans; Infant; Infant, Newborn; Male; Mandibular Fractures; Middle Aged; Retrospective Studies; Serbia; Young Adult
PubMed: 24069815
DOI: 10.2298/mpns1308322n -
Journal de Chirurgie Apr 1975In spite of a certain reduction in their numbers, facial injuries still raise frequent problems for general surgeons. Car accidents are now less commonly responsible...
In spite of a certain reduction in their numbers, facial injuries still raise frequent problems for general surgeons. Car accidents are now less commonly responsible than motorcycle accidents. In the most complex cases, one may find lesions of the soft parts and bony lesions in association. The wounds should be examined carefully, all foreign bodies removed and should only be sutured if one is certain tht the subjacent structures are undamaged, e.g. facial bony canals are often damaged in vertical wounds of the cheek situated behind the anterior border of the masseter muscle. As far as bony lesions are concerned, they rarely give rise to typical breakdowns of the suture lines described by Lefort, but more commonly cause true dislocations which are impossible to describe. Fractures are often undiagnosed owing to oedema which masks them, e.g. those of the malar bone and of the orbit and even those of the nose. This failure to diagnose them is serious for, at a later stage, surgical correction is more difficult and the prejudice is then not only esthetic but also functional, e.g. causing diplopia. Clinical examination of a patient with trauma of the face includes a series of simple gestures which a general surgeion should carry out in order to avoid failure to diagnose such lesions. Although he may not treat them all, he sould recognise them and decide which have priority in the treatment of multiple injuries. Careful inspection and palpation usually permit one to detect bony lesions which XRays then demonstrate only by careful choice of appropriate views.
Topics: Eyelids; Facial Injuries; Fracture Fixation; Humans; Jaw Fractures; Joint Dislocations; Skull Fractures
PubMed: 1176565
DOI: No ID Found -
Acta Medica Croatica : Casopis... Jul 2008Fracture of the lower jaw following tooth extraction is a rare and severe complication, occurring most often in the preangular region following third molar extraction....
Fracture of the lower jaw following tooth extraction is a rare and severe complication, occurring most often in the preangular region following third molar extraction. When left untreated, pseudoarthrosis can occur. Symptoms show a wide variance, including pathologic mobility, pain and infection, as well as sometimes trismus before and following surgical treatment. The possible complications of pseudoarthrosis may be malnutrition, jaw deformity and long-term disability. Treatment options range from prescription of a soft diet in case of simple fracture to surgical treatment by open reduction and internal fixation. A case is presented where a 47-year-old male suffered from painful perimandibular swelling and complained of "instability" of the lower jaw as well as hypoesthesia in the area of the left mental nerve. Case history revealed that he had had extraction of the lower left second molar (tooth 37) four months before. Following clinical and radiographic examination he was diagnosed with non-diagnosed and/or non-treated lower jaw fracture. The patient was surgically treated using an oseosynthetic plate to ensure stability. The postoperative protocol showed satisfactory results. Bone growth in the fracture line was recorded in the follow up. However, due to the four-month period of pseudoarthrosis and infection, the plate was removed much later than it would have been the case if surgical treatment had been performed immediately following the fracture. The delayed diagnosis of this fracture demonstrates the necessity of radiologic control when a fracture is suspected following tooth extraction. When a patient shows symptoms inconsistent with those following tooth extraction, surgical consultation is recommended.
Topics: Humans; Male; Mandibular Fractures; Middle Aged; Pseudarthrosis; Tooth Extraction
PubMed: 18843851
DOI: No ID Found -
The British Journal of Oral &... Jul 2017
Topics: Bone Screws; Bone Wires; Dental Arch; Fracture Fixation, Internal; Humans; Internal Fixators; Jaw Fixation Techniques; Jaw Fractures
PubMed: 28457589
DOI: 10.1016/j.bjoms.2017.04.002 -
The Kobe Journal of Medical Sciences 2006Old malunited jaw fractures of nine patients who underwent orthognathic surgery for occlusal reconstruction were clinically evaluated. Early surgery on fractures of the...
Old malunited jaw fractures of nine patients who underwent orthognathic surgery for occlusal reconstruction were clinically evaluated. Early surgery on fractures of the jaw is the optimal treatment when due attention must be paid to occlusion. Since occlusal revision surgery subsequent to inaccurate diagnosis and inappropriate surgery is certainly very difficult and often unsuccessful, surgeons need to pay special attention to this situation.
Topics: Adult; Dental Occlusion, Traumatic; Female; Fractures, Malunited; Humans; Jaw Fractures; Male; Mandibular Advancement; Mandibular Injuries; Middle Aged; Radiography; Treatment Outcome
PubMed: 16849871
DOI: No ID Found -
Oral Surgery, Oral Medicine, and Oral... Apr 1959
Topics: Coloring Agents; Jaw Fractures
PubMed: 13644899
DOI: 10.1016/0030-4220(59)90050-7 -
Niedersachsisches Zahnarzteblatt Nov 1977
Topics: Fracture Fixation; Humans; Jaw Fractures
PubMed: 273866
DOI: No ID Found