Treatment of a Mandibular Fracture by Two Perpendicular Mini-Plates

سال انتشار: 1393
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 169

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شناسه ملی سند علمی:

JR_IJOTO-26-1_005

تاریخ نمایه سازی: 11 بهمن 1400

چکیده مقاله:

Introduction: In open reduction and internal fixation for the treatment of mandibular fracture, the fixation technique used is very important in reducing post-operative complications and promoting the healing process. This study assessed the results of fixation of the mandible using two mini-plates perpendicular to each other in the lower border of the mandible for fracture treatment.    Materials and Methods: Access to the fractures was via an extraoral approach (through existing scars or incisions). After reductions of mandibular fractures, the fracture line fixation was accomplished using two mini-plates perpendicular to each other. One-week intermaxillary fixation (IMF) was applied and ۳ weeks of soft diet was recommended in the post-operative period. All patients were followed up for at least ۱ year regarding infection and malocclusion.   Results: Twenty-five patients (۲۸ fracture lines) underwent this technique. Most (۸۱.۸%) patients were male and the mean age was ۴۱.۳±۷.۵۹ years (range, ۱۷–۷۳ years). Symphyseal fracture (frequency, ۵۲%) was the most prevalent followed by angle (۳۲%) and body (۱۶%) fractures. Among the patients who underwent surgery, only one malocclusion and no cases of infection were observed. No cases [Rachel۱] of facial nerve weakness or damage were observed in this study.   Conclusion:  This method can be used in specific cases to replace treatment with one mini-plate, which necessitates a more intensive fixation or reconstruction plate therapy.      [Rachel۱]Please confirm

نویسندگان

Amin Rahpeyma

Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Saeedeh Khajehahmadi

Dental Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Sadegh Barkhori Mehni

Dental Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

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