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Clinical Outcome of Conservative Treatment of Displaced Mandibular Fracture in Adults
Department of Oral and Maxillofacial Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Department of Oral and Maxillofacial Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Department of Otolaryngology Head and Neck Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
- 1 Department of Oral and Maxillofacial Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
- 2 Department of Oral and Maxillofacial Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
- 3 Department of Otolaryngology Head and Neck Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Surgical Science·Volume 04 (2013)·Pages 500–505·Published 26 November 2013·DOI10.4236/ss.2013.411097
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Abstract
The article evaluates 12 cases of conservative treatment of displaced mandibular fractures in adults. Twelve cases of displaced mandibular fractures treated surgically, either by closed reduction (IMF) or open reduction internal fixation (ORIF) served as controls. Occlusion, maximal mouth opening, lateral jaw movements, neurological dysfunction (=sensory deficit), and bone remodeling were evaluated and scored in both groups, and results were compared. No significant differences were found between the two groups in all the evaluated parameters. It is concluded that in certain cases, with displacement of 2 - 4 mm, where a surgical approach is not feasible, reasonable spontaneous reduction and bone remodeling can occur. Meticulous follow - up is mandatory.
KeywordsMandibleJaw BoneTraumaDisplaced FractureConservative Management
- H. D. Barber, S. C. Woodbury, K. E. Silverstein and R. J. Fonseca, “Mandibular Fractures,” In: R. J. Fonseca and R. V. Walker, Eds., Oral and Maxillofacial Trauma, 2nd Edition, W.B. Saunders, Philadelphia, 1997, pp. 473-522.
- T. Imazawa, Y. Komuro, M. Inoue and A. Yanai, “Mandibular Fractures Treated with Maxillomandibular Fixation Screws (MMFS Method),” Journal of Craniofacial Surgery, Vol. 2, 2006, pp. 544-549. http://dx.doi.org/10.1097/00001665-200605000-00026
- D. P. Colleti, A. Salama and J. J. Caccamese Jr, “Application of Intermaxillary Fixation Screws in Maxillofacial Trauma,” Journal of Oral & Maxillofacial Surgery, Vol. 65, No. 9, 2007, pp. 1746-1750. http://dx.doi.org/10.1016/j.joms.2007.04.022
- T. Iizuka and C. Lindqvist, “Rigid Internal Fixation of Mandibular Fractures. An Analysis of 270 Fractures Treated Using the AO/ASIF Method,” Journal of Oral & Maxillofacial Surgery, Vol. 21, No. 2, 1992, pp. 65-69. http://dx.doi.org/10.1016/S0901-5027(05)80533-8
- E. Ellis 3rd, “Treatment Methods for Fractures of the Mandibular Angle,” Journal of Oral & Maxillofacial Surgery, Vol. 28, No. 4, 1999, pp. 243-252. http://dx.doi.org/10.1016/S0901-5027(99)80152-0
- L. A. Assael, “Open versus Closed Reduction of Adult Mandibular Condyl Fractures: An Alternative Interpretation of the Evidence,” Journal of Oral & Maxillofacial Surgery, Vol. 61, No. 11, 2003, pp. 1333-1339. http://dx.doi.org/10.1016/S0278-2391(03)00736-5
- C. O. Hazelrigg and J. E. Jones, “Conservative Management of a Fractured Mandible in a Ten Month Old Child,” Journal of Oral Pathology & Medicine, Vol. 40, No. 3, 1985, pp. 112-114.
- J. Lustmann and I. Milhem, “Mandibular Fractures in Infants: Review of the Literature and Report of Seven Cases,” Journal of Oral & Maxillofacial Surgery, Vol. 52, No. 3, 1994, pp. 240-245. http://dx.doi.org/10.1016/0278-2391(94)90291-7
- S. T. Crean, V. Sivarajasingam and M. J. Fardy, “Conservative Approach in the Management of Mandibular Fractures in the Early Dentition Phase. A Case Report and Review of the Literature,” International Journal of Paediatric Dentistry, Vol. 10, No. 3, 2000, pp. 229-233. http://dx.doi.org/10.1046/j.1365-263x.2000.00196.x
- R. Scariot, I. A. de Oliveira, L. A. Passeri, N. L. Rebellato and P. R. Muller, “Maxillofacial Injuries in a Group of Brazilian Subjects under 18 Years of Age,” Journal of Applied Oral Science, Vol. 17, No. 3, 2009, pp. 195-198. http://dx.doi.org/10.1590/S1678-77572009000300012