Treatment of a Mandibular Fracture by Two Perpendicular Mini-Plates

Rahpeyma, Amin and Khajehahmadi, Saeedeh and Barkhori Mehni, Sadegh (2014) Treatment of a Mandibular Fracture by Two Perpendicular Mini-Plates. Iranian Journal of Otorhinolaryngology, 26 (1). pp. 31-36.

IJORL_Volume 26_Issue 1_Pages 31-36.pdf

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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 3 weeks of soft diet was recommended in the post-operative period. All patients were followed up for at least 1 year regarding infection and malocclusion. Results: Twenty-five patients (28 fracture lines) underwent this technique. Most (81.8) patients were male and the mean age was 41.3±7.59 years (range, 17–73 years). Symphyseal fracture (frequency, 52) was the most prevalent followed by angle (32) and body (16) fractures. Among the patients who underwent surgery, only one malocclusion and no cases of infection were observed. No cases Rachel1 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. Rachel1Please confirm

Item Type: Article
Subjects: WV Otolaryngology
Divisions: Journals > Iranian J Otorhinolaryngology
Depositing User: ijo ijo
Date Deposited: 28 Sep 2017 14:32
Last Modified: 28 Sep 2017 14:32

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