Retrospective study of 49 comminuted mandibular fractures

doi:10.19438/j.cjoms.2018.05.014

China Journal of Oral and Maxillofacial Surgery ›› 2018, Vol. 16 ›› Issue (5): 452-455.doi: 10.19438/j.cjoms.2018.05.014

• Clinical Reports • Previous Articles Next Articles

Retrospective study of 49 comminuted mandibular fractures

LIU Shu-li, XU Bing, SHI Jun

Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2018-03-12 Online:2018-09-20 Published:2018-11-06

Abstract

Abstract: PURPOSE: To summarize the treatment of comminuted mandibular fractures. METHODS: The records of 49 patients with comminuted mandibular fractures were analyzed for treatment and outcomes. RESULTS: Among 49 patients, 33 were male, 16 were female; 31% were traffic accident injury, 10 had postoperative infection, 1 had malocclusion, 1 had temporo-mandibular joint ankylosis, 1 had nonunion, the complication rate was 26.5%. CONCLUSIONS: There are several approaches to manage comminuted mandibular fracture, however, the infection rate was still high and the therapeutic effect is not good.

Key words: Comminuted mandibular fractures, Open reduction internal fixation, Reconstruction plates, Titanium mesh

CLC Number:

R782

LIU Shu-li, XU Bing, SHI Jun. Retrospective study of 49 comminuted mandibular fractures[J]. China Journal of Oral and Maxillofacial Surgery, 2018, 16(5): 452-455.

References

[1] 邱蔚六. 口腔颌面外科理论与实践 [M]. 北京: 人民卫生出版社, 1998.
[2] Finn RA.Treatment of comminuted mandibular fractures by closed reduction[J]. J Oral Maxillofac Surg, 1996, 54(3): 320-327.
[3] Ehrenfeld M, Manson PN, Prein J, et al.Principles of internal fixation of the craniomaxillofacial skeleton-trauma and orthognathic surgery[M]. New York: Thieme Publishers, 2012: 856-857.
[4] Dai J, Shen G, Yuan H, et al. Titanium mesh shaping and fixation for the treatment of comminuted mandibular fractures [J]. J Oral Maxillofac Surg, 2015, 74(2): 337.e1-337.e11.
[5] Neupert EA 3rd, Boyd SB. Retrospective analysis of low-velocity gunshot wounds to the mandible[J]. Oral Surg Oral Med Oral Pathol, 1991, 72(4): 383-387.
[6] Kazanjian VH.An outline of the treatment of extensive comminuted fractures of the mandible: based chiefly on experience gained during the last war[J]. Am J Orthod Oral Surg, 1942, 28(5): B265-B274.
[7] Spiessl B.Internal fixation of the mandible[M]. Berlin: Springer Berlin Heidelberg, 1989.
[8] Assael LA, Klotch DW, Manson PN, et al.Manual of internal fixation in the cranio-facial skeleton[M]. Berlin : Springer Berlin Heidelberg, 1998.
[9] Ellis E 3rd, Muniz O, Anand K. Treatment considerations for comminuted mandibular fractures[J]. J Oral Maxillofac Surg, 2003, 61(8): 861-870.
[10] Schug T, Rodemer H, Neupert W, et al.Treatment of complex mandibular fractures using titanium mesh[J]. J Craniomaxillofac Surg, 2000, 28(4): 235-237.
[11] Ma J, Ma L, Wang Z, et al.The use of 3D-printed titanium mesh tray in treating complex comminuted mandibular fractures[J]. Medicine, 2017, 96(27): e7250
[12] Kaur N, Kaur T, Kaur J, et al. Efficacy of titanium mesh osteosynthesis in maxillofacial fractures [J/OL]. J Maxillofac Oral Surg, 2017. https://doi.org/10.1007/s12663-017-1043-6.
[13] 张益. 对颌骨骨折治疗中误诊误治和难点问题的讨论[J]. 中华口腔医学杂志, 2004, 39(1): 22-24.

Retrospective study of 49 comminuted mandibular fractures

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 6

Recommended Articles

Metrics

Comments

[1]	ZHANG Jia-yuan, YU De-dong, JI Min, LIN Hai-yan. Simulation analysis and experimental research of 3D printing self-positioning titanium mesh [J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(5): 432-438.
[2]	XU Xiao-feng, ZHU Fang-xing, LIAO Qian, XU Bing, SHEN Guo-fang, ZHANG Wen-bin, SHI Jun. Evaluation of treatment results of 75 patients with comminuted mandibular fractures [J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(5): 456-459.
[3]	DU Fu-jiang, HE Shui-ming, ZHU Peng-na. Clinical application of three-dimensional preformed titanium mesh assisted by individualized 3D printing skull model in the treatment of 6 patients with complex maxillary fractures [J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(4): 368-371.
[4]	LI Hui-ping, SUN Shou-fu, ZHEN Jin-ze, WANG Ye-xin, XU Wei-feng, ZHENG Ji-si, ZHANG Shan-yong, ZHU Ying-chao, ZHONG Xiao-qi. Guided bone regeneration and simultaneous implant placement using membrane in combination with titanium mesh for repair of alveolar defects in Beagle dogs [J]. China Journal of Oral and Maxillofacial Surgery, 2017, 15(2): 109-114.
[5]	LI Hui-ping, SUN Shou-fu, ZHEN Jin-ze, WANG Ye-xin, XU Wei-feng, ZHENG Ji-si, ZHANG Shan-yong, ZHU Ying-chao, ZHONG Xiao-qi. Guided bone regeneration and simultaneous implant placement using membrane in combination with titanium mesh for repair of alveolar defects in Beagle dogs [J]. China Journal of Oral and Maxillofacial Surgery, 2017, 15(2): 127-130.
[6]	LIU Bing-yao, CAO Gang, DONG Zhen, CHEN Wei, Xu Jin-ke, ZHANG Sen-lin. Outcomes of maxillary reconstruction after total maxillectomy using 3-D computer-assisted fabricated individual titanium mesh technique in 6 cases [J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(6): 562-566.