Surgical management of unilateral body fractures of the edentulous atrophic mandible

被引：11

作者：

Brucoli, Matteo ^{[1
]}

Boffano, Paolo ^{[1
]}

Romeo, Irene ^{[1
]}

Corio, Chiara ^{[1
]}

Benech, Arnaldo ^{[1
]}

Ruslin, Muhammad ^{[2
]}

Forouzanfar, Tymour ^{[3
]}

Rodriguez-Santamarta, Tania ^{[4
]}

Vicente, Juan Carlos de ^{[4
]}

Tarle, Marko ^{[5
]}

Dediol, Emil ^{[5
]}

Pechalova, Petia ^{[6
]}

Pavlov, Nikolai ^{[7
]}

Daskalov, Hristo ^{[6
]}

Doykova, Iva ^{[8
]}

Kelemith, Kadri ^{[9
]}

Tamme, Tiia ^{[10
]}

Kopchak, Andrey ^{[11
]}

Shumynskyi, Ievgen ^{[12
]}

Corre, Pierre ^{[13
]}

Bertin, Helios ^{[13
]}

Bourry, Maeva ^{[13
]}

Guyonvarc'h, Pierre ^{[13
]}

Dovsak, Tadej ^{[14
]}

Vozlic, David ^{[14
]}

Birk, Anze ^{[14
]}

Anicic, Boban ^{[15
]}

Konstantinovic, Vitomir S. ^{[15
]}

Starch-Jensen, Thomas ^{[16
]}

机构：

[1] Univ Hosp "Maggiore Carita", Univ Eastern Piedmont, Div Maxillofacial Surg, Novara, Italy

[2] Hasanuddin Univ, Dept Oral, Maxillofacial Surg, Makassar, Indonesia

[3] Univ Med Ctr, Dept Oral, Maxillofacial Surg, Oral Pathol, Amsterdam, Netherlands

[4] Hosp Universitario Cent Asturias, Servicio Cirugia Maxilofacial, Oviedo, Spain

[5] Univ Hosp Dubrava, Dept Maxillofacial Surg, Zagreb, Zagreb, Croatia

[6] Med Univ, Fac Dent Med, Dept Oral Surg, Plovdiv, Bulgaria

[7] Univ Piemonte Orientale, Private practice oral Surg, Plovdiv, Bulgaria

[8] Med Univ, Fac Dent Med, Dept maxillofacial Surg, Plovdiv, Bulgaria

[9] N Estonia Med Centre Fdn, Dept maxillo, facial Surg, Tallinn, Estonia

[10] Univ Tartu, Fac Med, Tartu, Estonia

[11] Bogomolets Natl Med Univ, Stomatol Med Ctr, Kiev, Kiev, Ukraine

[12] Univ, Kyiv City Clin Emergency Hosp, Bogomolets Natl Med, Kiev, Kiev, Ukraine

[13] Div Maxillofacial Surg, Chu Nantes, Nantes, France

[14] Univ Med Centre, Dept Maxillofacial, Oral Surg, Ljubljana, Slovenia

[15] Univ Belgrade, Sch Dent Med, Dept Maxillofacial Surg, Belgrade, Belgrade, Serbia

[16] Aalborg Univ Hosp, Dept Oral, Maxillofacial Surg, Aalborg, Denmark

来源：

ORAL AND MAXILLOFACIAL SURGERY-HEIDELBERG | 2020年 / 24卷 / 01期

关键词：

Atrophic mandible; Fracture; Edentulous; Body; Management;

D O I：

10.1007/s10006-019-00824-8

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Introduction Management of body fractures in patients with edentulous atrophic mandibles represents a challenging task due to patient's age, medical comorbidities, poor bone quality, and vascularity, as well as reduced contact area between the fracture ends. The aim of the study was to assess the demographic and clinical variables, the surgical technique, and outcomes of unilateral body fractures of the edentulous atrophic mandible managed at several European departments of oral and maxillofacial surgery. Methods This study is based on a systematic computer-assisted database that allowed the recording of data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between 2008 and 2017. The following data were recorded for each patient: gender, age, comorbidities, etiology, synchronous body injuries, degree of atrophy of the mandible according to Luhr classification, type of surgical approach and fixation, length of hospitalization, and presence and type of complications. Results A total of 43 patients were included in the study: 17 patients' mandibles were classified as class I according to Luhr, 15 as class II, and 11 as class III. All patients underwent open reduction and internal fixation by extraoral approach in 25 patients, intraoral in 15 patients, and mixed in 3 patients. A single 2.0 miniplate was used in 16 patients, followed by a single 2.4 reconstruction plate in 13 patients, by two 2.0 miniplates, and three 2.0 miniplates. Outcome was considered to be satisfying in 30 patients, with no complications. Complications were observed in 13 cases. Conclusions Treatment of unilateral body fractures of the edentulous mandible must still be based on the type of fracture, degree of atrophy, experience of the surgeon, and patients' preference. An adequate stability can be obtained by different plating techniques that have to be appropriately tailored to every single specific patient.

引用

页码：65 / 71

页数：7

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[1] Surgical management of unilateral body fractures of the edentulous atrophic mandible
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Paolo Boffano
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Marko Tarle
Emil Dediol
Petia Pechalova
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Hristo Daskalov
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Tiia Tamme
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