Closed treatment in mandibular fracture: bilateral parasymphyseal and condyle – clinical case report
DOI:
https://doi.org/10.5335/rfo.v24i2.10457Keywords:
Maxillomandibular block, Condylar fracture, Mandibular fractureAbstract
Objective: to report a case of fracture in the bilateral parasymphyseal and condylar region after a cycling accident, treated with the maxillomandibular block technique. Case report: a 21-yearold female patient was admitted to the Waldemar das Dores Municipal Hospital, Barão de Cocais, MG, Brazil, victim of a cycling accident, showing enamel and dentin fracture in teeth 11 and 21, anterior open bite, inability to reach maximum intercuspation, and a lateral excursion limitation to the right side. Tomographic examinations showed complete fracture of the right condyle neck, greenstick fracture in the left condyle, and parasymphyseal lingual cortical fracture. Considering it is a young patient with only one complete fracture (neck of the right condyle), a closed treatment was proposed through maxillomandibular block. Conclusion: maxillomandibular block was considered an effective treatment for the case in question, allowing to establish fracture consolidation without post-treatment complications.
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References
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12. Huelke DF, Patrick LM. Mechanics in the production of mandibular fractures: strain-gauge measurement of impacts to the chin. J Dent Res 1964; 43(3):437-46.
13. Huelke DF. Mechanics in the production of mandibular fractures: a study with the “stresscoat’’ technique. I.Symphysealimpacts. J Dent Res 1964; 40(5):1042-56.
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23. Smets LMH, Damme PAV, Stoelinga PJW. Non-surgical treatment of condylar fractures in adults: a retrospective analysis. J Cranio Maxillofac Surg 2003; 31(3):162-7.
24. Filho LI, Pavan AJ, Camarini ET, Tondin GM. Tratamento das fraturas de côndilo mandibular: cirúrgico ou conservador? Rev Cir Traumatol Buco-Maxilo-Fac 2005; 5(4):17-22.
25. Shetty V, Atchison K, Leathers R, Black E, Zigler C, Belin TR. Do the benefits of ririd internal fixation of mandible fractures justify the added costs? Results from a randomized controlle Trial. J Oral Maxillofacial Surg 2008; 66(11):2203-12.
26. Ellis E. Method to determine when open treatment of condylar process fractures is not necessary. J Oral Maxillofac Surg 2009; 67(8):1685-90.
27. Shiju M, Rastogi S, Gupta P, Kukreja S, Thomas R, Bhugra AK, et al. Fractures of the mandibular condyle – Open versus closed – A treatment dilemma. J Cranio Maxillofac Surg 2015; 43(4):448-51.
28. Cardenas JLM, Nunes PHF, Passeri LA. Etiology, tratment, and complications of mandibular fractures. J Cranio Fac Surg 2015; 26(3):611-15.
2. Filho EFA, Fadul RJR, Azevedo RAA, Rocha MAD, Santos RA, Toledo SR, et al. Fraturas de mandíbula: análise de 166 casos. Rev Ass Med Brasil 2000; 46(3):272-6.
3. Pereira MD, Krenski T, Santos RA, Ferreira LM. Trauma craniofacial: perfil epidemiológico de 1223 fraturas atendidas entre 1999 e 2005 no Hospital São Paulo – UNIFESP-EPM. Rev Soc Bras Cir Craniomaxilo Fac 2008; 11(2):47-50.
4. Erdmann D, Follmar KE, Bruijn M, Bruno AD, Jung SH, Edelman D, et al. A retrospective analysis of facial fracture etiologies. Annals of Plastic Surgery 2008; 60(4):398-403.
5. Miloro M, Ghali GE, Larsen PE, Waite PD. Princípios de cirurgia bucomaxilofacial de Peterson. 3. ed. São Paulo: Santos; 2016.
6. Chukwulebe S, Hogrefe C. The diagnosis and management of facial bone fractures. Emerg Med Clin N Am 2019; 37(1):137-51.
7. Mota MM. Análise epidemiológica das fraturas faciais em um hospital secundário. Rev Bras Cir Plást 2009; 24(2):162-9.
8. Abotaleb BM, Moraissi EAL, Zhiqiang W, Pinga C, Yongjiea K, Alkebsi k, et al. A detailed analysis of mandibular fractures epidemiology, treatmentand outcomes: A 5-year retrospective study, Gansu Province-China. J Oral Maxillofac Surg Med Pathol 2018; 30(3):197-205.
9. Brasileiro BF, Passseri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Radio Endod 2006; 102(1):28-34.
10. Huelke DF, Burdi AR, Eymen CE. Mandibular fractures as related to site of trauma and state of dentition. J Dent Res 1961; 40(6);1262-74.
11. Huelke DF, Burdi AR, Eymen CE. Association between mandibular fractures and site of trauma, dentition and age. J Oral Surg Anesth Hosp Dent 1962; 20:478-81.
12. Huelke DF, Patrick LM. Mechanics in the production of mandibular fractures: strain-gauge measurement of impacts to the chin. J Dent Res 1964; 43(3):437-46.
13. Huelke DF. Mechanics in the production of mandibular fractures: a study with the “stresscoat’’ technique. I.Symphysealimpacts. J Dent Res 1964; 40(5):1042-56.
14. Huelke DF, Harger JH. Mechanics in the production of mandibular fractures: an experimental study. J Oral Surg 1968; 26(2):86-9.
15. Huelke DF, Harger JH. Maxillofacial injuries: their nature and mechanisms of production. J Oral Surg 1969; 27:451-60.
16. Brandt T, Haug R. Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of curret thoughts on management. J Oral Maxillo Fac Surg 2003; 61(11):1324-32.
17. Rozeboom A, Duboi L, Bos R, Spijker, Lange J. Open treatmet of unilateral mandibular condyle fractures in adults: a systematic review. Inter J Oral Maxillofacial Surg 2017; 46(10):1257-66.
18. Murakami K, Yamamoto K, Sugiura T, Yamanaka Y, Kirita T. Changes in mandibular movement and oclusal condition after conservative tratment for condylar fractures. J Oral Maxillofac Surg 2009; 67(1):83-91.
19. Danda K, Muthusekhar MR, Narayanan V, Baing MF, Siddareddi A. Open versus closed treatment of unilateral subcondylar and condylar neck fractures: a prospective, randomized clinical study. J Oral Maxillofac Surg 2010; 68(6):1238-41.
20. Rozeboom A, Duboi L, Bos R, Spijker, Lange J. Closed treatmet of unilateral mandibular condyle fractures in adults: a systematic review. Inter J Oral Maxillofacial Surg 2017; 46(4):456-64.
21. Segundo AVL, Vasconcelos BCE. Fraturas do côndilo mandibular: tratamento funcional versus tratamento cirúrgico. Rev Ciênc Méd 2005; 14(5):455-60.
22. Trench J, Araujo RPC, Benevides S. Terapia miofuncional no tratamento de fratura de côndilo mandibular: relato de caso. Rev Ciênc Méd 2012; 11(2):263-66.
23. Smets LMH, Damme PAV, Stoelinga PJW. Non-surgical treatment of condylar fractures in adults: a retrospective analysis. J Cranio Maxillofac Surg 2003; 31(3):162-7.
24. Filho LI, Pavan AJ, Camarini ET, Tondin GM. Tratamento das fraturas de côndilo mandibular: cirúrgico ou conservador? Rev Cir Traumatol Buco-Maxilo-Fac 2005; 5(4):17-22.
25. Shetty V, Atchison K, Leathers R, Black E, Zigler C, Belin TR. Do the benefits of ririd internal fixation of mandible fractures justify the added costs? Results from a randomized controlle Trial. J Oral Maxillofacial Surg 2008; 66(11):2203-12.
26. Ellis E. Method to determine when open treatment of condylar process fractures is not necessary. J Oral Maxillofac Surg 2009; 67(8):1685-90.
27. Shiju M, Rastogi S, Gupta P, Kukreja S, Thomas R, Bhugra AK, et al. Fractures of the mandibular condyle – Open versus closed – A treatment dilemma. J Cranio Maxillofac Surg 2015; 43(4):448-51.
28. Cardenas JLM, Nunes PHF, Passeri LA. Etiology, tratment, and complications of mandibular fractures. J Cranio Fac Surg 2015; 26(3):611-15.
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2019-12-18
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Closed treatment in mandibular fracture: bilateral parasymphyseal and condyle – clinical case report. (2019). Revista Da Faculdade De Odontologia - UPF, 24(2), 292-298. https://doi.org/10.5335/rfo.v24i2.10457
