SURGICAL MANAGEMENT OF MANDIBULAR FRACTURE: CASE REPORT
DOI:
https://doi.org/10.5335/rfo.v23i3.8643Keywords:
fixação interna de fraturas, mandíbula, traumatismos faciaisAbstract
Objective: to report a case of a patient victim of physical aggression, with a jaw fracture in the left parasymphysis. Case report: Female patient, 26 years old, ASA I, melanomedma, victim of physical aggression, researched at the Department of Oral and Maxillofacial Surgery and Traumatology from the Federal University of Bahia. In the physical exam, the patient referred spontaneos pain in the left parasymphysis and bone stepping in passinfisary left region. At the imaging examination observed suggestive signs of a fracture in the region of the left parasymphysis. The patient in question was approached by a surgical procedure of the fracture with miniplates and screws of the 2.0mm system in an intraoral approach. Postoperatively, osteosynthesis and odontosynthesis material was observed in position, adequately reduced fracture and absence of signs of displacement of fractured stumps. Final considerations: the use of the internal fixation system is indicated in cases of unfavorable mandibular fractures once it presents satisfactory results regarding bone stabilization and healing. The reduction and fixation with miniplates and screws tend to avoid the displacement of fractured stumps and formation of pseudoarthrosis.
Downloads
References
Junior RC, Moraes RB, Landes C, Luz JGC. Comparison of a 2.0-mm locking system with conventional 2.0- and 2.4-mm systems in the treatment of mandibular fractures: a randomized controlled trial. Oral Maxillofacial Surg 2017; 21(3):327-34.
Imai T, Sukegawa S, Kanno T, Yamamoto N, Furuki Y, Michizawa M. Mandibular fracture patterns consistent with posterior maxillary fractures involving the posterior maxillary sinus, pterygoid plate or both: CT characteristics. Dentomaxillofac Radiol 2014; 43(2):2-7.
Boffano P, Kommers SC, Roccia F, Forouzanfar T. Mandibular trauma treatment: a comparison of two protocols. Med Oral Patol Oral Cir Bucal 2015; 20(2):218-23.
Zarpellon AT, Cruz GO e A, Gus IO, Moreira GHG, Chamma RS, de Masi FDJ, et al. Review of 150 cases of mandible fracture between 2010 and 2013 at the Cajuru University Hospital, Curitiba, PR. Rev Bras Cir Plást 2015; 30(4):609-14.
Gadicherla S, Sasikumar P, Gill SS, Bhagania M, Kamath AT, Pentapati KC, et al. Mandibular Fractures and Associated Factors at a Tertiary Care Hospital. Arch Trauma Res 2016; 5(4):1-5.
Guven Y, Zorlu S, Cankaya AB, Aktoren O, Gencay K. A Complex Facial Trauma Case with Multiple Mandibular Fractures and Dentoalveolar Injuries. Case Rep Dent 2015; 2015:1-6.
de Alencar MGM, Rebelo HL, Júnior EZS, Junior MAB, Junior MDM. Tratamento de fratura complexa de mandíbula por abordagem transcervical: Relato de caso. Rev Cir Traumatol Buco-maxilo-fac 2015; 15(4):43-8.
Belli E, Liberatore G, Elidon M, Orabona GD’A, Piombino P, Maglitto F, et al. Surgical evolution in the treatment of mandibular condyle fractures. Bmc Surgery 2015; 15(1):2-6.
Boffano P, Kommers SC, Karagozoglu KH, Gallesio C, Forouzanfar T. Mandibular trauma: a two-centre study. Int J Oral Maxillofac Surg 2015; 44(8):998-1004.
Conci RA, Tomazi FHJ, Kalaoun R, Fritscher GG, de Oliveira GR, Heitz C. Modified submandibular access for open reduction and internal rigid fixation in condylar fractures. J Craniofac Surg 2015; 26(1):232-4.
Bouchard C, Mansouri M. Open Reduction with Internal Fixation of Mandibular Angle Fractures: A Retrospective Study. J Can Dent Assoc 2017; 83(3):1-6.
Munante-Cardenas JL, Facchina Nunes PH, Passeri LA. Etiology, treatment, and complications of mandibular fractures. J Craniofac Surg 2015; 26(3):611-5.
Afrooz PN, Bykouski MR, James IB, Daniali LN, Clavijo-Alvarez JA. The epidemiology od mandibular fractures in the United States, part 1: review of 13,142 cases from the US National Trauma Data Bank. J Oral Maxillofac Surg 2015; 73(12):2361-6.
Dantas BPSS, Fialho PV, Fernandes ACF, Silva DT, Queiroz CS. Fratura complexa de mandíbula: relato de caso. APCD 2017; 38(3):43-8.
Gomes ACA, Silva EDO, Carvalho R, Gomes DO, Feitosa DS, Maia SMH. Tratamento das fraturas mandibulares: relato de caso clínico. Rev Cir Trauma Buco-Maxilo-Fac 2001; 1(2):31-8.
De Paula DM, Melo MNB, Souza SR, Dantas RMX, Dultra JA. Tratamento de pseudoartrose mandibular relato de caso. Rev Odontol Araçatuba 2017; 38(1):41-5.
Downloads
Published
Issue
Section
License
This work is licensed under aCreative Commons Atribuição-NãoComercial-SemDerivações 4.0 Internacional.
