Maxillomandibular fixation miniplate, alternative management for condylar fractures in complete/partial edentulous mandible

Q3 Dentistry Oral and Maxillofacial Surgery Cases Pub Date : 2023-06-01 DOI:10.1016/j.omsc.2023.100303

Kazem Khiabani , Mohammad Hosein Amirzade-Iranaq

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Abstract

This study aimed to evaluate the feasibility, effectiveness, and reliability of using conventional miniplates to provide stable maxillomandibular fixation (MMF) for the management of condylar fracture(s) in complete/partial edentulous mandible. Eleven displaced condylar fractures (37.5% bilateral) in eight completely/partially edentulous adult males (mean age: 43.37) were immobilized with 2–3 conventional miniplates (across two jaws) and followed for three months. All cases showed stable mandibular immobilization during the MMF period. MMF-miniplates were removed after six weeks under local anesthesia. Satisfactory mouth opening was observed after MMF-miniplate removal. No cases of MMF-miniplate failure, significant postoperative complications, and emergency MMF-miniplate release were observed. Only one case showed local soft tissue inflammation at the MMF-miniplate entry site, which resolved after removal. In conclusion, MMF-miniplate is a feasible, effective, and reliable technique with satisfactory clinical outcomes. This technique can be easily and quickly used as an alternative treatment for open reduction of condylar fractures or as a temporary MMF in complete/partial edentulous mandible to reduce difficult, complex, and time-consuming perioperative procedures.

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微型上颌固定板治疗完全/部分无牙下颌骨髁突骨折

本研究旨在评估使用传统微型钢板提供稳定的上颌骨下颌骨固定(MMF)治疗全/部分无牙下颌骨髁突骨折的可行性、有效性和可靠性。对8例完全/部分无牙的成年男性(平均年龄43.37岁)11例移位性髁骨折(37.5%双侧)采用2-3个常规微型钢板(跨双颌)固定，随访3个月。所有病例在MMF期间均表现出稳定的下颌固定。局部麻醉6周后取出mmf微型板。MMF-miniplate取下后口腔开口满意。没有观察到mmf -微型钢板失效、明显的术后并发症和紧急mmf -微型钢板释放的病例。只有1例在mmf -微型钢板进入部位出现局部软组织炎症，切除后消退。结论:mmf微型板是一种可行、有效、可靠的技术，临床效果满意。该技术可作为髁突骨折切开复位的替代治疗方法，或作为全/部分无牙下颌骨的临时MMF，以减少困难、复杂和耗时的围手术期手术。

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.