Fixation of mandibular angle fractures with a 2.0-mm 3-dimensional curved angle strut plate

作者: Claude Guimond , James V. Johnson , Jose M. Marchena

DOI: 10.1016/J.JOMS.2004.03.018

关键词: OsteosynthesisOrthodonticsMolarSurgeryInferior alveolar nervePostoperative infectionFixation (surgical)Wound dehiscenceMandibular angleMedicineFracture fixation

摘要: Purpose The aim of this study was to evaluate our experience and complication rate with the use a 3-dimensional 2.0-mm curved angle strut plate for mandibular fracture fixation. Patients methods This retrospective evaluation 37 patients noncomminuted fractures fixated transorally placed plate. Postoperative intermaxillary fixation used in 5 mean period 22 days. A nonchewing diet prescribed 6 weeks. Records were reviewed demographic information, medical history, characteristics, operative management, complications. Results Two developed infections requiring removal reapplication Both these had molar line that left place during first operation. One patient mucosal wound dehiscence without consequence. After follow-up 10 weeks, 39.4% postinjury/pretreatment inferior alveolar nerve deficit reported return normal sensation. All who sensory as result surgery full recovery persistent appeared be related displacement. Conclusion Fixation predictable. is low profile, strong yet malleable, facilitating reduction stabilization at both superior borders. Development postoperative infection failure line. 5.4% found compares favorably seen reconstruction plates. Use did not appear cause permanent study.

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