Non-surgical treatment of mandibular fractures: survey of 28 patients

作者: G Ghazal , C Jaquiéry , B Hammer

DOI: 10.1054/IJOM.2003.0458

关键词: DentistryCondyleSurgeryMandibular fractureOcclusionActive treatmentMouth openingMedicineNon surgical treatmentSoft dietAmoxicillin

摘要: Abstract Between January 1996 and 2001 28 patients (nine females, nineteen males) with 35 fractures were treated by observation soft diet only. Patients isolated high condylar neck not included. The mean age at time of trauma was 35.6 years (5/80). Only normal occlusion radiologically undisplaced follow-up 15 weeks on average (8/33). did undergo any active treatment. They just received the instruction to reduce mouth opening take a for 4 weeks. During first 2 after seen twice week. Follow-up X-rays performed 8 12 As preemptive therapy antibiotics (amoxicillin plus clavulanic acid 2×1 g/day) given 5 days. Spontaneous healing all observed. In two tooth had be removed out fracture line. One patient complained about an occlusal problem 1 his case intermaxillary fixation installed For forensic reasons have fully informed possible complications before indicating this type management. Patient selection is crucial requires highly experienced surgeon. inconvenience due frequent consultations must taken into consideration. This treatment can recommended only in selected cases.

参考文章(9)
Ufuk Bilkay, Tahir Gürler, Ülkem Bilkay, Cenk Görken, Yavuz Kececi, Murat Argon, Yalçin Akin, Comparison of Fixation Methods in Treating Mandibular Fractures Journal of Craniofacial Surgery. ,vol. 8, pp. 270- 273 ,(1997) , 10.1097/00001665-199707000-00008
Jorge O. Guerrissi, Fractures of mandible: is spontaneous healing possible? Why? When? Journal of Craniofacial Surgery. ,vol. 12, pp. 157- 166 ,(2001) , 10.1097/00001665-200103000-00013
Charles B. Bingham, Wires vs screws for management of mandibular fractures. Journal of Oral and Maxillofacial Surgery. ,vol. 49, pp. 1031- 1032 ,(1991) , 10.1016/0278-2391(91)90084-Y
Gianluca D'Ippolito, Paul C. Schiller, Camillo Ricordi, Bernard A. Roos, Guy A. Howard, Age‐Related Osteogenic Potential of Mesenchymal Stromal Stem Cells from Human Vertebral Bone Marrow Journal of Bone and Mineral Research. ,vol. 14, pp. 1115- 1122 ,(1999) , 10.1359/JBMR.1999.14.7.1115
Brian A. Kaplan, Martin A. Hoard, Stephen S. Park, Immediate Mobilization Following Fixation of Mandible Fractures: A Prospective, Randomized Study Laryngoscope. ,vol. 111, pp. 1520- 1524 ,(2001) , 10.1097/00005537-200109000-00006
H.C. Brownlow, A. Reed, A.H.R.W. Simpson, Growth factor expression during the development of atrophic non-union. Injury-international Journal of The Care of The Injured. ,vol. 32, pp. 519- 524 ,(2001) , 10.1016/S0020-1383(00)00249-7
Y. Koshihara, M. Hirano, M. Kawamura, H. Oda, S. Higaki, Mineralization ability of cultured human osteoblast-like periosteal cells does not decline with aging. Journal of Gerontology. ,vol. 46, ,(1991) , 10.1093/GERONJ/46.5.B201