Repairing angle of the mandible fractures with a strut plate.
JAMA Otolaryngol Head Neck Surg
; 139(6): 592-7, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23787417
ABSTRACT
IMPORTANCE Despite multiple fixation techniques, the optimal method of repairing mandibular angle fractures remains controversial. OBJECTIVE:
To evaluate the outcomes when using a 3-dimensional, curved strut plate in repair of angle of the mandible fractures.DESIGN:
Retrospective cohort study.SETTING:
Level I trauma center at an academic institution in Harris County, Texas.PARTICIPANTS:
Patients with diagnostic codes involving angle of the mandible fractures that were repaired by the otolaryngology-head and neck surgery service from February 1, 2006, through February 28, 2011. EXPOSURE Open reduction internal fixation using either a 3-dimensional curved strut plate or any other type of repair technique for angle of the mandible fractures. MAIN OUTCOMES ANDMEASURES:
Complication rates, postoperative complaints, and operative characteristics.RESULTS:
Ninety patients underwent qualifying procedures during the study period. A total of 68 fractures (76%) were repaired using the 3-dimensional curved strut plate and 22 (24%) were repaired using other methods. The revision surgery rate was 10% for the strut plate group (7 patients) and 14% for the non-strut plate group (3 patients), with no significant differences in rates of infection (3 [4%] vs 2 [9%]), dehiscence (4 [6%] vs 2 [9%]), malunion (1 [1%] vs 2 [9%]), nonunion (3 [4%] vs 0), hardware failure (1 [1%] vs 1 [5%]), malocclusion (2 [3%] vs 2 [9%]), and injury to the inferior alveolar nerve (1 [1%] vs 1 [5%]). The most common postoperative complaints were pain (13 [19%] vs 6 [27%]), followed by numbness (5 [7%] vs 2 [9%]), trismus (4 [6%] vs 3 [14%]), edema (3 [4%] vs 3 [14%]), and bite deformity (2 [3%] vs 2 [9%]), with a mean (range) follow-up time of 54.7 (2-355) days for the strut plate group vs 46.8 (8-308) days for the non-strut plate group. CONCLUSIONS AND RELEVANCE The 3-dimensional curved strut plate is an effective treatment modality for angle fractures, with comparable infection rates, low incidence of alveolar nerve injury, and trends for decreased length of operation, complications, and infections compared with other techniques.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Placas Ósseas
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Fixação Interna de Fraturas
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Fraturas Mandibulares
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
JAMA Otolaryngol Head Neck Surg
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos