Surgical Treatment of Bilateral Atrophic Mandible Fracture

Detalhes bibliográficos
Autor(a) principal: Florentino, Vinícius Gabriel Barros
Data de Publicação: 2020
Outros Autores: Abreu, Diego Feijão, Ribeiro, Ney Robson Bezerra, Silva, Leonardo de Freitas [UNESP], Gondin, Ricardo Franklin, Mello, Manoel de Jesus Rodrigues, Aguiar, Andréa Silvia Walter de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1097/SCS.0000000000006630
http://hdl.handle.net/11449/205428
Resumo: Poor proprioception, weakness, and impaired reflexes increase the incidence of facial fracture in the elderly. Mandibular fractures in these people range from 10.1% to 56%. Fragment reduction and fracture consolidation are difficult due to bone atrophy, decreased capacity for bone regeneration, and lack of anatomical landmarks to guide the alignment of the fragments. This study reports 2 patients with different conducts regarding the treatment of bilateral fractures in atrophic mandible. The first patient refers to the removal of plates of the 2.4 mm system with low profile, which failed during the mandibular function, being replaced by the 2.4 mm system with high profile. The 2nd clinical reports the use of the 2.0 mm system only to simplify the mandibular fracture, and then reconstructing that with a 2.4-mm system with high profile, using the load bearing principles. Regarding mandibular fractures, an important goal is to neutralize the muscle action aiming the bone stability. There are several methods to treat that the indication should consider the load bearing and load sharing concepts. The incorrect fixation choice in these patients can result in complications as bad union, material failure, infection, and consequent treatment failure.
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spelling Surgical Treatment of Bilateral Atrophic Mandible FracturePoor proprioception, weakness, and impaired reflexes increase the incidence of facial fracture in the elderly. Mandibular fractures in these people range from 10.1% to 56%. Fragment reduction and fracture consolidation are difficult due to bone atrophy, decreased capacity for bone regeneration, and lack of anatomical landmarks to guide the alignment of the fragments. This study reports 2 patients with different conducts regarding the treatment of bilateral fractures in atrophic mandible. The first patient refers to the removal of plates of the 2.4 mm system with low profile, which failed during the mandibular function, being replaced by the 2.4 mm system with high profile. The 2nd clinical reports the use of the 2.0 mm system only to simplify the mandibular fracture, and then reconstructing that with a 2.4-mm system with high profile, using the load bearing principles. Regarding mandibular fractures, an important goal is to neutralize the muscle action aiming the bone stability. There are several methods to treat that the indication should consider the load bearing and load sharing concepts. The incorrect fixation choice in these patients can result in complications as bad union, material failure, infection, and consequent treatment failure.Dr. José Frota InstituteBatista Memorial HospitalAraçatuba Dental School--UNESPAraçatuba Dental School--UNESPDr. José Frota InstituteBatista Memorial HospitalUniversidade Estadual Paulista (Unesp)Florentino, Vinícius Gabriel BarrosAbreu, Diego FeijãoRibeiro, Ney Robson BezerraSilva, Leonardo de Freitas [UNESP]Gondin, Ricardo FranklinMello, Manoel de Jesus RodriguesAguiar, Andréa Silvia Walter de2021-06-25T10:15:10Z2021-06-25T10:15:10Z2020-11-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlee753-e755http://dx.doi.org/10.1097/SCS.0000000000006630The Journal of craniofacial surgery, v. 31, n. 8, p. e753-e755, 2020.1536-3732http://hdl.handle.net/11449/20542810.1097/SCS.00000000000066302-s2.0-85095394018Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengThe Journal of craniofacial surgeryinfo:eu-repo/semantics/openAccess2021-10-23T14:26:36Zoai:repositorio.unesp.br:11449/205428Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T20:05:23.776710Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Surgical Treatment of Bilateral Atrophic Mandible Fracture
title Surgical Treatment of Bilateral Atrophic Mandible Fracture
spellingShingle Surgical Treatment of Bilateral Atrophic Mandible Fracture
Florentino, Vinícius Gabriel Barros
title_short Surgical Treatment of Bilateral Atrophic Mandible Fracture
title_full Surgical Treatment of Bilateral Atrophic Mandible Fracture
title_fullStr Surgical Treatment of Bilateral Atrophic Mandible Fracture
title_full_unstemmed Surgical Treatment of Bilateral Atrophic Mandible Fracture
title_sort Surgical Treatment of Bilateral Atrophic Mandible Fracture
author Florentino, Vinícius Gabriel Barros
author_facet Florentino, Vinícius Gabriel Barros
Abreu, Diego Feijão
Ribeiro, Ney Robson Bezerra
Silva, Leonardo de Freitas [UNESP]
Gondin, Ricardo Franklin
Mello, Manoel de Jesus Rodrigues
Aguiar, Andréa Silvia Walter de
author_role author
author2 Abreu, Diego Feijão
Ribeiro, Ney Robson Bezerra
Silva, Leonardo de Freitas [UNESP]
Gondin, Ricardo Franklin
Mello, Manoel de Jesus Rodrigues
Aguiar, Andréa Silvia Walter de
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Dr. José Frota Institute
Batista Memorial Hospital
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Florentino, Vinícius Gabriel Barros
Abreu, Diego Feijão
Ribeiro, Ney Robson Bezerra
Silva, Leonardo de Freitas [UNESP]
Gondin, Ricardo Franklin
Mello, Manoel de Jesus Rodrigues
Aguiar, Andréa Silvia Walter de
description Poor proprioception, weakness, and impaired reflexes increase the incidence of facial fracture in the elderly. Mandibular fractures in these people range from 10.1% to 56%. Fragment reduction and fracture consolidation are difficult due to bone atrophy, decreased capacity for bone regeneration, and lack of anatomical landmarks to guide the alignment of the fragments. This study reports 2 patients with different conducts regarding the treatment of bilateral fractures in atrophic mandible. The first patient refers to the removal of plates of the 2.4 mm system with low profile, which failed during the mandibular function, being replaced by the 2.4 mm system with high profile. The 2nd clinical reports the use of the 2.0 mm system only to simplify the mandibular fracture, and then reconstructing that with a 2.4-mm system with high profile, using the load bearing principles. Regarding mandibular fractures, an important goal is to neutralize the muscle action aiming the bone stability. There are several methods to treat that the indication should consider the load bearing and load sharing concepts. The incorrect fixation choice in these patients can result in complications as bad union, material failure, infection, and consequent treatment failure.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-01
2021-06-25T10:15:10Z
2021-06-25T10:15:10Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1097/SCS.0000000000006630
The Journal of craniofacial surgery, v. 31, n. 8, p. e753-e755, 2020.
1536-3732
http://hdl.handle.net/11449/205428
10.1097/SCS.0000000000006630
2-s2.0-85095394018
url http://dx.doi.org/10.1097/SCS.0000000000006630
http://hdl.handle.net/11449/205428
identifier_str_mv The Journal of craniofacial surgery, v. 31, n. 8, p. e753-e755, 2020.
1536-3732
10.1097/SCS.0000000000006630
2-s2.0-85095394018
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv The Journal of craniofacial surgery
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv e753-e755
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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