Surgical Treatment of Bilateral Atrophic Mandible Fracture
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
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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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 |
|
_version_ |
1808129158483542016 |