4/12/2023 0 Comments Nucleo cmp forte uses![]() 2ĭespite multiple fixation techniques, the optimal method of repairing mandibular angle fractures remains controversial. Common fixation methods include the Champy technique, placement of a tension band superiorly with an inferior miniplate, placement of dual miniplates, placement of a locking screw plate on the inferior border, or placement of a 3-dimensional strut plate. Multiple techniques exist for repairing mandibular angle fractures. Male patients account for 84% of all mandible fractures, with the angle of the mandible being the most common location (27.6%). The most common cause is assault (53.7%), followed by motor vehicle crashes (28.1%), falls (7.1%), and sports-related injuries (2.1%). The most common postoperative complaints were pain (13 vs 6 ), followed by numbness (5 vs 2 ), trismus (4 vs 3 ), edema (3 vs 3 ), and bite deformity (2 vs 2 ), 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.Ĭonclusions 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.įractures of the mandible are a common facial injury in the United States. 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 vs 2 ), dehiscence (4 vs 2 ), malunion (1 vs 2 ), nonunion (3 vs 0), hardware failure (1 vs 1 ), malocclusion (2 vs 2 ), and injury to the inferior alveolar nerve (1 vs 1 ). A total of 68 fractures (76%) were repaired using the 3-dimensional curved strut plate and 22 (24%) were repaired using other methods. Results Ninety patients underwent qualifying procedures during the study period. Main Outcomes and Measures Complication rates, postoperative complaints, and operative characteristics. ![]() 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.Įxposure 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. Setting Level I trauma center at an academic institution in Harris County, Texas. Objective To evaluate the outcomes when using a 3-dimensional, curved strut plate in repair of angle of the mandible fractures. Importance Despite multiple fixation techniques, the optimal method of repairing mandibular angle fractures remains controversial. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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