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Postoperative Complications of Mandibular Fracture Management

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Regenerative Medicine and Plastic Surgery

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Abstract

Etiologic factors of facial fracture are variable and depend on regional and social characteristics.

The authors discuss principles of surgical treatment, surgical technique, compression plates, reconstruction plates, locking reconstruction plates, lag screw fixation, miniplates, bioresorbable plates, three-dimensional miniplates and complications. Proper surgical technique (aseptic procedure, frequent intraoperative irrigation, realignment of the fracture, immobilization of the bone) associated to a strict follow up (antibiotic, diet restriction) and early recognition of postoperative complication are mandatory for a good prognosis.

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References

  1. Lamphier J, Ziccardi V, Ruvo A, Janel M. Complications of mandibular fractures in an urban teaching center. J Oral Maxillofac Surg. 2003;61(7):745–9.

    Article  Google Scholar 

  2. Natu SS, Pradhan H, Gupta H, Alam S, Gupta S, Pradhan R, Mohammad S, Kohli M, Sinha VP, Shankar R, Agarwal A. An epidemiological study on pattern and incidence of mandibular fractures. Plast Surg Int. 2012;2012:834364.

    PubMed  PubMed Central  Google Scholar 

  3. Juniper RP, Awty MD. The immobilization period for fractures of the mandibular body. Oral Surg Oral Med Oral Pathol. 1973;36:157–63.

    Article  CAS  Google Scholar 

  4. Geiser M, Trueta J. Muscle action, bone rarefaction and bone formation. an experimental study J Bone Joint Surg Br. 1958;40-B(2):282–311.

    Article  CAS  Google Scholar 

  5. Webb LS, Makhijani S, Khanna M, Burstein MJ, Falk AN, Koumanis DJ, Chao JD. A comparison of outcomes between immediate and delayed repair of mandibular fractures. Can J Plast Surg. 2009;17(4):124–6.

    Article  Google Scholar 

  6. Passeri LA, Ellis E 3rd, Sinn DP. Complications of non-rigid fixation of mandibular angle fractures. J Oral Maxillofac Surg. 1993;51:382–4.

    Article  CAS  Google Scholar 

  7. Gutta R, Tracy K, Johnson C, James LE, Krishnan DG, Marciani RD. Outcomes of mandible fracture treatment at an academic tertiary hospital: A 5-year analysis. J Oral Maxillofac Surg. 2014;72:550–8.

    Article  Google Scholar 

  8. Raveh J, Vuillemin T, Ladrach K, Roux M, Sutter F. Plate osteosynthesis of 367 mandibular fractures. J Craniomaxillofac Surg. 1987;15:244–53.

    Article  CAS  Google Scholar 

  9. Soderholm AL, Lindqvist C, Skutnabb K, Rahn B. Bridging of mandibular defects with two different reconstruction systems: an experimental study. J Oral Maxillofac Surg. 1991;49:1098–105.

    Article  CAS  Google Scholar 

  10. Niederdellman H, Shetty V. Solitary lag screw osteosynthesis in the treatment of fractures of the angle of the mandible: a retrospective study. Plast Reconstr Surg. 1987;80(1):68–74.

    Article  Google Scholar 

  11. Forrest CR. Application of minimal-access techniques in lag screw fixation of fractures of the anterior mandible. Plast Reconstr Surg. 1999;104:2127–34.

    Article  CAS  Google Scholar 

  12. Iizuka T, Lindqvist C. Rigid internal fixation of fractures in the angular region of the mandible: an analysis of factors contributing to different complications. Plast Reconstr Surg. 1993;91(2):265–71.

    Article  CAS  Google Scholar 

  13. Laughlin RM, Block MS, Wilk R, Malloy RB, Kent JN. Resorbable plates for the fixation of mandibular fractures: a prospective study. J Oral Maxillofac Surg. 2007;65(1):89–96.

    Article  Google Scholar 

  14. Farmand M. Experiences with the 3-D miniplate osteosynthesis in mandibular fractures. Fortschr Kiefer Gesichtschir. 1996;41:85–7.

    CAS  PubMed  Google Scholar 

  15. Fox AJ, Kellman RM. Mandibular angle fractures: two-mini plate fixation and complications. Arch Facial Plast Surg. 2003;5(6):464–9.

    Article  Google Scholar 

  16. Odom EB, Snyder-Warwick AK. Mandible Fracture Complications and Infection: The Influence of Demographics and Modifiable. Factors Plast Reconstr Surg. 2016;138(2):282e–9e.

    Article  CAS  Google Scholar 

  17. Koury M. Complications of mandibular fractures. In: Kaban LB, Pogrell AH, Perrot D, editors. Complications in oral and maxillofacial surgery. Philadelphia: WB Saunders; 1997. p. 121–46.

    Google Scholar 

  18. Paza AO, Abuabara A, Passeri LA. Analysis of 115 mandibular angle fractures. J Oral Maxillofac Surg. 2008;66(1):73–6.

    Article  Google Scholar 

  19. Siddiqui A, Markose G, Moos KF, McMahon J, Ayoub AF. One miniplate versus two in the management of mandibular angle fractures: a prospective randomised study. Br J Oral Maxillofac Surg. 2007;45(3):223–5.

    Article  Google Scholar 

  20. Bormann KH, Wild S, Gellrich NC, Kokemüller H, Stühmer C, Schmelzeisen R, Schön R. Five-year retrospective study of mandibular fractures in Freiburg, Germany: incidence, etiology, treatment, and complications. J Oral Maxillofac Surg. 2009;67(6):1251–5.

    Article  Google Scholar 

  21. Ellis E 3rd, Walker L. Treatment of mandibular angle fractures using two non compression miniplates. J Oral Maxillofac Surg. 1994;52(10):1032–6.

    Article  Google Scholar 

  22. Seemann R, Schicho K, Wutzl A, Poeschl WP, Köhnke R, Kinast B, Brunner J, Krennmair G, Ewers R, Klug C. Complication rates in the operative treatment of mandibular angle fractures: a 10-yearretrospective. J Oral Maxillofac Surg. 2010;68(3):647–50.

    Article  Google Scholar 

  23. Maloney PL, Lincoln RE, Coyne CP. A protocol for the management of compound mandibular fractures based on the time from injury to treatment. J Oral Maxillofac Surg. 2001;59(8):879–84.

    Article  CAS  Google Scholar 

  24. Bochlogyros P. Non-union of fractures of the mandible. J Maxillofac Surg. 1985;13:189–93.

    Article  CAS  Google Scholar 

  25. Haug R, Schwimmer A. Fibrous union of the mandible. J Oral Maxillofac Surg. 1994;52:832–9.

    Article  CAS  Google Scholar 

  26. Mathog R, Toma V, Clayman L, Wolf S. Nonunion of the mandible: An analysis of contributing factors. J Oral Maxillofac Surg. 2000;58:746–52.

    Article  CAS  Google Scholar 

  27. Toma VS, Mathog RH, Toma RS, Meleca RJ. Transoral versus extra-oral reduction of mandible fractures: A comparison of complication rates and other factors. Otolaryngol Head Neck Surg. 2003;128(2):215–9.

    Article  Google Scholar 

  28. Iizuka T, Lindquist C. Sensory disturbances associated with rigid internal fixation of mandibular fractures. J Oral Maxillofac Surg. 1991;49:1264–8.

    Article  CAS  Google Scholar 

  29. Marchena JM, Padwa BL, Kaban LB. Sensory abnormalities associated with mandibular fractures: incidence and natural history. J Oral Maxillofac Surg. 1998;56:822–5.

    Article  CAS  Google Scholar 

  30. Dingman RO, Grabb WC. Surgical anatomy of the mandibular ramus of the facial nerve based on the dissection of 100 facial halves. Plast Reconstr Surg. 1962;29:266–72.

    Article  CAS  Google Scholar 

  31. Ramakrishnan J, Shingleton A, Reeves D, Key JM, Vural E. The effects of molar tooth involvement in mandibular angle fractures treated with rigid fixation. Otolaryngol Head Neck Surg. 2009;140(6):845–8.

    Article  Google Scholar 

  32. Nabil Y. Evaluation of the effect of different mandibular fractures on the temporomandibular joint using magnetic resonance imaging: five years of follow-up. Int J Oral Maxillofac Surg. 2016;45(11):1495–9.

    Article  CAS  Google Scholar 

  33. Spinelli G, Lazzeri D, Arcuri F, Valente D. Management of mandibular angle fractures by two conventional 2.0-mm miniplates: a retrospective study of 389 patients. Agostini T Craniomaxillofac Trauma Reconstr. 2016;9(3):206–10.

    Article  Google Scholar 

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Acknowledgment

Financial Disclosure and Products: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

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Authors and Affiliations

  1. Department of Maxillo Facial Surgery, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy

    Giuseppe Spinelli, Francesco Arcuri, Domenico Valente & Tommaso Agostini

Authors
  1. Giuseppe Spinelli
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  2. Francesco Arcuri
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  3. Domenico Valente
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  4. Tommaso Agostini
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Editor information

Editors and Affiliations

  1. Department for Plastic Surgery and Hand Surgery, Division of Experimental Plastic Surgery, Technical University of Munich, Munich, Germany

    Dominik Duscher

  2. Private Practice, Tustin, CA, USA

    Melvin A. Shiffman

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Spinelli, G., Arcuri, F., Valente, D., Agostini, T. (2019). Postoperative Complications of Mandibular Fracture Management. In: Duscher, D., Shiffman, M.A. (eds) Regenerative Medicine and Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-19958-6_31

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