The Preference Treating of Comminuted Mandibular Fractures by The Close Reduction Over the Open Reduction Technique in Iraq Soldiers War Under Specific Factors

Authors

  • Nazhat Mahmood AbdlKareem Al-Zubaidi College of Dentistry, Mustansiriyah University , Department of Oral and Maxillofacial Surgery, Baghdad, Iraq
  • Firas Taha Ahmed Maxillofacial Consultant surgeon at Al shaheed Ghazi Al hariri specialized surgeries hospital/ Iraq
  • Akad ali Al-Alasadi Maxillofacial Consultant surgeon at Al-shaheed Ghazi Al-Hariri Specialized Surgeries hospital /Iraq.

DOI:

https://doi.org/10.32828/mdj.v18i2.974

Keywords:

Comminuted mandibular fracture, open reduction, close reduction IMF, complications

Abstract

        Aim of the study: The preforming study tended to point the using close reduction Inter maxillary fixation (CRIMF) as definite treatment for comminuted fracture of the mandible under certain conditions for managing same types of mandibular fractures with the evaluating and comparing the outcome and complications between two techniques.

Materials and methods: (CRIMF) and (ORIF). A total of 51 patients with comminuted mandibular fractures, aged between (17-45) years. All patients were examined clinically,

 

 radio graphically (OPG) and some of them computed tomographically (CT3D) before and after treatment to evaluate the regions fracture position, and assessed the complication resulted post operatively.  Patients were divided into 2 groups: Group A (n=30) patients with 36 fractures had managed by close reduction and indirect fixation using intra maxillary fixation (CRIMF). Group B (n= 21) patients with 24 fractures operated by open reduction internal fixation (ORIF) using reconstruction plates. Group A managed by maxilla mandibular fixation MMF were performed for 28 cases under general an anesthesia (GA) and only 2 patients fixed under local anesthesia. In the group B, all surgical operations of ORIF were done under GA.

 

 

References

References

Vibha Singh, Laxman Malkunje, Shadab Mohammad .2012 .The maxillofacial injuries. A study.Natl J Maxillofac Surg; 3(2):166-171 .

Rajesh R Yadav .Fracture Mandible.2012. Classification of mandibular frauctres . First Edition. Jaypee Brothers Medical Publishers ; pp.22 .

Marcelo-Emir-Requia Abreu , Vinícius-Nery Viegas , Danilo Ibrahim .2009. Treatment of comminuted mandibular fractures. A critical review.

Med Oral Patol Oral Cir Bucal ; 1;14 (5):E247-51

Hansman C .1886.Eine neue methode der fixirung der fragmente bei omplicieten frankturen Verh Dtsch Ges Chir ;15:134-136.

Futran, Neal D. (2008). Management of comminuted mandible fractures. -Operative Techniques in Otolaryngology -Head and Neck Surgery; 19: 113-116.

R.Mukerjia G.Mukerjib M.McGurkam.2006. Mandibular fractures: Historical perspective. British Journal of Oral and Maxillofacial Surgery; 44: 222–228.

Kakkar A, Kochhar LK.2000. Missile injuries of face and neck ruo experience . Journal of Otolaryngology and Head and Neck Surgery ; vol 52: No.4.

Chandini Ravikumar,Mimansa Bhoj.2019. Evaluation of postoperative complications of open reduction and internal fixation in the management of mandibulare fructures .Aretrospective study. Indian Journal of Dental Research; 30. (1) 94-96 .

Davorin Danic, Drago Prgomet, ,Damir Milicic, et al.1998. War Injuries, Head and Neck .Military Medicine; 163: 117-119.

Garfield RM, Neugut AI.1991. Epidemiologic analysis of warfare. JAMA; 266 : 688 - 92 .

Breeze J, Gibbons AJ, Shieff C, Banfield G, Bryant DG, Midwinter MJ.2011. Combat-related craniofacial and cervical injuries: a 5-year review from the British military. J Trauma;71: 108-113 .

Mabry RL, Edens JW, Pearse L, Kelly JF, Harke H. 2010. Fatal airway injuries during Operation Enduring Freedom and Operation Iraqi Freedom.Prehosp Emerg Care ; 14:272-277 .

Tahrir Nazzal Aldelaimi.2012. Surgical Management of Maxillofacial Injuries in Iraq.Dentistry; 2. ISSN: 1000113: 2161-1122 .

AMJAD SHAH, ADNAN ALI SHAH, FRACDS ,FDSRCS :ABDUS SALAM.2007.Pattern and Management of Mandibular Fractures. A Study Conducted on 264 Patients.Pakistan. Oral & Dental Journal;27(1) June.

Roy Chowdhury SK, Murali Mohan S .2004. Maxillofacial injuries in counter proxy war posture of the armed forces.MJAFI; 60:357-3625 .

Shi J, Yuan H, Xu B .2013. Treatment of Mandiblular Condyle Fractures using a modified Transparotid approach uia the parotid mini-incision .Experience with 31 cases plos one ; 8: e. 83525.

Karim, Kaban LB, Pogrell AH .1997.Complications of mandibular fractures. Complications in Oral and Maxillofacial Surgery.Philadelphia; WB Saunders; 121- 146 .

Alpert B, et al, 2009. Management of comminuted fracture of Mandible .Surg. Clini. North Am.

Silva YS, Gouveia MM, Alves CAF, Migliolo RC.2015. Late treatment of a mandibular gunshot wound. Autopsy Case Rep [Internet]; .http://dx.doi.org/10.4322/acr. 2014.051 . 5(1):59-53

Walker RV, Frame JW.1984. Civilian maxillo-facial gunshot injuries. Int J Oral Surg ; 13(4):263-77. http://dx.doi.org/10.1016/S0300- PMid:6434445 .2- 80033(84)9785 .

Cunningham LL, Haug RH, Ford J.2003. Firearm injuries to the maxillofacial region. an overview of current thoughts regarding demographics, pathophysiology, and management. J Oral Maxillofac Surg ; 8 (61 ) : 932 - 42 . http://dx.doi.org/10.1016/S0278 -

(03)00293. PMid:12905447.3

Joseph Brennan.2013 . Head and Neck Trauma in Iraq and Afghanistan. Different War, Different Surgery, Lessons Learned. The Laryngoscope ... The American Laryngological,

Rhinological and Otological Society, Inc. 123:2411-2417.

Hollier L, Grantcharova EP, Kattash M. 2001.Facial gunshot wounds: a 4-year experience. J Oral Maxillofac Surg;59(3):277-82. http://dx.doi.org/10.1053/joms.2001.20989. PMid:11243609

Col8M NagpaJ, Surg Capt SK Mohanty, Col GL Tiwari', Maj RPS Gambbir••,Brig Y Singh .2002. Changing Concepts. MJAFl -War Wounds; . 58(3): 192-195 .

Matulic Z, Belloti I, Srzentic M, Kovacic M.1992. Head and neck injuries in Zadar Medical Center. Croat Med. J. (War SuppI2); 33:203-5.

Erdmann D, Follmar KE, Debruijn M . 2008. A retrospectiveanalysis of facial fracture etiologies.Ann PlastSurg ;60:398-403.

Al-Assaf DA, Maki MH.2007 . Multiple and comminuted mandibular fractures: treatment outlines in adverse medical conditions in Iraq. J .Craniofac ; 18:606-12 .

Erol B, Tanrikulu R, Görgün B.(2004) .Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Craniomaxillofac Surg ;32: 308-313 .

Adebayo ET, Ajike OS, Adekeye EO .2003. Analysis of the pattern of maxillofacial fractures in Kaduna, Nigeria. Br J Oral Maxillofac Surg; 41 : 396 - 400 .

Maliska MC, Lima Júnior SM, Gil JN .2009. Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil. Braz Oral Res; 23 : 268274 .

Murthy AS, Lehman JA Jr .2005. Symptomatic plate removal in maxillofacial trauma: a review of 76 cases. Ann Plast Surg ;55: 603 -607.

Lamphier J, Ziccardi V, Ruvo A, Janel M .2003. Complications of mandibular fractures in an urban teaching center. J Oral Maxillofac .Surg; 61: 745-749.

Ehab Abdelfadil, Ahmed S Salem, Samah I Mourad, Fouad A Al-Belasy. Ctures.2013. Infected Mandibular Fractures. Risk Factors and Management .Oral Hygiene Health ; 1(1) .http://dx.doi.org/10.4172/johh.1000102

Cabalag MS, Wasiak J, Andrew NE, Tang J, Kirby JC, et al.2014 Epidemiology and management of maxillofacial fractures in an Australian trauma centre. J Plast Reconstr Aesthet Surg ;67: 183-189.

Depprich R, Handschel J, Hornung J, Meyer U, Kubler NR .2007. Causation, therapy and complications of treating mandibular fractures-a retrospective analysis of 10 years. Mund Kiefer Gesichtschir; 11: 19-26 .

Czerwinski M, Parker WL, Correa JA, Williams HB .2008. Effect of treatment delay on mandibular fracture infection rate. Plast Reconstr Surg ;122: 881-885 .

Malanchuk VO, Kopchak AV .2007. Risk factors for development of infection in patients with mandibular fractures located in the tooth bearing area. J Craniomaxillofac Surg ; 35: 57-62 .

Zachariades N, Papademetriou I, Rallis G.1993. Complications associated with rigid internal fixation of facial bone fractures. J Oral MaxillofacSurg;51:275-8 .

Ahmed Z, Shaih Q, Arshad O, Abro k MI.2009. Immedaite postoperative complications of mandibular fractures .Aprospective Study .PaK Oral Dent J;29:207-10

John C. Koshy, Evan M. Feldman..2010 Pearls of Mandibular Trauma Management. Thieme Medical Publishers, New York, Inc. Seventh Avenue; 24(4):357-74.

Rajkumar K. Prabhu, Ramen Sinha, Sanjay Kumar Roy Chowdhury. 2012. Evaluation of facial nerve function following surgical approaches for maxillofacial trauma. Ann Maxillofac Surg; 2(1): 36-40 .

Ahmed M, Hussain SS, Malik SA. 2008.Two years review of facial fracture at a tertiary care hospital in Islamabad. Pakistan , J Liaauat Uni .

Med.Health Sci ; 7(1):13 -17.

Stojanovic A, Jacobson C, Gratz KW, Schenkel JS, Rucker M, et al. .2017. Postoperative Complications in the Lower Jaw in Trauma

Patients.Trauma Acute Care ; 2(3) :45.

Anyanechi C E , Saheeb BD.2015. Honey and Wound dehiscence : Astudy of surgical wounds dehiscence in the mandibular bed .Nigerain J ournal of clinical practice; 18. ISSUE 2.

Kerstein MD. 1997The scientific basis of healing .Adv Wound Care;30:10 6 .

Jakse N, Bankaoglu V, Wimmer G, Eskici A, Pertl C. 2002.Primary wound healing after lower third molar surgery. Evaluation of 2 different flap designs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod ; 93:7 12.

Frykberg RG, Banks J .2015. Challenges in the treatment of chronicwounds. 582-Adv Wound Care (New Rochelle); 4: 560 .

Drew P, Posnett J, Rusling L. 2007. Wound Care Audit Team. The cost of wound care for a local population in England. Int Wound J; 4:149 55 .

Peterson L J. 1993. Postoperative patient management. In: Peterson LJ, Ellis E 3rd, Hupp JR, Tucker MR, editors. Contemporary Oral and

Maxillofacial Surgery. St. Louis: Mosby; p. 261 88.

Downloads

Published

28.12.2022

How to Cite

Mahmood AbdlKareem Al-Zubaidi , N. ., Taha Ahmed , F. ., & ali Al-Alasadi , A. . (2022). The Preference Treating of Comminuted Mandibular Fractures by The Close Reduction Over the Open Reduction Technique in Iraq Soldiers War Under Specific Factors. Mustansiria Dental Journal, 18(2), 291–307. https://doi.org/10.32828/mdj.v18i2.974