Closed reduction for comminuted mandibular fractures

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21/4/2014 12:22 PM

Closed reduction for comminuted mandibular fractures


Thaer Abdul Lateef, B.D.S., H.D.D., F.I.C.M.S. (1)


ABSTRACT

Background: Closed reduction and indirect skeletal fixation is a well known modality for treatment of mandibular fractures. The aim of this study was to evaluate this modality as the treatment of choice for comminuted mandibular fractures due to missile injuries.
Materials and methods: This study included 32 patients presented with comminuted mandibular fractures due to missile injury. The patient ages ranged from 21-58 years, 26 of them were males and 6 females. Closed reduction with the use of maxillomandbular fixation for 6 weeks was the modality of choice.
Results: The most common site was the body region 50%, complication rate (transient and permanent) was 53.1% with significant bone loss in 13 patients 35.1%.
Conclusion: Initial conservative treatment found to be effective and the complex hard and soft tissue reconstructions reserved later for definitive approach.
Keywords: Missile injury, comminuted fracture, closed reduction.



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