Current Strategies for Treatment of Mandibular Fractures With Plate Osteosynthesis: A European Prospective Study.

Autor:	Sobrero F; Department Surgical Science, Division of Maxillofacial Surgery, University of Turin, Turin, Italy., Roccia F; Department Surgical Science, Division of Maxillofacial Surgery, University of Turin, Turin, Italy., Omedè M; Department Surgical Science, Division of Maxillofacial Surgery, University of Turin, Turin, Italy., Merlo F; Department Surgical Science, Division of Maxillofacial Surgery, University of Turin, Turin, Italy., Dubron K; Department Oral and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium., Politis C; Department Oral and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium., Rabufetti A; Division of Oral and Maxillofacial Surgery, Department of Surgery, Faculty of Medicine, University of Geneva & University Hospitals of Geneva, Geneva, Switzerland., Scolozzi P; Division of Oral and Maxillofacial Surgery, Department of Surgery, Faculty of Medicine, University of Geneva & University Hospitals of Geneva, Geneva, Switzerland., Ramieri G; Department Surgical Science, Division of Maxillofacial Surgery, University of Turin, Turin, Italy., Birk A; Department of Maxillofacial and Oral Surgery, University Medical Centre, Ljubljana, Slovenia., Vesnaver A; Department of Maxillofacial and Oral Surgery, University Medical Centre, Ljubljana, Slovenia., Rizvi AO; Department of Oral and Maxillofacial Surgery, University of Dundee, Dundee, United Kingdom., Laverick S; Department of Oral and Maxillofacial Surgery, University of Dundee, Dundee, United Kingdom., Jelovac D; Clinic of Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia., Konstantinovic VS; Clinic of Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia., Vilaplana V; Department of Oral and Maxillofacial Surgery, University Hospital of Bellvitge, Barcelona, Spain., Roig AM; Department of Oral and Maxillofacial Surgery, University Hospital of Bellvitge, Barcelona, Spain., Goetzinger M; Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria., Bottini GB; Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria., Knežević P; Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia., Dediol E; Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia., Kordić M; Clinic for ENT and OMS, University Clinical Hospital, Mostar, Bosnia and Herzegovina., Sivrić A; Clinic for ENT and OMS, University Clinical Hospital, Mostar, Bosnia and Herzegovina., Derkuş FE; Department of Oral and Maxillofacial Surgery, Dicle University, Diyarbakir, Turkey., Yilmaz UN; Department of Oral and Maxillofacial Surgery, Dicle University, Diyarbakir, Turkey., Ganasouli D; Department of Oral and Maxillofacial Surgery, Hippocratio General Hospital, Athens, Greece., Zanakis SN; Department of Oral and Maxillofacial Surgery, Hippocratio General Hospital, Athens, Greece.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jun 01; Vol. 35 (4), pp. 1120-1124. Date of Electronic Publication: 2024 May 07.
DOI:	10.1097/SCS.0000000000010128
Abstrakt:	Purpose: The training and preferences of surgeons influence the type of surgical treatment for mandibular fractures. This multicentre prospective study analyzed the current treatment strategies and outcomes for mandibular fractures with open reduction and internal fixation (ORIF). Material and Methods: This prospective study included patients aged ≥16 years who underwent ORIF for mandibular fractures in 12 European maxillofacial centers. Age, sex, pretrauma dental status, fracture cause, site and type, associated facial fractures, surgical approach, plate number and thickness (≤1.4 or ≥1.5 mm), duration of postoperative maxillomandibular fixation, occlusal and infective complications at 6 weeks and 3 months, and revision surgeries were recorded. Results: Between May 1, 2021 and April 30, 2022, 425 patients (194 single, 182 double, and 49 triple mandibular fractures) underwent ORIF for 1 or more fractures. Rigid osteosynthesis was performed for 74% of fractures and was significantly associated with displaced ( P =0.01) and comminuted ( P =0.03) fractures and with the number of nonsurgically treated fracture sites ( P =0.002). The angle was the only site associated with nonrigid osteosynthesis ( P <0.001). Malocclusions (5.6%) and infective complications (5.4%) were not associated with osteosynthesis type. Conclusion: Rigid osteosynthesis was the most frequently performed treatment at all fracture sites, except the mandibular angle, and was significantly associated with displaced and comminuted fractures and the number of nonsurgically treated fracture sites. No significant differences were observed regarding postoperative malocclusion or infections among osteosynthesis types. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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