European multicenter prospective analysis of the use of maxillomandibular fixation for mandibular fractures treated with open reduction and internal fixation
Yükleniyor...
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Masson s.r.l.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: The goal of mandibular fracture treatment is to restore static and dynamic occlusal functions.
Open reduction and internal fixation (ORIF) of these fractures can be associated with an intraoperative and/
or postoperative maxillo-mandibular fixation (MMF). The aim of this study was to analyse the use of perioperative MMF and its effects on occlusal outcomes in the management of mandibular fractures.
Material and methods: This multicentric prospective study included adult patients with mandibular fractures
treated with ORIF. The following data were collected: age, gender, pre-trauma dental status (dentate, partially dentate), cause of injury, fracture site, associated facial fractures, surgical approach, type of ORIF (rigid,
non-rigid or mixed), thickness and number of plates, modality of intraoperative MMF (arch bars, self-tapping
and self-drilling screws [STSDSs], manual, other) and duration of postoperative MMF. The primary outcome
was malocclusion at 6 weeks and 3 months. Statistical analyses were performed with Fisher’s exact test or
chi-square test, as appropriate.
Results: Between 1 May 2021 and 30 April 2022, 336 patients, 264 males and 72 females (median age, 28
years) with mandibular fractures (194 single, 124 double and 18 triple fractures) were hospitalized. Intraoperative MMF was performed in all patients. Osteosynthesis was rigid in 75% of single fractures, and rigid or
mixed in 85% and 100% of double and triple fractures, respectively. Excluding patients who underwent manual reduction, postoperative MMF (median duration, 3 weeks) was performed in 140 (64%) patients, without
differences by type or number of fractures (p > 0.05). No significant difference was found in the incidence of
malocclusion in patients with postoperative MMF (5%, 95% confidence interval [CI], 2−10%) compared to
those without (4%; 95% IC, 1−11%) (p > 0.05).
Conclusion: Postoperative MMF was performed in more than half of the patients despite adequate fracture
osteosynthesis, with wide variability amongst centers. No evidence of a reduction in the incidence of postoperative malocclusion in patients treated with postoperative MMF was found.
Açıklama
Anahtar Kelimeler
Mandibular fractures, Multicentric, Prospective, Internal fixation, Maxillo-mandibular fixation
Kaynak
Journal of Stomatology, Oral and Maxillofacial Surgery
WoS Q Değeri
N/A
Scopus Q Değeri
Q2
Cilt
124
Sayı
1
Künye
Roccia, F., Sobrero, F., Raveggi, E., Rabufetti, A., Scolozzi, P., Dubron, K. ve diğerleri. (2023). European multicenter prospective analysis of the use of maxillomandibular fixation for mandibular fractures treated with open reduction and internal fixation. Journal of Stomatology, Oral and Maxillofacial Surgery, 124(1), 1-6.
