Manual versus rigid intraoperative maxillo-mandibular fixation in the surgical management of mandibular fractures: A European prospective analysis

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dc.authorid0000-0002-2473-3802en_US
dc.authorid0000-0002-4765-6395en_US
dc.authorid0000-0002-7794-1744en_US
dc.contributor.authorSobrero, Federica
dc.contributor.authorRoccia, Fabio
dc.contributor.authorVilaplana, Valentines
dc.contributor.authorMarí-Roig, Antonio
dc.contributor.authorRaveggi, Elisa
dc.contributor.authorRamieri, Guglielmo
dc.contributor.authorYılmaz, Utku Nezih
dc.date.accessioned2023-10-27T10:27:40Z
dc.date.available2023-10-27T10:27:40Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Diş Hekimliği Fakültesi, Ağız-Diş-Çene Hastalıkları ve Cerrahisi Bölümüen_US
dc.description.abstractPurpose: Intraoperative stabilisation of bony fragments with maxillo-mandibular fixation (MMF) is an essential step in the surgical treatment of mandibular fractures that are treated with open reduction and internal fixation (ORIF). The MMF can be performed with or without wire-based methods, rigid or manual MMF, respectively. The aim of this study was to compare the use of manual versus rigid MMF, in terms of occlusal outcomes and infective complications. Materials and Methods: This multi-centric prospective study involved 12 European maxillofacial centres and included adult patients (age ≥16 years) with mandibular fractures treated with ORIF. The following data were collected: age, gender, pre-trauma dental status (dentate or partially dentate), cause of injury, fracture site, associated facial fractures, surgical approach, modality of intraoperative MMF (manual or rigid), outcome (minor/major malocclusions and infective complications) and revision surgeries. The main outcome was malocclusion at 6 weeks after surgery. Results: Between May 1, 2021 and April 30, 2022, 319 patients—257 males and 62 females (median age, 28 years)—with mandibular fractures (185 single, 116 double and 18 triple fractures) were hospitalised and treated with ORIF. Intraoperative MMF was performed manually on 112 (35%) patients and with rigid MMF on 207 (65%) patients. The study variables did not differ significantly between the two groups, except for age. Minor occlusion disturbances were observed in 4 (3.6%) patients in the manual MMF group and in 10 (4.8%) patients in the rigid MMF group (p >.05). In the rigid MMF group, only one case of major malocclusion required a revision surgery. Infective complications involved 3.6% and 5.8% of patients in the manual and rigid MMF group, respectively (p >.05). Conclusion: Intraoperative MMF was performed manually in nearly one third of the patients, with wide variability among the centres and no difference observed in terms of number, site and displacement of fractures. No significant difference was found in terms of postoperative malocclusion among patients treated with manual or rigid MMF. This suggests that both techniques were equally effective in providing intraoperative MMF.en_US
dc.identifier.citationSobrero, F., Roccia, F., Vilaplana, V., Roig, A. M., Raveggi, E., Ramieri, G. ve diğerleri. (2023). Manual versus rigid intraoperative maxillo-mandibular fixation in the surgical management of mandibular fractures: A European prospective analysis. Dental Traumatology, 39(5), 448-454.en_US
dc.identifier.doi10.1111/edt.12851en_US
dc.identifier.endpage454en_US
dc.identifier.issn1600-4469
dc.identifier.issue5en_US
dc.identifier.pmid37140473en_US
dc.identifier.scopus2-s2.0-85158082998en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage448en_US
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12851
dc.identifier.urihttps://hdl.handle.net/11468/12977
dc.identifier.volume39en_US
dc.identifier.wosWOS:000981021200001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYılmaz, Utku Nezih
dc.language.isoenen_US
dc.publisherJohn Wiley and Sons Inc.en_US
dc.relation.ispartofDental Traumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectInternal fixation deviceen_US
dc.subjectJaw fixation techniquesen_US
dc.subjectMandibular fracturesen_US
dc.subjectMulti-centric studyen_US
dc.subjectOpen fracture reductionen_US
dc.subjectProspective studyen_US
dc.titleManual versus rigid intraoperative maxillo-mandibular fixation in the surgical management of mandibular fractures: A European prospective analysisen_US
dc.typeArticleen_US

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