Management of fractures involving the mandibular body, parasymphyseal, and subcondylar regions
1 Residency Program of Oral and Maxillofacial Surgery Department, Faculty of Dental Medicine, Airlangga University, Surabaya, East Java Porvince, Indonesia.
2 Department of Oral and Maxillofacial Surgery, Hajj General Hospital East Java Province, Surabaya, Indonesia.
3 Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia.
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(02), 259–265
Publication history:
Received on 21 March 2024; revised on 28 April 2024; accepted on 01 May 2024
Abstract:
Background: The mandibular bone plays a crucial role in various aspects of facial anatomy, including digestion, speech, and facial aesthetics. Given its significance in these functions, surgeons must not only address functional aspects but also consider aesthetic concerns during treatment. Mandibular fractures represent a prevalent form of traumatic injury in the maxillofacial region. Despite the existence of established treatment methods that have been in use for a considerable time, untreated fractures and complications following surgery can still significantly impact the patient's quality of life.
Purpose: Understand the principles of managing cases of mandibular corpus, mandibular parasymphysis, subcondyle fractures using a combination of Mini Plate and Reconstruction Plate.
Case: A 54-year-old man with mandibular parasymphysis fracture Dekstra, corpus mandibular fracture sinistra, subcondyle fracture sinistra, dentoalveolar fracture regions 32-42 accompanied by avulsions 32, 31, 41, 42, and hypertension was reported.
Results: The treatment in this case was Open Reduction and Internal Fixation (ORIF). Fixation of the fracture segments with 2 vertical mini-plates on the parasymphysis of the dextral mandible, 1 mini-plate and reconstruction plate on the corpus and subcondyle fracture sinistra.
Conclusion: The use of two plates and screws in the parasymphysis of the mandible, one mini-plate and one reconstruction plate in mandibular corpus and subcondyle fractures, resulted in good occlusion with minimal complications.
Keywords:
Mandibular fracture; ORIF; Occlusion; Rigid; Semi-Rigid
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