Treatment of complex jaw fracture in a patient victim of a motorcycle accident - case report
DOI:
https://doi.org/10.33448/rsd-v10i17.21697Keywords:
Mandibular fractures; Facial bones; Jaw fixation techniques.Abstract
The mandible is the only mobile bone in the face and has a role in mastication, swallowing, speech and facial esthetics. It is frequently fractured, having a varied origin, with a prevalence of up to 40 years of age, in cases of fall from standing height, it is more frequent in children and the elderly. A 64-year-old male patient, victim of a motorcycle accident, attended the Maxillofacial Surgery and Traumatology service at the Teresina Emergency Hospital. On clinical examination, he presented edema, lacerations and excoriations on the face on the right side, he presented a bone step on palpation of the mandible in the region of the right angle and symphysis. The image exam showed, in the computed tomography, the presence of a discontinuity of the mandibular arch with multiple fracture lines, in the region of the right angle, right body and symphysis of the left mandible. Closing the diagnosis in Complex fracture of the mandible, thus forwarding the surgical intervention for reduction and fixation of the fracture. Four 2.0 system boards were used. Local infiltration with xylocaine with 2% vasoconstrictor was performed, incision for Risdon access (submandibular), fracture exposure, reanatomization of bone fragments and osteosynthesis with two 2.0 plates and 15 screws in the compression and tension area, the same was performed in the intraoral access in the symphysis region. Finally, suture by planes. The patient was discharged from the hospital within one day and continued with outpatient follow-up. Based on the case presented, in cases of mandible fractures, the extraoral risdon and intraoral access are effective and safe.
References
Bartoli, M. M., Eidt, J. M. S., Engelmann, J. L., Rocha, F. D., & Conto, F. (2014) Trauma maxilofacial: avaliação de 1385 casos de fraturas de face na cidade de Passos Fundo – RS. Rev. Cir. Traumatol. Buco-Maxilo-Fac. 14(2):87-94.
Cavalcante JR., Guimarães, K. B., Vasconcelos, B. C. E. & Vasconcellos, R. J. H. (2009). Estudo epidemiológico dos pacientes atendidos com trauma de face no hospital Antônio Targino-Campinas Grande/Paraíba. Brazillian Journal of Otorhinolaryngology. 75(5), 628-33.
Custódio, A. L. N., Menezes Jr, D. C., Cavalcanti, F. M. N., Serpa, M. R., Cosso, M. G. & Faria, J. M. P. (2007). Considerações sobre o tratamento de fratura mandibular após remoção de terceiro molar. Arq Bras Odontol. 3(2),106-13.
Chaly a, P. L., Mabula, J. B., Ngayomela, I. H., Kanumba, E. S., Chandika, A. B., Giiti, G., & Balamuka, D. (2010). Motorcycle injuries as an emerging public health problem in Mwanza City, Tanzania: A call for urgent int ervention. Tanzania Journal of Health Research , 12 (4), 214 - 221.
Fritz M. A. K. P. J. (2002). Sequencing And Organization Of The Repair Of Panfacial Fractures. Oper Tec Otolaryngol Head Neck Surg. ;13(4):261-4.
Gaetti Jardim, E. C., Faverani, L. P., Ramalho-Ferreira, G., Pereira, C. C. S., Gealh, W. C., & Shinohara, E. H. (2011). Acessos Cirúrgicos A Articulação Temporomandibular: Revisão De Literatura. Revista Sbccp; 40(1): 46-52.
Giacomin M., Conto F. D., Siqueira S. P., Signori P. H. , Eidt J. M. S., & Sawazaki R. (2017). Trauma facial em idosos: uma análise retrospectiva de 10 anos. Rev. bras. geriatr. gerontol. 20(5), 618 - 623.
Mendonça J. C. G., Jardim, E. C. G., Manrique, G. R., Lopes, H. B., & Freitas, G. P. (2012). Tratamento De Fratura Complexa De Corpo Mandibular Por Meio De Acesso Submandibular. Revista Sbccp;41(1):33-5
Mendonça, J. C. C., et al. (2015). Fernando Ribeiro Teixeira. Access For Extraoral Angle Fracture Osteosynthesis Mandibular. Arch Health Invest 4(6): 9-14
Mendonça, J. C. G., Gaetti – Jardim, E. C., Manrique, G. R., Lopes, H. B., & Freitas, G. P. (2013). Acesso Cirúrgico Para Tratamento De Fraturas Mandibulares: Revisão De Literatura. Arch Health Invest;2(2):19-23.
Minari , I. S., Figueiredo, C. M. B. F., de O liveira, J. C. S., Brandini, D. A., & Bassi, A. P. F. (2020). Incidência de múltiplas fraturas faciais: estudo retrospectivo de 20 anos. Research, Society and Development, 9(8), e327985347 - e327985347.
Patrocínio L. G., Patrocínio J. A., Borba B. H. C.,Bonatti B. S., Pinto L. F., Vieira J. V., & Costa J. M. C. (2005). Fratura De Mandíbula: Análise De 293 Pacientes Tratados No Hospital De Clínicas Da Universidade Federal De Uberlândia. Rev Bras Otorrinolaringol; 71 (5); 560-65.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia em pesquisa científica. UFSM.
Rodrigues, R. D., et al. (2017). Surgical Management Of Mandibular Fracture: Case Report. Rfo Upf, 23(3), 343-347.
Rodrigues, C. M. C., et al. (2018). Surgical Approach Of Complex Facial Fractures: The Importance Of Sequential Planning. Relatos Casos Cir.;4(4):E1993
Shaheen A .(2021). The Retromandibular Transparotid Approach Vs. Retromandibular Retroparotid Approach For The Mandibular Condyle: Our Clinical Experience Braz. J. Oral Sci ; 20: E211443.
Silva, L. F., Borbosa, C. H. D., Mesquita, L. V., Barbalho, J. C. M., Carvalho, A. C. G. S., &Mello, M. J. R. (2014) .Epidemiologia Dos Traumatismos De Face Em Pacientes Jovens No Estado Do Ceará. Rev. Cir. Traumatol. Buco-Maxilo-Fac. 14(3):79-84.
Silva, J., & Caúas, M. C. (2004). Fratura De Mandíbula Decorrente De Acidente Automobilístico: Relato De Caso. Odontologia. Clín. Científ. Recife; 3(3):199 - 208.
Tullio A, & Sesenna E. (2000). Role Of Surgical Reduction Of Condylar Fractures In The Management Of Panfacial Fractures. Br J Oral Maxillofac Surg;38 (5):472-6.
Wulkan, M., Parreira Jr, J. G., & Botter, D. A. (2005). Epidemiologia do trauma facial. Revista da associação médica brasileira, 51 (5), 290 - 295.
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Copyright (c) 2021 Lara Fernanda Carlos Lima; Francisco Antonio de Jesus Costa Silva; Aline Raquel de Sousa Nogueira; Monize Kaylane Braz Pereira; Maria Cândida de Almeida Lopes; Marcia Socorro da Costa Borba
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