Surgical treatment of bilateral atrophic mandible fracture in edentulous patients

Authors

DOI:

https://doi.org/10.33448/rsd-v12i2.40192

Keywords:

Atrophic edentulous; Mandibular fracture; Maxillofacial surgery.

Abstract

Atrophic mandible fractures in edentulous patients constitute a subgroup of facial injuries that mostly affect geriatric individuals. Thus, the perioperative protocol of the elderly injured patient must be performed differently from young patients and, many times, they are more complex procedures. Thus, this article aims to review the characteristics, treatment options and complications of surgical treatment of bilateral fracture of the atrophic mandible in edentulous patients. For the construction of this article, a bibliographical survey was carried out in the databases SciVerse Scopus, Scientific Electronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) and ScienceDirect, with the help of the Mendeley reference manager. Articles were covered between the years 2000 to 2023. Surgical treatment is still relatively preferred for atrophic edentulous mandibular fractures based on patient tolerance. Treatment of cases with mild atrophy is similar to that of general mandibular fractures. For cases with severe atrophy, an extraoral incision should be used for fixation and damage to the periosteum should be minimized to preserve the blood supply. The choice of bone plate is most indicated for maximum stability to minimize complications.

References

Aziz, S. R., & Najjar, T. (2009a). Management of the Edentulous/Atrophic Mandibular Fracture. Atlas of the Oral and Maxillofacial Surgery Clinics of North America, 17(1), 75–79. https://doi.org/10.1016/j.cxom.2008.10.004

Aziz, S. R., & Najjar, T. (2009b). Management of the edentulous/atrophic mandibular fracture. Atlas of the Oral and Maxillofacial Surgery Clinics of North America, 17(1), 75–79. https://doi.org/10.1016/j.cxom.2008.10.004

Chee, N. S., Park, S. J., Son, M. H., Lee, E. J., & Lee, S. W. (2014). Surgical Management of Edentulous Atrophic Mandible Fractures in the Elderly. In Maxillofacial plastic and reconstructive surgery (Vol. 36, Issue 5, pp. 207–213). https://doi.org/10.14402/jkamprs.2014.36.5.207

Chrcanovic, B. R. (2013). Open versus closed reduction: comminuted mandibular fractures. Oral and Maxillofacial Surgery, 17(2), 95–104. https://doi.org/10.1007/s10006-012-0349-2

de Oliveira, H. do C., Pereira-Filho, V. A., Hochuli-Vieira, E., Gabrielli, M. A. C., & Gabrielli, M. F. R. (2015). Treatment of atrophic mandibular fractures with the pencilboneplate: report of 2 cases. In Journal of maxillofacial and oral surgery (Vol. 14, Issue Suppl 1, pp. 226–230). https://doi.org/10.1007/s12663-012-0453-8

Ellis, E. 3rd, Muniz, O., & Anand, K. (2003). Treatment considerations for comminuted mandibular fractures. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 61(8), 861–870. https://doi.org/10.1016/s0278-2391(03)00249-0

Farwell, D. G., Kezirian, E. J., Heydt, J. L., Yueh, B., & Futran, N. D. (2006). Efficacy of small reconstruction plates in vascularized bone graft mandibular reconstruction. Head & Neck, 28(7), 573–579. https://doi.org/10.1002/hed.20455

Franciosi, E., Mazzaro, E., Larranaga, J., Rios, A., Picco, P., & Figari, M. (2014). Treatment of edentulous mandibular fractures with rigid internal fixation: case series and literature review. Craniomaxillofacial Trauma & Reconstruction, 7(1), 35–42. https://doi.org/10.1055/s-0033-1364195

Goldschmidt, M. J., Castiglione, C. L., Assael, L. A., & Litt, M. D. (1995). Craniomaxillofacial trauma in the elderly. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 53(10), 1145–1149. https://doi.org/10.1016/0278-2391(95)90620-7

Kunz, C., Hammer, B., & Prein, J. (2001). [Fractures of the edentulous atrophic mandible. Fracture management and complications]. Mund-, Kiefer- und Gesichtschirurgie : MKG, 5(4), 227–232. https://doi.org/10.1007/s100060100304

Luhr, H. G., Reidick, T., & Merten, H. A. (1996). Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 54(3), 250–255. https://doi.org/10.1016/s0278-2391(96)90733-8

Madey, S. M., Tsai, S., Fitzpatrick, D. C., Earley, K., Lutsch, M., & Bottlang, M. (2017). Dynamic Fixation of Humeral Shaft Fractures Using Active Locking Plates: A Prospective Observational Study. The Iowa Orthopaedic Journal, 37, 1–10.

Mahajan, A. D., Tatu, R. J., Shenoy, N. A., & Sharma, V. S. (2010). Surgical management of oral submucous fibrosis in an edentulous patient: A procedural challenge. In National journal of maxillofacial surgery (Vol. 1, Issue 2, pp. 161–163). https://doi.org/10.4103/0975-5950.79221

Matias, J. G., Andrade, M. R., & Fernandes, V. S. R. G. (2004). [Edentulous mandible fractures osteosynthesis]. Acta medica portuguesa, 17(2), 145–148.

Meijer, H. J. A., Raghoebar, G. M., & Visser, A. (2003). Mandibular fracture caused by peri-implant bone loss: report of a case. Journal of Periodontology, 74(7), 1067–1070. https://doi.org/10.1902/jop.2003.74.7.1067

Mingzhe, L., Xiaofeng, X., & Bing, X. (2017). Current therapy of atrophic edentulous mandibular fractures among elderly people. Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology, 35(4), 433–436. https://doi.org/10.7518/hxkq.2017.04.017

Novelli, G., Sconza, C., Ardito, E., & Bozzetti, A. (2012). Surgical treatment of the atrophic mandibular fractures by locked plates systems: our experience and a literature review. Craniomaxillofacial Trauma & Reconstruction, 5(2), 65–74. https://doi.org/10.1055/s-0031-1300961

Pereira, A., Shitsuka, D., Parreira, F., & Shitsuka, R. (2018). Método Qualitativo, Quantitativo ou Quali-Quanti. In Metodologia da Pesquisa Científica. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acesso em: 28 março 2020.

Pereira, F. L., Gealh, W. C., Barbosa, C. E. B., & Filho, L. I. (2011). Different surgical approaches for multiple fractured atrophic mandibles. Craniomaxillofacial Trauma & Reconstruction, 4(1), 19–24. https://doi.org/10.1055/s-0031-1272898

Urban, I. A., Monje, A., Lozada, J. L., & Wang, H.-L. (2017). Long-term Evaluation of Peri-implant Bone Level after Reconstruction of Severely Atrophic Edentulous Maxilla via Vertical and Horizontal Guided Bone Regeneration in Combination with Sinus Augmentation: A Case Series with 1 to 15 Years of Loading. Clinical Implant Dentistry and Related Research, 19(1), 46–55. https://doi.org/10.1111/cid.12431

Published

03/02/2023

How to Cite

SERRA, J. M. de O. .; OLIVEIRA, M. D. de .; ARAUJO, A. B. .; SILVA, E. da .; SANTANA, N. G. .; CELINO, L. A. B. .; CONCEIÇÃO, R. de O. .; CINTRA, T. do P. .; LEOPOLDO, V. R. C. M. .; NASCIMENTO, R. S. do . Surgical treatment of bilateral atrophic mandible fracture in edentulous patients. Research, Society and Development, [S. l.], v. 12, n. 2, p. e20112240192, 2023. DOI: 10.33448/rsd-v12i2.40192. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40192. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences