Introduction Management of body fractures in patients with edentulous atrophic mandibles represents a challenging task due to patient's age, medical comorbidities, poor bone quality, and vascularity, as well as reduced contact area between the fracture ends. The aim of the study was to assess the demographic and clinical variables, the surgical technique, and outcomes of unilateral body fractures of the edentulous atrophic mandible managed at several European departments of oral and maxillofacial surgery. Methods This study is based on a systematic computer-assisted database that allowed the recording of data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between 2008 and 2017. The following data were recorded for each patient: gender, age, comorbidities, etiology, synchronous body injuries, degree of atrophy of the mandible according to Luhr classification, type of surgical approach and fixation, length o...f hospitalization, and presence and type of complications. Results A total of 43 patients were included in the study: 17 patients' mandibles were classified as class I according to Luhr, 15 as class II, and 11 as class III. All patients underwent open reduction and internal fixation by extraoral approach in 25 patients, intraoral in 15 patients, and mixed in 3 patients. A single 2.0 miniplate was used in 16 patients, followed by a single 2.4 reconstruction plate in 13 patients, by two 2.0 miniplates, and three 2.0 miniplates. Outcome was considered to be satisfying in 30 patients, with no complications. Complications were observed in 13 cases. Conclusions Treatment of unilateral body fractures of the edentulous mandible must still be based on the type of fracture, degree of atrophy, experience of the surgeon, and patients' preference. An adequate stability can be obtained by different plating techniques that have to be appropriately tailored to every single specific patient.
Keywords:
Atrophic mandible / Fracture / Edentulous / Body / Management
TY - JOUR
AU - Brucoli, Matteo
AU - Boffano, Paolo
AU - Romeo, Irene
AU - Corio, Chiara
AU - Benech, Arnaldo
AU - Ruslin, Muhammad
AU - Forouzanfar, Tymour
AU - Rodriguez-Santamarta, Tania
AU - Vicente, Juan Carlos de
AU - Tarle, Marko
AU - Dediol, Emil
AU - Pechalova, Petia
AU - Pavlov, Nikolai
AU - Daskalov, Hristo
AU - Doykova, Iva
AU - Kelemith, Kadri
AU - Tamme, Tiia
AU - Kopchak, Andrey
AU - Shumynskyi, Ievgen
AU - Corre, Pierre
AU - Bertin, Helios
AU - Bourry, Maeva
AU - Guyonvarc'h, Pierre
AU - Dovšak, Tadej
AU - Vozlić, David
AU - Birk, Anze
AU - Aničić, Boban
AU - Konstantinović, Vitomir
AU - Starch-Jensen, Thomas
PY - 2020
UR - https://smile.stomf.bg.ac.rs/handle/123456789/2515
AB - Introduction Management of body fractures in patients with edentulous atrophic mandibles represents a challenging task due to patient's age, medical comorbidities, poor bone quality, and vascularity, as well as reduced contact area between the fracture ends. The aim of the study was to assess the demographic and clinical variables, the surgical technique, and outcomes of unilateral body fractures of the edentulous atrophic mandible managed at several European departments of oral and maxillofacial surgery. Methods This study is based on a systematic computer-assisted database that allowed the recording of data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between 2008 and 2017. The following data were recorded for each patient: gender, age, comorbidities, etiology, synchronous body injuries, degree of atrophy of the mandible according to Luhr classification, type of surgical approach and fixation, length of hospitalization, and presence and type of complications. Results A total of 43 patients were included in the study: 17 patients' mandibles were classified as class I according to Luhr, 15 as class II, and 11 as class III. All patients underwent open reduction and internal fixation by extraoral approach in 25 patients, intraoral in 15 patients, and mixed in 3 patients. A single 2.0 miniplate was used in 16 patients, followed by a single 2.4 reconstruction plate in 13 patients, by two 2.0 miniplates, and three 2.0 miniplates. Outcome was considered to be satisfying in 30 patients, with no complications. Complications were observed in 13 cases. Conclusions Treatment of unilateral body fractures of the edentulous mandible must still be based on the type of fracture, degree of atrophy, experience of the surgeon, and patients' preference. An adequate stability can be obtained by different plating techniques that have to be appropriately tailored to every single specific patient.
PB - Springer Heidelberg, Heidelberg
T2 - Oral & Maxillofacial Surgery-Heidelberg
T1 - Surgical management of unilateral body fractures of the edentulous atrophic mandible
VL - 24
IS - 1
SP - 65
EP - 71
DO - 10.1007/s10006-019-00824-8
ER -
@article{
author = "Brucoli, Matteo and Boffano, Paolo and Romeo, Irene and Corio, Chiara and Benech, Arnaldo and Ruslin, Muhammad and Forouzanfar, Tymour and Rodriguez-Santamarta, Tania and Vicente, Juan Carlos de and Tarle, Marko and Dediol, Emil and Pechalova, Petia and Pavlov, Nikolai and Daskalov, Hristo and Doykova, Iva and Kelemith, Kadri and Tamme, Tiia and Kopchak, Andrey and Shumynskyi, Ievgen and Corre, Pierre and Bertin, Helios and Bourry, Maeva and Guyonvarc'h, Pierre and Dovšak, Tadej and Vozlić, David and Birk, Anze and Aničić, Boban and Konstantinović, Vitomir and Starch-Jensen, Thomas",
year = "2020",
abstract = "Introduction Management of body fractures in patients with edentulous atrophic mandibles represents a challenging task due to patient's age, medical comorbidities, poor bone quality, and vascularity, as well as reduced contact area between the fracture ends. The aim of the study was to assess the demographic and clinical variables, the surgical technique, and outcomes of unilateral body fractures of the edentulous atrophic mandible managed at several European departments of oral and maxillofacial surgery. Methods This study is based on a systematic computer-assisted database that allowed the recording of data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between 2008 and 2017. The following data were recorded for each patient: gender, age, comorbidities, etiology, synchronous body injuries, degree of atrophy of the mandible according to Luhr classification, type of surgical approach and fixation, length of hospitalization, and presence and type of complications. Results A total of 43 patients were included in the study: 17 patients' mandibles were classified as class I according to Luhr, 15 as class II, and 11 as class III. All patients underwent open reduction and internal fixation by extraoral approach in 25 patients, intraoral in 15 patients, and mixed in 3 patients. A single 2.0 miniplate was used in 16 patients, followed by a single 2.4 reconstruction plate in 13 patients, by two 2.0 miniplates, and three 2.0 miniplates. Outcome was considered to be satisfying in 30 patients, with no complications. Complications were observed in 13 cases. Conclusions Treatment of unilateral body fractures of the edentulous mandible must still be based on the type of fracture, degree of atrophy, experience of the surgeon, and patients' preference. An adequate stability can be obtained by different plating techniques that have to be appropriately tailored to every single specific patient.",
publisher = "Springer Heidelberg, Heidelberg",
journal = "Oral & Maxillofacial Surgery-Heidelberg",
title = "Surgical management of unilateral body fractures of the edentulous atrophic mandible",
volume = "24",
number = "1",
pages = "65-71",
doi = "10.1007/s10006-019-00824-8"
}
Brucoli, M., Boffano, P., Romeo, I., Corio, C., Benech, A., Ruslin, M., Forouzanfar, T., Rodriguez-Santamarta, T., Vicente, J. C. d., Tarle, M., Dediol, E., Pechalova, P., Pavlov, N., Daskalov, H., Doykova, I., Kelemith, K., Tamme, T., Kopchak, A., Shumynskyi, I., Corre, P., Bertin, H., Bourry, M., Guyonvarc'h, P., Dovšak, T., Vozlić, D., Birk, A., Aničić, B., Konstantinović, V.,& Starch-Jensen, T.. (2020). Surgical management of unilateral body fractures of the edentulous atrophic mandible. in Oral & Maxillofacial Surgery-Heidelberg
Springer Heidelberg, Heidelberg., 24(1), 65-71.
https://doi.org/10.1007/s10006-019-00824-8
Brucoli M, Boffano P, Romeo I, Corio C, Benech A, Ruslin M, Forouzanfar T, Rodriguez-Santamarta T, Vicente JCD, Tarle M, Dediol E, Pechalova P, Pavlov N, Daskalov H, Doykova I, Kelemith K, Tamme T, Kopchak A, Shumynskyi I, Corre P, Bertin H, Bourry M, Guyonvarc'h P, Dovšak T, Vozlić D, Birk A, Aničić B, Konstantinović V, Starch-Jensen T. Surgical management of unilateral body fractures of the edentulous atrophic mandible. in Oral & Maxillofacial Surgery-Heidelberg. 2020;24(1):65-71.
doi:10.1007/s10006-019-00824-8 .
