[Results of compression osteosynthesis with intraoral approach in 922 mandibular fractures]. 1996

H G Luhr, and D F Hausmann
Kieferchirurgische Abteilung, Klinikum der Universität, Göttingen.

A series of 922 fractures of the mandibular body (median-paramedian, horizontal ramus and mandibular angle) was treated within a 10 years period from January 1984 to December 1993 by an uniform treatment method. It consisted of compression plating with bicortical screw anchorage and intraoral approach, thus avoiding any outer scar and facial nerve damage. Postoperatively intermaxillary fixation was not used in any of these cases. A solid bony union was achieved in more than 99% of the cases. Major complications as osteomyelitis and non union were observed in 8 cases (0.86%). Minor complications of soft tissue infections without interference of fracture healing as haematomas, soft tissue abscesses and suture dehiscence were observed in 6.1%. A separate analysis of 352 mandibular angle fractures, which are regarded as particularly problematic, showed a frequency of severe complications (osteomyelitis and nonunion) of 0.85%. This is comparable with the frequency of complications of 0.86% within the total series. In this largest series of compression plating via intraoral approach, which has ever been published, the technique again has proved its significance as a standard procedure for the treatment of mandibular fractures.

UI MeSH Term Description Entries
D008337 Mandibular Fractures Fractures of the lower jaw. Fracture, Mandibular,Fractures, Mandibular,Mandibular Fracture
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001860 Bone Plates Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999) Bone Plate,Plate, Bone,Plates, Bone
D001863 Bone Screws Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures. Bone Screw,Screw, Bone,Screws, Bone
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D017102 Fracture Healing The physiological restoration of bone tissue and function after a fracture. It includes BONY CALLUS formation and normal replacement of bone tissue. Fracture Healings,Healing, Fracture,Healings, Fracture

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