Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Surgical Management of Edentulous Atrophic Mandible Fractures in the Elderly

  • Chee, Nam Seok (Department of Oral and Maxillofacial Surgery, Haeundae Paik Hospital, College of Medicine, Inje University) ;
  • Park, Seong June (Department of Oral and Maxillofacial Surgery, Haeundae Paik Hospital, College of Medicine, Inje University) ;
  • Son, Min Ho (Department of Oral and Maxillofacial Surgery, Haeundae Paik Hospital, College of Medicine, Inje University) ;
  • Lee, Eoy Jung (Department of Oral and Maxillofacial Surgery, Haeundae Paik Hospital, College of Medicine, Inje University) ;
  • Lee, Soo Woon (Department of Oral and Maxillofacial Surgery, Haeundae Paik Hospital, College of Medicine, Inje University)
  • Received : 2014.05.23
  • Accepted : 2014.08.14
  • Published : 2014.09.30
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Abstract

Fractures of the mandible occur with a greater frequency in the elderly. This study reports three cases of edentulous atrophic mandible fracture in elderly patients treated with open reduction technique. Three patients who presented with edentulous atrophic mandible fractures underwent surgical management using open reduction and internal fixation. After treatment, clinical evaluations and postoperative complications were examined with postoperative x-ray. Patients were followed with clinical and radiographic examinations. In the postoperative clinical evaluation, two male patients healed well, but one female patient complained of pain and swelling. In radiographic examinations, no union delay or lack of fusion was observed in the edentulous area. Open reduction technique is a viable treatment option for the edentulous atrophic mandible fractures in geriatric patients.

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References

  1. Senior Citizen Statistics, 2013 [Internet]. Daejeon: Korea Statistics; [cited 2014 Mar]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=download&bSeq=&aSeq=308688&ord=3.
  2. Goldschmidt MJ, Castiglione CL, Assael LA, Litt MD. Craniomaxillofacial trauma in the elderly. J Oral Maxillofac Surg 1995;53:1145-9. https://doi.org/10.1016/0278-2391(95)90620-7
  3. Halpern LR, Flynn TR. Oral and maxillofacial trauma in the geriatric patient. In: Fonseca RJ, Walker RV, Betts NJ, Barber HD, Powers MP, editors. Oral and maxillofacial trauma. Vol 2. 3rd ed. St. Louis: Saunders Elsevier; 2005. p.1001-5.
  4. Barber HD. Conservative management of the fractured atrophic edentulous mandible. J Oral Maxillofac Surg 2001;59:789-91. https://doi.org/10.1053/joms.2001.24734
  5. Sidal T, Curtis DA. Fractures of the mandible in the aging population. Spec Care Dentist 2006;26:145-9. https://doi.org/10.1111/j.1754-4505.2006.tb01715.x
  6. Ruggiero SL, Schneider RE. Treatment of maxillofacial fractures in the geriatric population. In: Marciani RD, Carlson ER, Braun TW, editors. Oral and maxillofacial surgery. Vol 2. 2nd ed. St. Louis: Saunders Elsevier; 2009. p.374-94.
  7. Luhr HG, Reidick T, Merten HA. Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases. J Oral Maxillofac Surg 1996;54:250-4. https://doi.org/10.1016/S0278-2391(96)90733-8
  8. Fonseca RJ, editor. Oral and maxillofacial surgery. Philadelphia: WB Saunders; 1997.
  9. Bradley JC. A radiological investigation into the age changes of the inferior dental artery. Br J Oral Surg 1975;13:82-90. https://doi.org/10.1016/0007-117X(75)90027-X
  10. Wittwer G, Adeyemo WL, Turhani D, Ploder O. Treatment of atrophic mandibular fractures based on the degree of atrophy--experience with different plating systems: a retrospective study. J Oral Maxillofac Surg 2006;64:230-4. https://doi.org/10.1016/j.joms.2005.10.025
  11. Farwell DG, Kezirian EJ, Heydt JL, Yueh B, Futran ND. Efficacy of small reconstruction plates in vascularized bone graft mandibular reconstruction. Head Neck 2006;28:573-9. https://doi.org/10.1002/hed.20455
  12. Kunz C, Hammer B, Prein J. Fractures of the edentulous atrophic mandible. Fracture management and complications. Mund Kiefer Gesichtschir 2001;5:227-32. https://doi.org/10.1007/s100060100304
  13. Choi BH, Huh JY, Suh CH, Kim KN. An in vitro evaluation of miniplate fixation techniques for fractures of the atrophic edentulous mandible. Int J Oral Maxillofac Surg 2005;34:174-7. https://doi.org/10.1016/j.ijom.2003.10.024
  14. Marciani RD. Invasive management of the fractured atrophic edentulous mandible. J Oral Maxillofac Surg 2001;59:792-5. https://doi.org/10.1053/joms.2001.24736
  15. Sikes JW Jr, Smith BR, Mukherjee DP. An in vitro study of the effect of bony buttressing on fixation strength of a fractured atrophic edentulous mandible model. J Oral Maxillofac Surg 2000;58:56-61. https://doi.org/10.1016/S0278-2391(00)80017-8
  16. Ellis E 3rd, Price C. Treatment protocol for fractures of the atrophic mandible. J Oral Maxillofac Surg 2008;66:421-35. https://doi.org/10.1016/j.joms.2007.08.042
  17. Klein JC. Intraoral open reduction. Arch Otolaryngol 1977;103:645-7. https://doi.org/10.1001/archotol.1977.00780280045005

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