Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제44권6호
  • /
  • Pages.275-281
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  • 2018
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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A working paradigm for managing mandibular fractures under regional anesthesia

  • Chellappa, Natarajan (Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital) ;
  • Meshram, Vikas (Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital) ;
  • Kende, Prajwalit (Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital) ;
  • Landge, Jayant (Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital) ;
  • Aggarwal, Neha (Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital) ;
  • Tiwari, Manish (Private Practitioner)
  • 투고 : 2017.12.09
  • 심사 : 2018.01.22
  • 발행 : 2018.12.31
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초록

Objectives: Isolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae. The objective of the study is to design a stepwise approach for managing isolated mandibular fractures using open reduction and internal fixation (ORIF) with regional anesthesia on outpatient basis. Materials and Methods: Patients with isolated mandibular fractures presenting to the department of maxillofacial surgery were selected for ORIF under regional anesthesia based on occlusion, age, socioeconomic status, general condition, habits, and allied medical ailments. Standard preoperative, intraoperative, and postoperative protocols were followed. All patients were followed up for a minimum of 4 weeks up to a maximum of 1 year. Results: Of 23 patients who received regional anesthesia, all but one had good postoperative functional occlusion. One patient was hypersensitive and had difficulty tolerating the procedure. Two patients developed an extraoral draining sinus, one of whom was managed with local curettage, while the other required hardware removal. One patient, who was a chronic alcoholic, returned 1 week after treatment with deranged fracture segments after he fell while intoxicated. Conclusion: With proper case selection following a stepwise protocol, the majority of mandibular fractures requiring ORIF can be managed with regional anesthesia and yield minimal to no complications.

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참고문헌

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피인용 문헌

  1. Extraoral approach to a bilateral unfavourable mandibular fracture under local anaesthesia: A case report vol.38, pp.2, 2018, https://doi.org/10.1111/ger.12517