Different Surgical Approaches for Multiple Fractured Atrophic Mandibles

Craniomaxillofacial Trauma and Reconstruction

Walter Cristiano Gealh²  Carlos Eduardo Braga Barbosa¹  Liogi Iwaki Filho³  Felipe Ladeira Pereira⁴ 

[1] Private Practice, Londrina, Paraná, Brazil;Univ Estadual Paulista, Araçatuba, São Paulo, Brazil;Maringá State University, Maringá, Paraná, Brazil;Brazilian Army, Juiz de Fora General Hospital (HGeJF), Juiz de Fora, Minas Gerais, Brazil

关键词: Atrophic mandible;    mandibular fracture;    rigid internal fixation;   

DOI  :  10.1055/s-0031-1272898

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

Atrophic edentulous mandible fractures in geriatric patients have low incidence but present several biological and biomechanical peculiarities that produce a nonunion rate of around 20%. Surgical extraoral approaches for internal fixation of these fractures can be transcervical or by one or two submandibular incisions. Two patients sustaining multiple fractures in atrophic edentulous mandible are presented: the first patient was 72-years-old, treated by two submandibular incisions, and the second was 81-years-old, treated by transcervical approach. We discuss the advantages and drawbacks of each approach and their indications according to the Luhr et al (1996) atrophy index.

【 授权许可】

Unknown