Surgical treatment of mandibular body fracture due to osteosynthesis: a case report
DOI:
https://doi.org/10.21270/archi.v13i6.6278Keywords:
Internal Fixation of Fractures, Osteosynthesis, Facial Trauma, Mandible, Maxillomandibular Fractures.Abstract
The mandibular fracture is the one that occurs most frequently among all facial fractures, given its prominence in relation to other bones. The complexity of the case is commonly associated with its origin, which may be: car accidents, motorcycle accidents, physical assaults and domestic accidents. Therefore, the present article aims to present the case of a female patient, 46 years old, victim of a domestic accident, resulting in a fracture of the right mandibular body region. Clinically, she presented pain on palpation in the right mandibular region, edema, severe trismus, Glasgow scale 15, that is, she was oriented and in good general condition. The computed tomography showed the fracture in the region of the right mandibular body. Given the clinical picture presented and the imaging data, the patient underwent surgical treatment under general anesthesia for reduction and osteosynthesis of the fractured region with the installation of system 2.0 plates aiming to restore mandibular function. The patient was followed up post-operatively, showing good evolution without morbidities and with adequate mouth opening. After a period of follow-up, she reported mobility of the teeth along the fracture line, requiring extraction. The treatment of choice, especially in cases of fractures involving the jaw framework, aims to reestablish mandibular movements, occlusion and aesthetics, aiming to minimize the physical and psychological impacts of fractures.
Downloads
References
Jung HW, Lee BS, Kwon YD, Choi BJ, Lee JW, Lee HW, Moon CS, Ohe JY. Retrospective clinical study of mandible fractures. J Korean Assoc Oral Maxillofac Surg. 2014;40(1):21-6.
Shah N, Patel S, Sood R, Mansuri Y, Gamit M, Rupawala T. Analysis of mandibular fractures: A 7-year retrospective study. Ann Maxillofac Surg 2019;9:349-54.
Samman M, Ahmed SW, Beshir H, Almohammadi T, Patil SR. Incidence and pattern of mandible fractures in the Madinah Region: A retrospective study. J Nat Sc Biol Med 2018;9:59-64.
Kaura S, Kaur P, Bahl R, Bansal S, Sangha P. Retrospective study of facial fractures. Ann Maxillofac Surg 2018;8:78-82.
Nardi C, Vignoli C, Pietragalla M, Tonelli P, Calistri L, Franchi L, Preda L, Colagrande S. Imaging of mandibular fractures: a pictorial review. Insights Imaging. 2020 Feb 19;11(1):30.
Nezafati S, Ghavimi M, Javadrashid R, Farhadi S, Dehnad V. Comparison of accuracy of computed tomography scan and ultrasonography in the diagnosis of mandibular fractures. Dent Res J (Isfahan). 2020 May 23;17(3):225-230.
Hupp JR. Cirurgia oral e maxilofacial contemporânea. Rio de Janeiro: Editora Guanabara Koogan Ltda; 2021.
Alencar MGM, Rebelo HL, Júnior EZC, Junior MAB, juniior MDM. Tratamento de fratura complexa de mandíbula por abordagem transcervical: Relato de caso. Rev. Cir. Traumatol. Buco-maxilo-fac, Camaragibe, 2015; 15(4): 43-48.
Mendonça JCG de, Quadros DC de, Gaetti Jardim EC, dos Santos CM, Masocatto DC, Oliveira MM, Macena JA, Teixeira FR. Acesso extra oral para osteossíntese de fratura de ângulo mandibular. Arch Health Invest, 2016; 4(6).
Pinheiro LHZ, Silva BB, Basso RCF, Franco FF, Andrade TFC, Pili RC, et al. Epidemiological profile of patients undergoing surgery to treat facial fractures in a university hospital. Rev. Bras. Cir. Plást.2022;37(2):177-182.
Peden M, Scurfield R, Sleet D, Mohan D, Hyder AA, Jarawan E, et al. Informe mundial sobre prevención de los traumatismos causados por el tránsito: resumen. Ginebra: Organización Mundial de la Salud; 2004.
Boffano P et al., European Maxillofacial Trauma (EURMAT): um estudo multicêntrico e prospectivo. J Craniomaxillofac Surg., 2015 Jan;43(1):62-70.
Mijiti A, Ling W, Tuerdi M, Maimaiti A, Tuerxun J, Tao YZ et al. Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: A 5-year retrospective study. J Craniomaxillofac Surg. 2014;42(3):227-33.
Panesar K, Susarla SM. Mandibular Fractures: Diagnosis and Management. Semin Plast Surg. 2021;35(4):238-49.
Castro ID, Gaetti Jardim EC, Pelissaro GS, Paiva-Oliveira JG, Figueiredo FT, Santos AA, Silva JCL da. Múltiplas Abordagens Terapêuticas Frente às Fraturas Mandibulares: Relato de Caso. Arch Health Invest. 2022;11(5):799-805.
Jesus BB da S, Santos AKL, Silva KS, Gromatzky PR, Seroli W. Fraturas mandibulares. E-Acadêmica. 2021;2(3):e082343.
Flandes MP, Dias LBGM, Paulesini Junior W. Fratura de mandíbula: relato de caso TT - Jaw fracture: case report TT - Jaw Fracture - Case Report. Rev Odontol Univ Cid São Paulo. 2019; 31(2):205-12.
Carvalho Neto MF. Tratamento das fraturas mandibulares com fixação interna rígida: estudo comparativo entre via de acesso extra-oral e intra-oral com uso de trocarte percutâneo. Rev Bras Cir Craniomaxilofac 2008; 11(4):132-41.
Gomes ACA, Silva EDO, Carvalho R, Gomes DO, Feitosa DS, Maia SMH. Tratamento das fraturas mandibulares: relatos de caso clínico. Rev Cir Traumat Buco-Maxilo-Facial. 2001;1(2);31-8.