Open reduction and internal fixation with 2.0 mm monocortical miniplate in mandibular fracture: a retrospective study
박현춘, 임경섭, 김철만, 정경인, 유재식, 오지수, 신승민, 양성수, 김수관,
소속 상세정보
박현춘 ( Park Hyun-Chun ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
임경섭 ( Lim Kyung-Seop ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
김철만 ( Kim Cheol-Man ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
정경인 ( Jeong Kyung-In ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
유재식 ( You Jae-Seek ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
오지수 ( Oh Ji-Su ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
신승민 ( Shin Seung-Min ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
양성수 ( Yang Seong-Su ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
김수관 ( Kim Su-Gwan ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0353320140380020069
Abstract
Purpose: An intraoral approach is effective in treating mandible fractures without complications, such as extraoral scar formation and damage to the mandibular branch of the facial nerve. The aim of this study was to report possible complications as well as their incidence rates after open reduction and internal fixation using 2.0 mm monocortical miniplate fixation to treat mandible fractures via an intraoral approach.
Materials and Methods: The subjects were selected from patients who visited Chosun University Dental Hospital with mandible fractures as their chief complaint, and they underwent open reduction and internal fixation with a 2.0 mm miniplate through an intraoral approach from 2010 to 2012.
Results: A total of 101 patients and 169 miniplates were included. The period of intermaxillary fixation varied from zero to more than 2 weeks. Intermaxillary fixation was performed for more than 2 weeks in five patients, accompanied by a subcondylar fracture. Seven patients in total, representing a notably low rate, experienced complications such as irritation, nerve damage, infection, screw loosening, and malocclusion.
Conclusion: Open reduction and internal fixation with a 2.0 mm monocortical miniplate via an intraoral approach is a valuable method for treating mandible fractures and exhibits a low rate of complications as well as high stability.
키워드
Bone plates; Fracture fixation; Mandible
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