Surgical management of edentulous/atrophic mandibular fracture: a report of two cases
임재석, 권진일, 김봉철, 김형준,
소속 상세정보
임재석 ( Lim Jae-Seok ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
권진일 ( Kwon Jin-Il ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
김봉철 ( Kim Bong-Chul ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
김형준 ( Kim Hyung-Jun ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0355620120380010050
Abstract
According to Luhr’s classification, a fracture in the mandible with a width of less than 15-20 mm is considered to be an atrophic mandibular fracture and its incidence is very rare. Because of the reduced cross-sectional area and smaller contact area of the fractured ends as well as the poorly vascularized bony structure and delayed bone healing, an atrophic mandibular fracture is a great challenge for oral and maxillofacial surgeons. Surgeons tend to perform closed reduction, because open reduction is considered a non-life-saving surgery among elderly patients. Thus, most of them have limited experience in surgical management. According to recent reports, open reduction yields a good result, and the Association for Osteosynthesis (AO) group has recommended open reduction. This is a case report of our two experiences of open reduction and rigid fixation of atrophic mandibular fractures by the AO principle. Articles were also reviewed here.
키워드
Atrophy; Edentulous jaw; Mandible; Mandibular fracture; Surgical procedure
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