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THE TREATMENT OF FRACTURES OF THE MANDIBLE.
California Medicine
|September 1, 1964
Summary
This study reviewed 111 mandibular fracture cases, finding closed reduction effective for condylar fractures. Open reduction with wire fixation is recommended for displaced angle fractures, while early antibiotic use showed no clear benefit in preventing infection.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthodontics
Background:
- Mandibular fractures represent a significant challenge in trauma care.
- Treatment strategies vary based on fracture location and displacement.
- Understanding outcomes of different reduction techniques is crucial for patient management.
Purpose of the Study:
- To analyze treatment outcomes for various types of mandibular fractures.
- To evaluate the efficacy of closed versus open reduction techniques.
- To identify factors associated with complications like infection and non-union.
Main Methods:
- Retrospective review of 111 mandibular fracture cases from 1960-1962.
- Categorization of fractures by anatomical location (condylar, angle, body, symphysis).
- Analysis of treatment modalities: closed reduction, intermaxillary fixation, open reduction with interosseous wire fixation.
Main Results:
- Closed reduction was successful for most condylar fractures.
- Undisplaced angle fractures treated with intermaxillary fixation alone were successful.
- Significantly displaced fractures often required open reduction and wire fixation.
- Fractures involving teeth showed a higher incidence of infection and non-union.
- Delayed open reduction after extraction site healing was suggested.
Conclusions:
- Treatment success for mandibular fractures depends on fracture type and displacement.
- Fractures communicating with teeth require careful management to minimize complications.
- Further research is needed to confirm the role of prophylactic antibiotics.