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Refracture reposition of mandibular malunion.
1Department of Surgery, University of California, Davis Medical Center, Sacramento 95817.
Annals of Plastic Surgery
|September 1, 1990
Summary
Mandibular fractures are common, but late complications like deformities are rare. This study reviewed 135 patients, finding only six needing correction for traumatic deformities, demonstrating effective surgical outcomes.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Trauma Surgery
Background:
- Mandibular fractures are the second most common facial bone injury.
- High incidence necessitates reconstructive surgery, though complications are infrequent.
Purpose of the Study:
- To evaluate late sequelae of mandibular fractures.
- To report surgical correction of traumatic deformities and malunion.
Main Methods:
- Retrospective review of 135 patients treated for mandible fractures.
- Analysis of eight patients requiring correction for malunion.
- Surgical technique using dental models, occlusal splints, and rigid internal fixation.
Main Results:
- Only six of 135 patients required correction for traumatic deformities.
- Eight patients presented with malocclusion or facial asymmetry due to malunion.
- Surgical intervention successfully restored mandibular function and facial symmetry.
Conclusions:
- Late sequelae from mandibular fractures are uncommon.
- Surgical correction using rigid internal fixation effectively addresses malunion, malocclusion, and asymmetry.