지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 275 - 281 (7page)
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초록· 키워드
오류제보하기
Objectives: Isolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae. The objective of the study is to design a stepwise approach for managing isolated mandibular fractures using open reduction and internal fixation (ORIF) with regional anesthesia on outpatient basis.Materials and Methods: Patients with isolated mandibular fractures presenting to the department of maxillofacial surgery were selected for ORIF under regional anesthesia based on occlusion, age, socioeconomic status, general condition, habits, and allied medical ailments. Standard preoperative, intraoperative, and postoperative protocols were followed. All patients were followed up for a minimum of 4 weeks up to a maximum of 1 year.Results: Of 23 patients who received regional anesthesia, all but one had good postoperative functional occlusion. One patient was hypersensitive and had difficulty tolerating the procedure. Two patients developed an extraoral draining sinus, one of whom was managed with local curettage, while the other required hardware removal. One patient, who was a chronic alcoholic, returned 1 week after treatment with deranged fracture segments after he fell while intoxicated.Conclusion: With proper case selection following a stepwise protocol, the majority of mandibular fractures requiring ORIF can be managed with re-gional anesthesia and yield minimal to no complications.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Gajiwala KJ / 2008 / Surgery of temporomandibular joint under local anaesthesia / Indian J Plast Surg 41:175~182
Manodh P / 2016 / Incidence and patterns of maxillofacial trauma-a retrospective analysis of 3611 patients-an update / Oral Maxillofac Surg 20:377~383
Ellis E 3rd / 1985 / Ten years of mandibular fractures:an analysis of 2,137 cases / Oral Surg Oral Med Oral Pathol 59:120~129
Zweig BE / 2009 / Complications of mandibular fractures / Atlas Oral Maxillofac Surg Clin North Am 17:93~101
Champy M / 1978 / Mandibular osteosynthesis by miniature screwed plates via a buccal approach / J Maxillofac Surg 6:14~21
Manodh P / 2016 / Incidence and patterns of maxillofacial trauma-a retrospective analysis of 3611 patients-an update / Oral Maxillofac Surg 20:377~383
Ellis E 3rd / 1985 / Ten years of mandibular fractures:an analysis of 2,137 cases / Oral Surg Oral Med Oral Pathol 59:120~129
Zweig BE / 2009 / Complications of mandibular fractures / Atlas Oral Maxillofac Surg Clin North Am 17:93~101
Champy M / 1978 / Mandibular osteosynthesis by miniature screwed plates via a buccal approach / J Maxillofac Surg 6:14~21
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