en
Scientific article
English

Current Strategies for Treatment of Mandibular Fractures With Plate Osteosynthesis : A European Prospective Study

Published inThe journal of craniofacial surgery, vol. 35, no. 4, p. 1120-1124
Publication date2024-05-07
First online date2024-05-07
Abstract

Purpose: The training and preferences of surgeons influence the type of surgical treatment for mandibular fractures. This multicentre prospective study analyzed the current treatment strategies and outcomes for mandibular fractures with open reduction and internal fixation (ORIF).

Material and methods: This prospective study included patients aged ≥16 years who underwent ORIF for mandibular fractures in 12 European maxillofacial centers. Age, sex, pretrauma dental status, fracture cause, site and type, associated facial fractures, surgical approach, plate number and thickness (≤1.4 or ≥1.5 mm), duration of postoperative maxillomandibular fixation, occlusal and infective complications at 6 weeks and 3 months, and revision surgeries were recorded.

Results: Between May 1, 2021 and April 30, 2022, 425 patients (194 single, 182 double, and 49 triple mandibular fractures) underwent ORIF for 1 or more fractures. Rigid osteosynthesis was performed for 74% of fractures and was significantly associated with displaced (P=0.01) and comminuted (P=0.03) fractures and with the number of nonsurgically treated fracture sites (P=0.002). The angle was the only site associated with nonrigid osteosynthesis (P<0.001). Malocclusions (5.6%) and infective complications (5.4%) were not associated with osteosynthesis type.

Conclusion: Rigid osteosynthesis was the most frequently performed treatment at all fracture sites, except the mandibular angle, and was significantly associated with displaced and comminuted fractures and the number of nonsurgically treated fracture sites. No significant differences were observed regarding postoperative malocclusion or infections among osteosynthesis types.

eng
Keywords
  • Bone Plates
  • Europe
  • Fracture Fixation, Internal / methods
  • Mandibular Fractures / surgery
  • Open Fracture Reduction
  • Postoperative Complications
  • Prospective Studies
  • Treatment Outcome
Citation (ISO format)
SOBRERO, Federica et al. Current Strategies for Treatment of Mandibular Fractures With Plate Osteosynthesis : A European Prospective Study. In: The journal of craniofacial surgery, 2024, vol. 35, n° 4, p. 1120–1124. doi: 10.1097/SCS.0000000000010128
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal1049-2275
13views
0downloads

Technical informations

Creation05/08/2024 1:54:53 PM
First validation06/12/2024 1:20:21 PM
Update time06/12/2024 1:20:21 PM
Status update06/12/2024 1:20:21 PM
Last indexation06/12/2024 1:20:41 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack