1/8. A fractured mandible, from initial operation to removal of tantalum mesh. Report of a case.Report is made of a case of fracture of the angle of the mandible. Treatment was attempted with the Sampson pericortical bone clamp, but was unsuccessful. Routine use of intraosseous wire led to a localized osteomyelitis, without union of the fracture. Treatment then was made with a particulate marrow graft contained within a tantalum mesh screen. The screen was removed 30 months postoperatively.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
2/8. Use of an orthopaedic fixator for external fixation of the mandible.A patient presented with a chronically infected, non-united fracture of the mandible, with considerable bone loss. He was treated with a metacarpal fixator, the miniPennig external fixator. The fixator is stable and smaller than conventional mandibular fixators. It can be applied and removed under local anaesthesia, if necessary, requires little maintenance and produces minimal scarring. The successful outcome in this patient is encouraging and we commend the use of the fixator in similar difficult cases.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
3/8. Callusmassage. A new treatment modality for non-unions of the irradiated mandible.Recent reports on orthopaedic surgery focus on mechanical stimulation of the regenerate during distraction therapy of non-unions in long-bone-surgery. In the field of maxillofacial surgery, callus stimulating techniques are rarely reported. The case of a 65-year-old man with a radiogenic mandibular non-union after ablative tumour therapy and pre-operative radiation therapy presented with a non-union. Vertical distraction in combination with subsequent repeated, stepwise compression and distraction (=massage) had a positive effect on the consolidation of the regenerate.- - - - - - - - - - ranking = 0.8keywords = mandible (Clic here for more details about this article) |
4/8. The management of a plastic bullet injury to the mandible.A patient hit by a plastic bullet sustained severe facial contusion and a comminuted fracture of the mandible with bone loss. There was a non-union of the fracture. The injury and the restoration of the defect are described and the use of plastic bullets is discussed.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
5/8. A technique for simultaneous fracture repair and augmentation of the atrophic edentulous mandible.A technique that uses autogenous rib grafts for repair of fractures of an atrophic, edentulous mandible and augmentation of the ridge has been presented. Nine cases have been treated in this manner. We advocate this treatment to promote healing of the fractures and to provide necessary mandibular bone for future vestibuloplasty and, ultimately, restoration of function with denture construction.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
6/8. Delayed healing of mandibular fracture in idiopathic myxedema.Lack of adequate amount of thyroid hormone may interfere with healing. A patient in whom a fracture of the mandible failed to heal in the 2 years following surgical treatment is presented. When thyroid hormone supplementation was introduced, the fracture progressed to union. The physical findings of hypothyroidism and the role of thyroid hormone in healing are discussed.- - - - - - - - - - ranking = 0.2keywords = mandible (Clic here for more details about this article) |
7/8. The effect of mandibular osteotomy in three patients with hypersomnia sleep apnea.Hypersomnia sleep apnea (HSA) is characterized by apneic episodes during sleep and daytime hypersomnolence. patients afflicted as a result of upper airway obstruction have been treated traditionally with permanent tracheostomy. Three patients with HSA and mandibular retrognathism are presented. Each patient had a retrognathic mandible that stemmed from a different cause. Surgical advancement of their underdeveloped mandibles corrected the symptoms of HSA rapidly. The literature concerning HSA is reviewed and the advantages of mandibular surgery in selected cases are discussed.- - - - - - - - - - ranking = 0.4keywords = mandible (Clic here for more details about this article) |
8/8. Nonunion of the mandible.Nonunion of the mandible was evaluated over a five-year period (1968-1973). Fourteen cases were noted out of 577 mandibular fractures for an incidence of 2.4 percent. Causes of the complications were determined by a careful review of the poorly healing and successfully treated cases of mandibular fracture. The most important feature in nonunion cases was the large proportion of edentulous patients. In these cases immobilization appeared difficult, especially when only one form of fixation was used to stabilize the fracture. Other suspected causes of nonunion were postoperative trauma and osteomyelitis. These factors were most prevalent in the lower socio-economic groups. Factors which did not appear important were sex, age and cause of the fracture. Analysis of the site of injury, combinations of sites, timing of treatment, periosteal stripping and general health of the patient failed to demonstrate any predisposition to the complication. Treatment of nonunion was confined to standard techniques of debridement, antibiotic therapy and further immobilization. Although most patients responded to this therapy, six patients required closure of the deficit by bone grafting. On the basis of accumulated data, it was possible to clarify the factors in the development of nonunion. It was also possible to recommend methods of prevention of the complication and to substantiate the success of several forms of therapy.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |