Comparative study of 2 surgical treatment philosophies for mandibular fractures

At present the treatment of mandibular fractures is most based on reduction and rigid internal fixation using plates and screws.

There are 2 treatment philosophies in maxillofacial traumatology, both supported by the literature with positive results.

On the one hand, the AO philosophy based on fracture reduction and installation of 2 plates, a lower (2.0 or 2.4 mm) with bicortical screws and a top one with monocortical screws (micro or miniplate), using oral approaches, existing injuries, cutaneous or oral with transdermal support.

On the other hand SORG philosophy based on fracture reduction and installation of 2 microplates with monocortical screws for stable fractures or one microplate and one miniplate with using monocortical screws for unstable fractures.

The aim of this study was to compare the results obtained in 10 patients with mandibular fractures, 5 treated with SORG philosophy and 5 with AO philosophy. The surgeries were performed by the maxillofacial surgery team of Hospital Mutual de Seguridad.

Patients were evaluated clinically and radiologically at 6 weeks, 3 months and 6 months postoperatively. Clinically, the outcome measures were VAS pain, mandibular dynamics, neurosensory disorders, symptoms on teeth, infectious complications and perception of cutaneous scarring of the patient. Panoramic radiograph was used to evaluate bone healing.

The results of the various parameters evaluated are presented in tables and graphs.

Conflict of interest: None declared.

Only gold members can continue reading. Log In or Register to continue

Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Comparative study of 2 surgical treatment philosophies for mandibular fractures
Premium Wordpress Themes by UFO Themes