[논문]A Comparative Study of Intermaxillary Fixation and Manual Reduction at Open Reduction and Internal Fixation of Mandibular Fractures

Jin, Soo-Young; Kim, Su-Gwan; Oh, Ji-Su; Kim, Jeong-Sun; Jeong, Mi-Ae

doi:10.14402/jkamprs.2013.35.1.051

[국내논문] A Comparative Study of Intermaxillary Fixation and Manual Reduction at Open Reduction and Internal Fixation of Mandibular Fractures 원문보기

大韓顎顔面成形再建外科學會誌 = Journal of Korean association of maxillofacial plastic and reconstructive surgeons, v.35 no.1, 2013년, pp.51 - 54

Jin, Soo-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) , Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) , Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) , Kim, Jeong-Sun (Department of Dental Hygiene, Gwangju Health University) , Jeong, Mi-Ae (Department of Dental Hygiene, Kangwon National University)

Abstract ▼ AI-Helper

Purpose: The purpose of this study is to evaluate the difference between open reduction and internal fixation (ORIF) and intermaxillary fixation (IMF) of mandibular fractures. Methods: A total of one hundred twenty-seven patients who were treated for mandibular fractures at Chosun University Dental Hospital, from January 2008 to December 2010, and analyzed their prognoses based on the use of IMF at the time of fracture reduction. The patients were divided into two groups; the manual reduction group without IMF and IMF group. Results: After reduction of the mandibular fracture, good results were obtained with majority patients. Nonetheless, seven patients (13.0%) in manual reduction method without arch bars or IMF, developed complications after surgery. Three patients underwent IMF due to occlusal instability after surgery, while one patient underwent re-operation. Thus, a significant difference was not observed between the IMF and manual reduction groups. Conclusion: Manual reduction and IMF at mandibular simple fracture could produce good results. In case of mandibular simple fracture, it was recommended with only manual reduction without IMF or IMF during a short period.

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제안 방법

This study evaluated 127 patients who were treated for mandibular fractures at Chosun University Dental Hospital from January 2008 to December 2010 and analyzed their prognoses based on the use of IMF at the time of fracture reduction.
The age, gender, and the cause of fracture were examined for each patient. Regarding postsurgical complications, infection, wound dehiscence, osteomyelitis, and malocclusion were evaluated.
Regarding postsurgical complications, infection, wound dehiscence, osteomyelitis, and malocclusion were evaluated. Panoramic radiographs taken immediately after surgery and 1 month after surgery, the loosening of fixation screws, miniplate fractures, and malunion/nonunion were examined. These findings were classified according the severity of complications as follows:
Group 2 included cases where manual reduction methods were performed without arch bars or IMF. After the reduction of bone fragments using 2.0 mm titanium miniplates and monocortical screws, invasive reduction was performed according to the Champy techniques and continuous follow-up visits were conducted. We statistically evaluated inter-group complication ratio, re-operation ratio, and complication score using independent t-test by SPSS version 22.

대상 데이터

One hundred twenty-seven patients who were treated for mandibular fractures at Oral and Maxillofacial Surgery of Chosun University Dental Hospital from January 2008 to December 2010 analyzed their prognoses according to IMF at the time of fracture reduction. Among treated patients using manual reduction, malocclusion was occurred in 3 patients, re-operation was required in 1 patient.

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DOI : 10.14402/jkamprs.2013.35.1.051
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