Metanalysis of Outcomes of Treatment of Mandibular Fractures

Elrouby, Mohamed; Abdelsalam, Ahmed; Elsherif, Ahmed

doi:10.21608/ejprs.2020.68149

Metanalysis of Outcomes of Treatment of Mandibular Fractures

Document Type : Original Article

Authors

The Department of Plastic, Burn & Maxillofacial Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

10.21608/ejprs.2020.68149

Abstract

Background: The exact timing of treatment of mandibular
fractures remains a source of debate. Immediate repair of
fractures is not always feasible; the existence of associated
injuries and bad general condition might make it not practical.
We performed this study to detect the difference of percentage
of complications between cases of early and delayed management
of mandibular fractures in order to set recommendations
of the appropriate timing of work on these cases.
Methods: A retrospective study included 180 patients
having isolated parasymphyseal mandibular fractures underwent
chart review to document the relevant data, including
the time of fracture, time of treatment and complications
recorded during post-operative follow-up. Patients were
categorized according to whether they had surgical intervention
early post-trauma or late.
Results: 90% were males and 10% were females. Mean
age of 28.74 years. 59% presented with associated zygomaticomaxillary
complex fractures. Follow-up time was 6 months.
No statistically significant difference in the development of
post-operative complications after mandible fracture repair
between the early and late treatment groups.
Conclusion: Our study has similar results to that of

Keywords

Fracture mandible – Early – Late

Main Subjects

Maxillofacial and cranio-maxillo-facial surgery

References

Punjabi A.B. and Thaller S.R.: Late complications of
mandibuar fracture. Operative Techniques in Plastic and
Reconstructive Surgery, 5 (3): 266-74, 1998.
2- Mabrouk A.R., Helal H.A., Abdel Aal A.S. and Mahmoud
N.A.: Incidence, Etiology and Patterns of Maxillofacial
fractures in Ain-Shams University, Cairo, Egypt: A 4
Years Retrospective Study. Cranial Maxillofac Trauma
Reconstruction, 07 (03): 224-32, 2014.
3- Zweig B.E.: Complications of Mandibular Fractures. Atlas
Oral Maxillofacial. Surg. Clin. N. Am., 17: 93-101, 2009.
4- Abdelfadil E., Salem A.S., Mourad S.I. and Al-Belasy
F.A.: Infected Mandibular Fractures: Risk Factors and
Management. Oral Hyg. Health, 1: 102, 2013.
5- Stacey D.H., Doyle J.F., Mount D.L., Snyder M.C. and
Gutowski K.A.: Management of mandible fractures. Plast.
Reconstr. Surg., 117: 48e-60e, 2006.
6- Czerwinski M., Parker W., Correa J.A. and Williams H.B.:
Effect of treatment delay on mandibular fracture infection
rate. Plast. Reconstr. Surg., 122: 881, 2008.
7- Moreno J.C., Fernández A., Ortiz J.A. and Montalvo J.J.:
Complication rates associated with different treatments
for mandibular fractures. J. Oral Maxillofac. Surg., 58:
273-80, 2000.
8- Malanchuk V.O. and Kopchak A.V.: Risk factors for
development of infection in patients with mandibular
fractures located in the tooth-bearing area. J. Craniomaxillofac.
Surg., 35: 57, 2007.
9- Webb L.S., Makhijani S., Khanna M., Burstein M.J., Falk
A.N., et al.: A comparison of outcomes between immediate
and delayed repair of mandibular fractures. Can. J. Plast.
Surg., Winter, 17 (4): 124-6, 2009.
364 Vol. 43, No. 3 / Metanalysis of Outcomes of Treatment of Mandibular Fractures
10- Anderson T. and Alpert B.: Experience with rigid fixation
of mandibular fractures and immediate function. J. Oral
Maxillofac. Surg., 50: 555-60; discussion 560-1, 1992.
11- Koury M.E.: Complications in the treatment of mandibular
fractures, in Kaban LB, Pogrell AH, Perrot D: Complications
in Oral and Maxillofacial Surgery. Philadelphia, PA,
Saunders, pp 121-46, 1997.
12- Lucca M., Shastri K., McKenzie W., Kraus J., Finkelman
M., et al.: Comparison of treatment outcomes associated
with early versus late treatment of mandible fractures: A
retrospective chart review and analysis. J. Oral Maxillofac.
Surg., 68: 2484-8, 210.
13- De Matos F.P., Arnez M.F., Sverzut C.E. and Trivellato
A.E.: A retrospective study of mandibular fracture in a
40-month period. Int. J. Oral Maxillofac. Surg., 39: 10-
5, 2010.
14- Barker D.A., Oo K.K., Allak A. and Park S.S.: Timing
for repair of mandible fractures. Laryngoscope, 121: 1160-
3, 2011.
15- Hurrell M.J. and Batstone M.D.: The effect of treatment
timing on the management of facial fractures: A systematic
review. Int. J. Oral Maxillofac. Surg., Aug., 43 (8): 944-
50, 2014.
16- Champy M., Lodde J.P., Schmitt R., Jaeger J.H. and
Muster D.: Mandibular osteosynthesis by miniature
screwed plates via a buccal approach. J. Maxillofac. Surg.,
6: 14-21, 1978.
17- Cawood J.I.: Small plate osteosynthesis of mandibular
fractures. Br. J. Oral Maxillofac. Surg., 23: 77-91. 3,
1985.
18- Maloney P.L., Lincoln R.E. and Coyne C.P.: A protocol
for the management of compound mandibular fractures
based on the time from injury to treatment. J. Oral Maxillofac.
Surg., 59: 879-84. discussion 885-6, 2001.
19- Biller J.A., Pletcher S.D., Goldberg A.N. and Murr A.H.:
Complications and the time to repair of mandible fractures.
Laryngoscope, May, 115 (5): 769-72, 2005.
20- Zachariades N., Papavasilliou D., Papademe-Triou I.,
Koundouris I. and Rapidis A.: Neglected fractures of the
facial bones. J. Maxillofac. Surg., 12: 36-40, 1984.
21- U.S. National Research Council of Medical Sciences, Ad
Hoc Committee of the Committee of Trauma, Division
of Medical Sciences, National Academy of Sciences-
National Research Council: Postoperative wound infections:
The influence of ultraviolet irradiation of the
operating room and various other factors. Ann. Surg. 160:
1, (suppl 2), 1964.
22- Lamphier J., Ziccardi V., Ruvo A. and Janel M.: Complications
of mandibular fractures in an urban teaching
center. J. Oral Maxillofac. Surg., 61: 745-50, 2003.
23- Dhariwal D.K., Gibbons A.J., Murphy M., Llewelyn J.
and Gregory M.C.: A two year review of the treatment
and complications of mandibular angle fractures. J. R.
Army Med. Corps., 148: 115-7, 2002.