AI Article Synopsis

  • Maxillofacial trauma from firearms is on the rise, particularly affecting the mandibular body, where injuries from projectiles are most common.
  • Use of titanium plates and screws has been effective in restoring the mandible's form and function quickly and reliably, though conventional systems have limitations like screw compression and the need for precise fitting.
  • Locking plates have been developed to address these issues, and a clinical case is discussed that highlights their use in treating a firearm-related mandibular fracture, along with the pros and cons of this approach.

Article Abstract

Maxillofacial trauma caused by firearms has considerably increased, in which the mandibular body is the site of highest incidence of firearm projectiles. In these cases, the use of titanium plates and screws allows the early restoration of form and function of the mandible with stable and predictable results. Recently, conventional plates have been extensively used to treat comminuted mandibular fractures. Nevertheless, the conventional system presents several limitations such as screw compression against the bone interface and the necessity of precise fit of plate to the bone. To overcome such drawbacks, the locking plates have emerged. The present clinical case reported the operative treatment of mandibular fracture caused by firearm projectiles with the use of locking plate. The indications, advantages, and disadvantages of this system are presented.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444025PMC
http://dx.doi.org/10.1055/s-0032-1313364DOI Listing

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