Background: The treatment of multiple mandibular fractures may often be challenging. The aim of this study was to evaluate the characteristics and outcomes of multiple mandibular fractures, with a focus on triple mandibular fractures.
Material And Methods: Patients with multiple (triple) mandibular fractures were included. The following data were recorded for each patient: age; gender; cause of injury; sites of mandibular fractures; presence of complications. Facial width was esthetically evaluated through a clinical examination considering the inferior facial width, postoperative asymmetries, and facial esthetic harmony.
Results: From January 1, 2010, to December 31, 2018, 25 patients (15 men, 10 women) underwent surgery for triple mandibular fractures and were included in the study. A predominance of symphysis/parasymphysis fracture associated with bilateral condylar/ramus fractures was observed, followed by symphysis/ parasymphysis fracture combined with mandibular angle fracture and condyle fracture. Most patients did not show any type of complications. An optimal esthetic outcome was obtained in 20 patients.
Conclusions: A successful treatment of trifocal mandibular fractures may be achieved by different techniques, although it remains challenging. The re-establishment of the transversal bigonial dimension by a correct reconstruction of the mandibular arch should guide surgeons. The aim of the treatment should always be the successful rehabilitation of patients' pretraumatic occlusion and function. Mandibular fractures, multiple, treatment, management, mandible.
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| http://dx.doi.org/10.4317/jced.62114 | DOI Listing |
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