Surgical management of edentulous/atrophic mandibular fracture: a report of two cases.
10.5125/jkaoms.2012.38.1.50
- Author:
Jae Seok LIM
1
;
Jin Il KWON
;
Bong Chul KIM
;
Hyung Jun KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea. kimoms@yuhs.ac
- Publication Type:Case Report
- Keywords:
Atrophy;
Edentulous jaw;
Mandible;
Mandibular fracture;
Surgical procedure
- MeSH:
Aged;
Atrophy;
Humans;
Incidence;
Jaw, Edentulous;
Mandible;
Mandibular Fractures
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2012;38(1):50-54
- CountryRepublic of Korea
- Language:English
-
Abstract:
According to Luhr's classification, a fracture in the mandible with a width of less than 15-20 mm is considered to be an atrophic mandibular fracture and its incidence is very rare. Because of the reduced cross-sectional area and smaller contact area of the fractured ends as well as the poorly vascularized bony structure and delayed bone healing, an atrophic mandibular fracture is a great challenge for oral and maxillofacial surgeons. Surgeons tend to perform closed reduction, because open reduction is considered a non-life-saving surgery among elderly patients. Thus, most of them have limited experience in surgical management. According to recent reports, open reduction yields a good result, and the Association for Osteosynthesis (AO) group has recommended open reduction. This is a case report of our two experiences of open reduction and rigid fixation of atrophic mandibular fractures by the AO principle. Articles were also reviewed here.
