From rigid bone plate fixation to stable dynamic osteosynthesis in mandibular and craniomaxillo-facial surgery: Historical evolution of concepts and technical developments

Dang, N. Pham; Barthélémy, Isabelle; Bekara, Farid

doi:10.1016/j.jormas.2019.01.011

Cited by 7 publications

(8 citation statements)

References 10 publications

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“…For this, a CT scan of the midface is performed as standard. This allows the fracture morphology to be analyzed preoperatively and the operation to be planned in detail [ 9 ]. In LIC, the fracture diagnostic by X-ray and clinical examination was limited.…”

Section: Resultsmentioning

confidence: 99%

“…The treatment of CMF in LIC is difficult due to the lack of CT scans and mini plates [9]. Prior to the introduction of the EFF, this hospital used a non-operative approach or an interdental wiring when possible.…”

Section: Discussionmentioning

confidence: 99%

“…This type of fixation was chosen as an alternative to plate osteosynthesis due to an uncontrollable intraoral bleeding caused by a severe panfacial fracture of a 70-year-old woman [ 8 ]. In high-income countries (HIC) these factures are treated with mini-plates, even in extensive comminuted fractures [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Off-Label Treatment for Severe Craniomaxillofacial Fractures in Low-Income Countries—A Novel Operation Method with the External Face Fixator

Deininger

Hofmann

Necchi³

et al. 2022

JCM

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Introduction: Craniomaxillofacial fractures (CMF) are common in low-income countries (LIC). Due to limited resources, treatment of these fractures usually consists of interdental wiring or immobilization with a Barton bandage to maintain the reduction by permanent occlusion. These non-surgical treatment methods often lead to unsatisfactory results, such as a disturbed dental occlusion and lockjaw. The aim of this study is to present an off-label treatment option for CMF by applying a hand fixator as external face fixator (EFF) and to demonstrate the surgical method in detail. Materials and Methods: The feasibility and postoperative outcomes of this new off-label operation technique were evaluated by analyzing patients with CMF (n = 13) treated at an NGO hospital in Sierra Leone between 2015 and 2019. Results: The application of the EFF was feasible. The biggest advantage compared to the conventional non-operative methods was, that a dynamic occlusion was still possible during the 6 weeks healing period. Hence, patients could eat and drink almost normally and perform dental hygiene with the EFF in place. We did not discover pintrack infections or other complications. Three patients developed an oronasal fistula due to traumatic a palatal bone loss of about 7–8 mm which was treated by a palatal mucoperiosteal flap 15–20 days after the first operation. Discussion and Conclusions: In LIC, where plate osteosynthesis for CMF cannot be performed due to limited resources the application of an EFF is a promising alternative for a better outcome and an improved quality of life for the patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Off-Label Treatment for Severe Craniomaxillofacial Fractures in Low-Income Countries—A Novel Operation Method with the External Face Fixator

Deininger

Hofmann

Necchi³

et al. 2022

JCM

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“…In 1887, Gilmer reported a combination of intermaxillary fixation and wire fixation to treat mandibular fractures 1 . Around the same time, in 1886, Hasmann described the use of a screw-and-plate osteosynthesis system to stabilize the jaw 2 . Of course, the intraplate fixation systems at that time had many postoperative complications, most involving infection.…”

mentioning

confidence: 99%

“…1 Around the same time, in 1886, Hasmann described the use of a screw-and-plate osteosynthesis system to stabilize the jaw. 2 Of course, the intraplate fixation systems at that time had many postoperative complications, most involving infection. With large-scale improvements in the concepts of anesthesia and sterility, as well as the 1978 elucidation by Champy et al of the mechanics of the mandible, 3 the use of plates for internal fixation of mandibular fractures became more common.…”

mentioning

confidence: 99%

Endoscopic-assisted Surgical Removal of Infected Interosseous Wires 40 Years After Mandibular Surgery

Sukegawa

Miyazaki

Matsuki

et al. 2023

Journal of Craniofacial Surgery

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We demonstrate a highly reliable minimally invasive treatment for removal of residual wire from the mandible. The patient was a 55-year-old Japanese man who was referred to our department for a fistula in his submental area. The patient had undergone open reduction and fixation with wires for mandibular fractures (left parasymphysis, right angle fracture) more than 40 years prior and mandibular tooth extraction and drainage 6 months prior. Minimally invasive endoscopy-assisted wire removal surgery was performed under general anesthesia with good visualization in a narrow surgical field. Bone resection was minimized using an ultrasonic cutting instrument with a wide choice of tip shapes.The use of endoscopy with ultrasonic cutting tools makes it possible to effectively utilize narrow surgical fields with a small skin incision and minimal bone cutting. The advantages and disadvantages of the newer endoscopic systems in oral and maxillofacial surgical units are discussed.

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Evaluation of a novel osteosynthesis plate system for mandibular defects

Peters

Kniha

Möhlhenrich

et al. 2020

British Journal of Oral and Maxillofacial Surgery

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From rigid bone plate fixation to stable dynamic osteosynthesis in mandibular and craniomaxillo-facial surgery: Historical evolution of concepts and technical developments

Cited by 7 publications

References 10 publications

Off-Label Treatment for Severe Craniomaxillofacial Fractures in Low-Income Countries—A Novel Operation Method with the External Face Fixator

Off-Label Treatment for Severe Craniomaxillofacial Fractures in Low-Income Countries—A Novel Operation Method with the External Face Fixator

Endoscopic-assisted Surgical Removal of Infected Interosseous Wires 40 Years After Mandibular Surgery

Evaluation of a novel osteosynthesis plate system for mandibular defects

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