Malocclusion after open reduction of midfacial fracture: a case report

Lim, Seong-Un; Jin, Ki-Su; Han, Yoon-Sic; Lee, Ho

doi:10.5125/jkaoms.2017.43.1.53

Cited by 2 publications

(2 citation statements)

References 10 publications

(11 reference statements)

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“…Malocclusion is a severe complication of open reduction surgery for facial fractures. This is often due to inadequate consideration of the occlusal relationship and intermaxillary fixation during surgery (Lim et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Pramana¹,

Adnyana²,

Niryana³

et al. 2022

ijhs

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Open reduction and internal fixation is the gold standard for managing mandibular fractures with the primary goal of restoring premorbid occlusion status. Malocclusion is one of the most common and functionally significant postoperative complications of mandibular fracture. This study aims to determine the factors that influence the occurrence of malocclusion in patients with mandibular fractures three months after open reduction and internal fixation surgery at Prof. Dr. I GNG Ngoerah Hospital Denpasar. This study was an analytic observational study with a retrospective cohort design. The result is the age️of 40 years, mandibular fracture sites in more than one region, a complex type of mandibular fracture, involvement of other facial bones fracture, waiting time for surgery > 7 days, and internal fixation with wire are risk factors for malocclusion within three months postoperatively. Gender was not statistically associated with the incidence of malocclusion post-operation (p-value 0.705). The combination of internal fixation with maxillo-mandibular fixation (MMF) was a preventive factor for postoperative malocclusion (RR 0.4 (CI: 0.23-0.99)). The results of the multivariate analysis showed that the number of fracture locations in more than one region had the highest effect on the occurrence of postoperative malocclusion by 131.7 times.

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Section: Resultsmentioning

confidence: 99%

Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Pramana¹,

Adnyana²,

Niryana³

et al. 2022

ijhs

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“…1 For palatal fractures, the complication of malocclusion can be minimized using a simple and effective palatal splint during the open reduction and internal fixation procedure. 2 The methods of palate fracture repair are variable and include open and closed approaches with wiring, plating, splinting, orthodontic braces, acylated arch bars, and arch bars for maxillomandibular fixation to internal fixation, with plates and screws placed under the palate mucosa and periosteum, together with pyriform aperture or alveolar plating plus LeFort level I buttress reconstruction. 3,4 However, the palatine process of the maxilla, or hard palate, is an exception owing to its thick and sturdy osseous stock.…”

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confidence: 99%

Palatal Fracture Fixation on Severe Panfacial Fracture: Is There Any Clinical Significance?

Prasetyo

Hutagalung

Zarasade

2021

JRE

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Background: Fractures of the hard palate are infrequent. They are found in less then 10% of patients with midfacial fractures. They practically never occur in isolation and are usually part of alveolar process fractures or more complex midfacial fractures of the Le Fort type. Treatment of palatal fractures is planned and performed with the goal of restoring the transverse width of the palate, the anteroposterior projection of the maxillary arch, and the patient’s pretraumatic occlusal plane, as well as maintaining horizontal stability of the midface.Case Presentation: Reporting patient female 17 years old with panfacial fracture due to traffic accident. There was slight epidural haemorrhage on frontal area. The fractures are on upper face, midface, and lower face including the hard palate. We performed open reduction internal fixation on palate to correct the arch of the upper jaw. The other fracture site can be corrected easier. The approaches that we done are bicoronal, subsilier, and intraoral. The patient was successfully treated using bottom-up and outside-in sequence by accessing all facial injuries. Postoperatively, radiograph examination revealed good reduction and fixation of titanium plates, and physical examination revealed good functional and aesthetic outcomes.Conclusion: Palate fractures are relatively uncommon and are associated with significant rates of malocclusion and wound complications. These injuries are typically managed with plate fixation of the alveolar ridge with variable approaches to the palatal vault

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Malocclusion after open reduction of midfacial fracture: a case report

Cited by 2 publications

References 10 publications

Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Palatal Fracture Fixation on Severe Panfacial Fracture: Is There Any Clinical Significance?

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