Managing a grossly comminuted and infected mandibular fracture using a maxillary extra-oral distractor as stabilizing agent: A clinical case report

Abstract

Facial fracture management dates as early as Hippocratic era. Comminuted mandibular fractures are one of the challenging clinical condition requiring high surgical expertise to achieve a good functional and esthetic outcome. In presence of infection and other facial fractures managing comminuted mandibular fracture becomes more challenging.Here we present a case of grossly comminuted and infected mandibular fracture with delayed presentation managed by using maxillary distractor as stabilizing agent. Using a maxillary distractor for managing a fractured mandible has been seldom reported in literature. Current case report gives idea to practicing clinician about the possibility of treatment beyond the established principles.

A novel fixation method for panfacial fracture using an Ilizarov-type external fixator

“…We may therefore modify the Ilizarov-type external fixator in order to use it as an external fixator for comminuted facial fractures. There have been several reports of facial fracture reduction using other external fixators, but those external fixators are mainly used for the treatment of only mandibular fractures [[8], [9], [10]].…”

Fracturas Mandibulares Conminutadas por Impacto de Proyectil Balístico: Propuesta de Tratamiento Inicial Mediante Método de Fijación Alternativo

“…Si bien el tratamiento conservador en base al uso de tutores externos fue una de las primeras modalidades terapéuticas de las fracturas mandibulares conminutadas y aun con la introducción de materiales de osteosíntesis de fijación interna, éstos continúan vigentes con sus respectivas indicaciones y ventajas. Los tutores externos mandibulares son unas de las herramientas que los cirujanos maxilofaciales y traumatólogos tienen para tratar fracturas complejas conminutadas, especialmente cuando se trata de trauma por impacto de proyectil balístico (Chao et al, 2017;Palacios Vivar et al, 2017).…”