Solitary Lag Screw Osteosynthesis in the Treatment of Fractures of the Angle of the Mandible

Niederdellmann, H; Shetty, Vivek

doi:10.1097/00006534-198707000-00010

Cited by 74 publications

(16 citation statements)

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“…Most authors have reported sensory disturbances as an incidental finding or only in patients who subjectively complained about this problem61617. Furthermore, many of these studies included fractures not involving the mandibular canal161718, and others did not address direct injury to the IAN192021.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study

Yadav

Mittal

Malik

et al. 2016

J Korean Assoc Oral Maxillofac Surg

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ObjectivesWe evaluated and recorded post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve (IAN) in mandibular fracture in order to identify associated risk factors.Materials and MethodsThis was a prospective cohort study composed of 60 patients treated for mandibular fracture. The primary study variable was the change between the post-traumatic IAN neurosensory examination score and the score after fracture reduction. Risk factors were categorized as demographic, anatomic, fracture displacement, and treatment. Appropriate descriptive and bivariate statistics were computed.ResultsSixty patients with unilateral mandibular fracture reported within 24 hours of injury were evaluated over a one-year period. A post-traumatic neurosensory deficit was observed in 52 patients (86.7%), the percentage of which was reduced to 23.3% over the follow-up period. Abnormal postoperative neurosensory scores were significantly higher in angle fracture cases (33.3%) compared to body fracture cases (11.1%). When recovered and non-recovered neurosensory scores were compared by fracture location, 88.9% of body fracture cases showed significant recovery compared to 66.7% of mandibular angle fracture cases. Cases with less than 5 mm fracture displacement showed statistically significantly higher neurosensory recovery scores (90.6%) compared to those with more than 5 mm fracture displacement (60.7%).ConclusionUse of a miniplate with mono-cortical screws does not play a role in increasing IAN post-traumatic neurosensory deficit. Early management can reduce the chances of permanent neurosensory deficit. Mandibular fracture displacement of 5 mm or more and fracture location were found to be associated with an increased risk of post-traumatic IAN neurosensory score worsening.

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Section: Discussionmentioning

confidence: 99%

Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study

Yadav

Mittal

Malik

et al. 2016

J Korean Assoc Oral Maxillofac Surg

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“…An alternative to the plate and screw system is osteosynthesis using only lag screws. It has been shown that mandibular fractures in both the anterior and angle regions can be successfully treated using metal screws [3]. Ellis and Ghali [4] found lag screw fixation of anterior mandibular fractures to be an extremely simple and successful means of rigidly securing bone segments.…”

Section: Discussionmentioning

confidence: 99%

Lag Screw Fixation of Fracture of the Anterior Mandible: A New Minimal Access Technique

Jadwani

Bansod

2011

J. Maxillofac. Oral Surg.

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“…The advantages of using a single screw instead of plates and screws are: less implant material; lower costs; a simpler technique; and limited surgical exposure. Since then, the compression screw technique has been widely used for symphyseal fractures 8,24,26 , fractured mandibular angle 16,21 and condyles 8,15,18 . Lag-screws are also used in the midface area 5,10 .…”

Section: Discussionmentioning

confidence: 99%

Transgingival lag-screw osteosynthesis of alveolar process fracture

Nyárády

Orsi

Nagy

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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Solitary Lag Screw Osteosynthesis in the Treatment of Fractures of the Angle of the Mandible

Cited by 74 publications

References 0 publications

Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study

Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study

Lag Screw Fixation of Fracture of the Anterior Mandible: A New Minimal Access Technique

Transgingival lag-screw osteosynthesis of alveolar process fracture

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