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Surgical Management of Unusual Biangular Mandibular Fractures

Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the th...

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Detalles Bibliográficos
Autores principales: Cocis, Stefan, Autorino, Umberto, Roccia, Fabio, Corio, Chiara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337380/
https://www.ncbi.nlm.nih.gov/pubmed/28299228
http://dx.doi.org/10.1155/2017/6149838
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author Cocis, Stefan
Autorino, Umberto
Roccia, Fabio
Corio, Chiara
author_facet Cocis, Stefan
Autorino, Umberto
Roccia, Fabio
Corio, Chiara
author_sort Cocis, Stefan
collection PubMed
description Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the third molar in the fracture line, the best surgical approach, and the fixation methods. In this report the authors present the case of 40-year-old man presenting with a bilateral mandibular angle fracture referred to the Maxillofacial Surgery Department of Turin. Open reduction and internal fixation has been made for both sides. The left side third molar was removed and the internal fixation was achieved through internal fixation with one miniplate according to Champy's technique and transbuccal access for a 4-hole miniplate at the inferior border of the mandible. Right side third molar was not removed and fixation was achieved through intraoral access and positioning of a 4-hole miniplate along the external ridge according to Champy. An optimal reduction was achieved and a correct occlusion has been restored.
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spelling pubmed-53373802017-03-15 Surgical Management of Unusual Biangular Mandibular Fractures Cocis, Stefan Autorino, Umberto Roccia, Fabio Corio, Chiara Case Rep Surg Case Report Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the third molar in the fracture line, the best surgical approach, and the fixation methods. In this report the authors present the case of 40-year-old man presenting with a bilateral mandibular angle fracture referred to the Maxillofacial Surgery Department of Turin. Open reduction and internal fixation has been made for both sides. The left side third molar was removed and the internal fixation was achieved through internal fixation with one miniplate according to Champy's technique and transbuccal access for a 4-hole miniplate at the inferior border of the mandible. Right side third molar was not removed and fixation was achieved through intraoral access and positioning of a 4-hole miniplate along the external ridge according to Champy. An optimal reduction was achieved and a correct occlusion has been restored. Hindawi Publishing Corporation 2017 2017-02-19 /pmc/articles/PMC5337380/ /pubmed/28299228 http://dx.doi.org/10.1155/2017/6149838 Text en Copyright © 2017 Stefan Cocis et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cocis, Stefan
Autorino, Umberto
Roccia, Fabio
Corio, Chiara
Surgical Management of Unusual Biangular Mandibular Fractures
title Surgical Management of Unusual Biangular Mandibular Fractures
title_full Surgical Management of Unusual Biangular Mandibular Fractures
title_fullStr Surgical Management of Unusual Biangular Mandibular Fractures
title_full_unstemmed Surgical Management of Unusual Biangular Mandibular Fractures
title_short Surgical Management of Unusual Biangular Mandibular Fractures
title_sort surgical management of unusual biangular mandibular fractures
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337380/
https://www.ncbi.nlm.nih.gov/pubmed/28299228
http://dx.doi.org/10.1155/2017/6149838
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