Long-term outcome assessment of closed treatment of mandibular fractures

TY - JOUR

T1 - Long-term outcome assessment of closed treatment of mandibular fractures

AU - Fayazi, Sara

AU - Bayat, Mohammad

AU - Bayat-Movahed, Saeed

AU - Sadr-Eshkevari, Pooyan

AU - Rashad, Ashkan

PY - 2013/5

Y1 - 2013/5

N2 - Mandibular fractures are among the most common trauma injuries of the craniomaxillofacial region. This study evaluated the late results of mandibles fractures treated with arch bar. Forty-nine patients were examined clinically and by questionnaires for late results of arch bar treatment. Demographic data (age, sex, etc), trigeminal nerve sensation (Weber test), temporomandibular joint evaluation, masticatory muscle function, and occlusion were recorded. The data were analyzed by χ test using Sigma Stat 2.0 software. Fifty-one percent of the patients with angular fractures complained of sensory disturbances. Condylar and angular fractures demonstrated higher levels of pain. According to Pearson χ test, a statistically significant relation between angular fracture and tenderness of the internal pterygoid muscles (P = 0.047), angular fracture and cross-bite (P = 0.021), parasymphysial fracture and pain upon wind blowing (P = 0.026), and body fracture and mastication discomfort (P = 0.038) was found. In closed reduction therapy, fracture location of the mandible seems to be more likely correlated in producing particular long-term complications. Regular follow-ups for functional treatments and physiotherapy of chewing muscles and temporomandibular joint, along with removal of occlusal abnormalities, should be considered following arch bar reduction of mandibular fractures.

AB - Mandibular fractures are among the most common trauma injuries of the craniomaxillofacial region. This study evaluated the late results of mandibles fractures treated with arch bar. Forty-nine patients were examined clinically and by questionnaires for late results of arch bar treatment. Demographic data (age, sex, etc), trigeminal nerve sensation (Weber test), temporomandibular joint evaluation, masticatory muscle function, and occlusion were recorded. The data were analyzed by χ test using Sigma Stat 2.0 software. Fifty-one percent of the patients with angular fractures complained of sensory disturbances. Condylar and angular fractures demonstrated higher levels of pain. According to Pearson χ test, a statistically significant relation between angular fracture and tenderness of the internal pterygoid muscles (P = 0.047), angular fracture and cross-bite (P = 0.021), parasymphysial fracture and pain upon wind blowing (P = 0.026), and body fracture and mastication discomfort (P = 0.038) was found. In closed reduction therapy, fracture location of the mandible seems to be more likely correlated in producing particular long-term complications. Regular follow-ups for functional treatments and physiotherapy of chewing muscles and temporomandibular joint, along with removal of occlusal abnormalities, should be considered following arch bar reduction of mandibular fractures.

KW - Adolescent

KW - Adult

KW - Aged

KW - Child

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Jaw Fixation Techniques

KW - Longitudinal Studies

KW - Male

KW - Malocclusion

KW - Mandibular Condyle

KW - Mandibular Fractures

KW - Mastication

KW - Masticatory Muscles

KW - Middle Aged

KW - Myalgia

KW - Open Bite

KW - Pterygoid Muscles

KW - Range of Motion, Articular

KW - Somatosensory Disorders

KW - Temporomandibular Joint

KW - Treatment Outcome

KW - Trigeminal Nerve Diseases

KW - Young Adult

KW - Journal Article

U2 - 10.1097/SCS.0b013e3182801373

DO - 10.1097/SCS.0b013e3182801373

M3 - SCORING: Journal article

C2 - 23714869

VL - 24

SP - 735

EP - 739

JO - J CRANIOFAC SURG

JF - J CRANIOFAC SURG

SN - 1049-2275

IS - 3

ER -