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Management of comminuted but continuous mandible defects after gunshot injuries

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Management of comminuted but continuous mandible defects after gunshot injuries. / Rana, Majeed; Warraich, Riaz; Rashad, Ashkan; von See, Constantin; Channar, Kashif A; Rana, Madiha; Stoetzer, Marcus; Gellrich, Nils-Claudius.

In: INJURY, Vol. 45, No. 1, 01.2014, p. 206-11.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Rana, M, Warraich, R, Rashad, A, von See, C, Channar, KA, Rana, M, Stoetzer, M & Gellrich, N-C 2014, 'Management of comminuted but continuous mandible defects after gunshot injuries', INJURY, vol. 45, no. 1, pp. 206-11. https://doi.org/10.1016/j.injury.2012.09.021

APA

Rana, M., Warraich, R., Rashad, A., von See, C., Channar, K. A., Rana, M., Stoetzer, M., & Gellrich, N-C. (2014). Management of comminuted but continuous mandible defects after gunshot injuries. INJURY, 45(1), 206-11. https://doi.org/10.1016/j.injury.2012.09.021

Vancouver

Rana M, Warraich R, Rashad A, von See C, Channar KA, Rana M et al. Management of comminuted but continuous mandible defects after gunshot injuries. INJURY. 2014 Jan;45(1):206-11. https://doi.org/10.1016/j.injury.2012.09.021

Bibtex

@article{a889895951b545e2a088886630f3e040,
title = "Management of comminuted but continuous mandible defects after gunshot injuries",
abstract = "INTRODUCTION: Firearm injuries continue as a major public health problem, contributing significant morbidity, mortality, and expense to our society. There are four main steps in the management of patients with gunshot wounds to the face: securing an airway, controlling haemorrhage, identifying other injuries and definitive repair of the traumatic facial deformities. The objective of this study was to determine late outcome of two treatment options by open reduction and internal fixation versus closed reduction and maxillomandibular fixation (MMF) in the treatment of gunshot injuries of the mandible.METHODS: Sixty patients of gunshot injury were randomly allocated in two groups. In group A, 30 patients were treated by open reduction and internal fixation and in group B, 30 patients were treated by closed reduction and maxillomandibular fixation. Patients were discharged as the treatment completed and recalled for follow up. Up to 3 months after injury, fortnightly complications like infection, malocclusion, malunion of fractured fragments, facial asymmetry, sequestration of bone and exposed plates were evaluated and the differences between two groups were assessed. The follow-up period ranged from 3 months to 10 months.RESULTS: Patients treated by open reduction tended to have less complications as compared to closed reduction.CONCLUSION: Based on this study open reduction and internal fixation is the best available method for the treatment of gunshot mandible fractures without continuity defect.",
keywords = "Adolescent, Adult, Bone Plates, Child, Female, Fracture Fixation, Fracture Fixation, Internal, Fractures, Comminuted, Humans, Jaw Fixation Techniques, Male, Mandibular Fractures, Middle Aged, Pakistan, Surgical Wound Infection, Treatment Outcome, Wounds, Gunshot, Journal Article, Randomized Controlled Trial",
author = "Majeed Rana and Riaz Warraich and Ashkan Rashad and {von See}, Constantin and Channar, {Kashif A} and Madiha Rana and Marcus Stoetzer and Nils-Claudius Gellrich",
note = "Copyright {\textcopyright} 2012 Elsevier Ltd. All rights reserved.",
year = "2014",
month = jan,
doi = "10.1016/j.injury.2012.09.021",
language = "English",
volume = "45",
pages = "206--11",
journal = "INJURY",
issn = "0020-1383",
publisher = "Elsevier Limited",
number = "1",

}

RIS

TY - JOUR

T1 - Management of comminuted but continuous mandible defects after gunshot injuries

AU - Rana, Majeed

AU - Warraich, Riaz

AU - Rashad, Ashkan

AU - von See, Constantin

AU - Channar, Kashif A

AU - Rana, Madiha

AU - Stoetzer, Marcus

AU - Gellrich, Nils-Claudius

N1 - Copyright © 2012 Elsevier Ltd. All rights reserved.

PY - 2014/1

Y1 - 2014/1

N2 - INTRODUCTION: Firearm injuries continue as a major public health problem, contributing significant morbidity, mortality, and expense to our society. There are four main steps in the management of patients with gunshot wounds to the face: securing an airway, controlling haemorrhage, identifying other injuries and definitive repair of the traumatic facial deformities. The objective of this study was to determine late outcome of two treatment options by open reduction and internal fixation versus closed reduction and maxillomandibular fixation (MMF) in the treatment of gunshot injuries of the mandible.METHODS: Sixty patients of gunshot injury were randomly allocated in two groups. In group A, 30 patients were treated by open reduction and internal fixation and in group B, 30 patients were treated by closed reduction and maxillomandibular fixation. Patients were discharged as the treatment completed and recalled for follow up. Up to 3 months after injury, fortnightly complications like infection, malocclusion, malunion of fractured fragments, facial asymmetry, sequestration of bone and exposed plates were evaluated and the differences between two groups were assessed. The follow-up period ranged from 3 months to 10 months.RESULTS: Patients treated by open reduction tended to have less complications as compared to closed reduction.CONCLUSION: Based on this study open reduction and internal fixation is the best available method for the treatment of gunshot mandible fractures without continuity defect.

AB - INTRODUCTION: Firearm injuries continue as a major public health problem, contributing significant morbidity, mortality, and expense to our society. There are four main steps in the management of patients with gunshot wounds to the face: securing an airway, controlling haemorrhage, identifying other injuries and definitive repair of the traumatic facial deformities. The objective of this study was to determine late outcome of two treatment options by open reduction and internal fixation versus closed reduction and maxillomandibular fixation (MMF) in the treatment of gunshot injuries of the mandible.METHODS: Sixty patients of gunshot injury were randomly allocated in two groups. In group A, 30 patients were treated by open reduction and internal fixation and in group B, 30 patients were treated by closed reduction and maxillomandibular fixation. Patients were discharged as the treatment completed and recalled for follow up. Up to 3 months after injury, fortnightly complications like infection, malocclusion, malunion of fractured fragments, facial asymmetry, sequestration of bone and exposed plates were evaluated and the differences between two groups were assessed. The follow-up period ranged from 3 months to 10 months.RESULTS: Patients treated by open reduction tended to have less complications as compared to closed reduction.CONCLUSION: Based on this study open reduction and internal fixation is the best available method for the treatment of gunshot mandible fractures without continuity defect.

KW - Adolescent

KW - Adult

KW - Bone Plates

KW - Child

KW - Female

KW - Fracture Fixation

KW - Fracture Fixation, Internal

KW - Fractures, Comminuted

KW - Humans

KW - Jaw Fixation Techniques

KW - Male

KW - Mandibular Fractures

KW - Middle Aged

KW - Pakistan

KW - Surgical Wound Infection

KW - Treatment Outcome

KW - Wounds, Gunshot

KW - Journal Article

KW - Randomized Controlled Trial

U2 - 10.1016/j.injury.2012.09.021

DO - 10.1016/j.injury.2012.09.021

M3 - SCORING: Journal article

C2 - 23084488

VL - 45

SP - 206

EP - 211

JO - INJURY

JF - INJURY

SN - 0020-1383

IS - 1

ER -