DOI:

10.37988/1811-153X_2024_3_142

Post-traumatic deformation of the mandible caused by secondary displacement of fragments. Clinical case

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Authors

  • M.S. Malykh 1, maxillofacial surgeon
    ORCID: 0000-0003-3448-7243
  • N.V. Podgornaya 1, maxillofacial surgeon
    ORCID: 0009-0001-1147-8320
  • D.N. Legostaev 1, maxillofacial surgeon
    ORCID: 0009-0004-7909-8908
  • R. Sarmadian 2, student
    ORCID: 0009-0007-9612-7442
  • A.V. Lopatin 3, Doctor of Science in Medicine, vice-derictor for scientific and clinical work, maxillofacial surgeon
  • O.Yu. Aleshkina 4, Doctor of Science in Medicine, full professor of the Human anatomy Department
    ORCID: 0000-0003-2151-1208
  • 1 Republican Clinical Hospital, 655012, Abakan, Russia
  • 2 Sechenov University, 121059, Moscow, Russia
  • 3 Dmitry Rogachev National Medical Research Center of Pediatric Hematology Oncology and Immunology, 117997, Moscow, Russia
  • 4 Saratov State Medical University, 410012, Saratov, Russia

Abstract

To date, the number of traumas of the maxillofacial region (MFR) remains at a high level with a tendency to increase. According to the data of domestic and foreign authors, the number of patients with maxillofacial traumas varies from 3.2 to 8% of the total number of traumas. Here is a clinical case of treatment of a patient with bilateral fracture of the mandible on tooth 3.2 with displacement and on the condyle on the right side without displacement. At the ambulant stage, a bicuspid splinting and extraction of tooth 3.2 from the fracture gap was performed. The patient was again hospitalized in the maxillofacial surgery department with the diagnosis of “posttraumatic deformity of the mandible on both sides: in the area of the mandibular branch on the right and in the chin region on the left; posttraumatic deformation of the zygomatic arch on the right side”. Under endotracheal anesthesia, tooth 3.3 was extracted from the fracture gap, refracture on both sides and fixation of the fragments with domestic titanium plates under bite control.
Conclusions.
It is necessary to develop a unified algorithm of medical care for the profile of mandibular fracture taking into account clinical recommendations.

Key words:

post-traumatic deformity, mandible fracture, maxillofacial surgery

For Citation

[1]
Malykh M.S., Podgornaya N.V., Legostaev D.N., Sarmadian R., Lopatin A.V., Aleshkina O.Yu. Post-traumatic deformation of the mandible caused by secondary displacement of fragments. Clinical case. Clinical Dentistry (Russia).  2024; 27 (3): 142—147. DOI: 10.37988/1811-153X_2024_3_142

References

  1. Ahamed A.S., G V.L., Vm N., Kumar K.D., Syed M. Surgical correction of post-traumatic residual deformity of the mandible: A case report. Cureus. 2023; 15 (10): e46710. PMID: 38021596
  2. Karpov S.M., Khristoforando D.Yu., Shevchenko P.P., Sharipov E.M., Abidokova F.A. Epidemiological aspects of the maxillofacial injury exemplified by the situation in the city of stavropol. Russian Journal of Dentistry. 2012; 1: 50—51 (In Russian). eLIBRARY ID: 18112397
  3. Sipkin A.M., Akhtyamova N.E., Akhtyamov D.V. Characteristics of acute traumatic injuries of maxillofacial region. Russian Medical Journal. 2016; 14: 932—935 (In Russian). eLIBRARY ID: 27185903
  4. Wang R., Liu Y., Wang J.H., Baur D.A. Effect of interfragmentary gap on the mechanical behavior of mandibular angle fracture with three fixation designs: A finite element analysis. J Plast Reconstr Aesthet Surg. 2017; 70 (3): 360—369. PMID: 27939907
  5. Mellin R.V., Sivolapov K.A., Malkov N.V., Malykh M.S., Moses V.G. Epidemiology of injuries of the maxillofacial region in the kemerovo region — kuzbass. Medicine in Kuzbass. 2020; 3: 58—62 (In Russian). eLIBRARY ID: 44127845
  6. Mellin R., Velichko E., Maltseva L., Dydykin S., Vasil‘ev Y. Polytrauma caused by a bear attacking a human with a benign outcome. Healthcare (Basel). 2024; 12 (5): 542. PMID: 38470653
  7. Amadi J.U., Delitala F., Liberatore G., Scozzafava E., Brevi B.C. Treatment decision-making for a post-traumatic malocclusion in an elderly patient: A case report. Dent Traumatol. 2021; 37 (5): 725—731. PMID: 33638228
  8. Malykh M.S., Mellin R.V., Sivolapov K.A., Vasil‘ev Yu.L. Post-traumatic mandibular deformation due to untimely medical treatment. Clinical Dentistry (Russia). 2022; 1: 66—72 (In Russian). eLIBRARY ID: 48156201
  9. Perez D., Ellis E. 3rd Complications of mandibular fracture repair and secondary reconstruction. Semin Plast Surg. 2020; 34 (4): 225—231. PMID: 33380907
  10. Raut R., Keerthi R., Vaibhav N., Ghosh A., Kamath Kateel S. Single miniplate fixation for mandibular symphysis and parasymphysis fracture as a viable alternative to conventional plating based on Champy‘s principles: A prospective comparative clinical study. J Maxillofac Oral Surg. 2017; 16 (1): 113—117. PMID: 28286395
  11. Moore E., Bayrak S., Moody M., Key J.M., Vural E. Hardware removal rates for mandibular angle fractures: comparing the 8-hole strut and champy plates. J Craniofac Surg. 2013; 24 (1): 163—5. PMID: 23348277
  12. Ramanathan M., Panneerselvam E., Krishna Kumar Raja V.B. 3D planning in mandibular fractures using CAD/CAM surgical splints — A prospective randomized controlled clinical trial. J Craniomaxillofac Surg. 2020; 48 (4): 405—412. PMID: 32127304
  13. Chew K.Y., Kok Y.O., Pek W.S., Too C.W., Tan B.K. Surgical planning using facial fracture 3D models: The role of cyanoacrylate glue and miniplating for anatomical reduction. JPRAS Open. 2021; 28: 19—24. PMID: 33614882
  14. Naeem A., Gemal H., Reed D. Imaging in traumatic mandibular fractures. Quant Imaging Med Surg. 2017; 7 (4): 469—479. PMID: 28932703
  15. Saponaro G., Paolantonio C., Barbera G., Foresta E., Gasparini G., Moro A. Our problems and observations in 3D facial implant planning. Maxillofac Plast Reconstr Surg. 2022; 44 (1): 32. PMID: 36224460
  16. Zhang C., Song C., Wang D., Gao T., Li J., Yang D., Liu C., Du Y., Zhang K. Digitally driven surgical guide planning. J Clin Pediatr Dent. 2024; 48 (1): 128—137. PMID: 38239165
  17. Muddassar M., Arshad R., Rabbani S., Qureshi I.S., Khattak I.K., Rana Z. Management of gunshot injuries of mandible with open reduction and internal fixation versus closed reduction and maxillo-mandibular fixation. Cureus. 2020; 12 (4): e7830. PMID: 32467805

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Received

June 28, 2024

Accepted

September 4, 2024

Published on

October 2, 2024