使用不当材料治疗萎缩性下颌骨骨折失败

Unsuccessful Treatment of Atrophic Mandible Fracture by Use of Improper Materials.

作者信息

de Moraes Ferreira Ana Carulina Rezende, Garcia Junior Idelmo Rangel, Silva Adalberto Novaes, de Carvalho Reis Erik Neiva Ribeiro, Pires Willian Ricardo, Bonardi João Paulo, Borba Alexandre Meireles

机构信息

*Postgraduate Program in Odontology at UNESP, São Paulo State University †Habilitation in Surgery and Traumatology at Faculty of Dentistry of Araçatuba (UNESP) and Adjunct Professor III, Department of Integrated Clinical and Surgery of São Paulo (UNESP), College of Dentistry Araçatuba, São Paulo ‡Department of Surgery, Faculty of Medical Sciences, Federal University of Mato Grosso-UFMT, Cuiabá §Postgraduate Program in Odontology at UNESP, São Paulo State University, São Paulo ||Residency Program in Maxillofacial Surgery and Traumatology, University of Cuiabá/Hospital General Universitario ¶Professional Masters in Integrated Dental Science, University of Cuiabá-UNIC, Cuiaba, Brazil.

出版信息

J Craniofac Surg. 2016 Jun;27(4):e378-9. doi: 10.1097/SCS.0000000000002640.

DOI:10.1097/SCS.0000000000002640

PMID:27244201

Abstract

Fractures of atrophic mandibles are present on the day by day of buccomaxillofacial surgeons. Mandible atrophy occurs due to tooth loss, which over time induces bone resorption leading to a fragile and susceptible to fracture structure. This paper reports the case of a patient victim of face trauma resulting in atrophic mandible fracture with treatment failure through the use of shared load miniplate. Therefore, a new treatment was performed with miniplate of system 2.4 along with bone graft. After 6 months, the patient was rehabilitated with implant-supported prosthesis installation. It is concluded that for successful treatment of atrophic mandible fractures, the use of rigid plates is necessary, allowing an excellent rehabilitation of the stomatognathic system.

摘要

萎缩性下颌骨骨折是口腔颌面外科医生日常工作中常见的情况。下颌骨萎缩是由于牙齿缺失引起的，随着时间的推移会导致骨吸收，从而形成脆弱且易骨折的结构。本文报告了一名面部创伤患者的病例，该患者因萎缩性下颌骨骨折，使用共享负载微型钢板治疗失败。因此，采用了2.4系统微型钢板并结合骨移植进行了新的治疗。6个月后，患者通过植入物支持的假体安装得以康复。结论是，为成功治疗萎缩性下颌骨骨折，使用坚固的钢板是必要的，这有助于口腔颌面部系统的良好康复。