Sobrinho Sangalette Beatriz, Pavoni Rafaella Ferrari, da Silva Emídio Thayna, Levatti Tiago, Capelari Marcos, Pastori Cláudio Maldonado, Toledo Gustavo Lopes
Department of Biological Sciences-Anatomy, Bauru School of Dentistry, University of São Paulo-FOB/USP Alameda Octávio Pinheiro Brisola, n° 9-75, Zip Code, 17012-901 Bauru-SP, Brazil.
State University of North Paraná-UENP. Av. Getúlio Vargas, no. 850, Zip Code, 86400-000 Jacarezinho, PR, Brazil.
Case Rep Surg. 2020 Sep 26;2020:8853562. doi: 10.1155/2020/8853562. eCollection 2020.
This report aims at demonstrating the treatment of complex mandibular fracture functional reimplantation of the maxillary alveolar fragment (FRAF), denoting the possibility and feasibility of this reduction with an excellent prognosis. . Patient E.M.S, 25 years old, male, leucoderma, referred to the Emergency Room of our institute. He reported being a victim of physical aggression, occlusal alteration, limitation of mouth opening, sensibility loss in the mentalis region, right infraorbital, and denied visual alteration. On physical examination, during the inspection and palpation, the crackling was observed in the right mandibular region and apical displacement of the maxillary alveolar process, corresponding to elements 13, 14, and 15.
The rigid fixation of the complex jaw fracture and alveolar maxilla process, through functional reduction, indicated satisfactory applicability, and favorable prognosis.
本报告旨在展示复杂下颌骨骨折的治疗方法——上颌牙槽骨碎片功能性再植术(FRAF),表明这种复位方法的可能性和可行性以及极佳的预后。患者E.M.S,25岁,男性,患有白癜风,转诊至我院急诊室。他自述曾遭受人身攻击,存在咬合改变、张口受限、颏部区域、右眶下区感觉丧失,否认视力改变。体格检查时,在检查和触诊过程中,发现右下颌区域有捻发音以及上颌牙槽突根尖移位,对应于13、14和15号牙位。
通过功能性复位对复杂颌骨骨折和上颌牙槽突进行坚固内固定,显示出令人满意的适用性和良好的预后。