Abstract
The article evaluates 12 cases of conservative treatment of displaced mandibular fractures in adults. Twelve cases of displaced mandibular fractures treated surgically, either by closed reduction (IMF) or open reduction internal fixation (ORIF) served as controls. Occlusion, maximal mouth opening, lateral jaw movements, neurological dysfunction (=sensory deficit), and bone remodeling were evaluated and scored in both groups, and results were compared. No significant differences were found between the two groups in all the evaluated parameters. It is concluded that in certain cases, with displacement of 2 - 4 mm, where a surgical approach is not feasible, reasonable spontaneous reduction and bone remodeling can occur. Meticulous follow-up is mandatory.
Highlights
Fractures of the mandible are generally treated by closed or open reduction [1]
Open reduction and internal fixation (ORIF) using wires, pins, screws, or plates are among the common methods [4]
The first patient, who was the trigger for the present study, was a 34-year-old psychiatric female patient with a displaced fracture of the mandible, who “refused” to stay at the hospital for surgery
Summary
Fractures of the mandible are generally treated by closed or open reduction [1]. The aim of the treatment is to reduce the displaced fracture and restore proper occlusion and facial contour. The closed reduction methods involve intermaxillary fixation (IMF) using splints, arch bars, or maxillomandibular fixation screws [2,3]. There are several disadvantages with IMF, including: compromised airway, poor oral hygiene, speech difficulties, impaired nutritional intake with weight loss, and disusing atrophy of the masticatory muscles. Open reduction and internal fixation (ORIF) using wires, pins, screws, or plates are among the common methods [4]. ORIF, by allowing immediate mobilization of the mandible, has won increasing acceptance as the method for treatment of mandibular fractures [5]
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