INFECTION AFTER RIGID INTERNAL-FIXATION OF MANDIBULAR FRACTURES - A CLINICAL AND RADIOLOGIC STUDY

被引:126
作者
IIZUKA, T [1 ]
LINDQVIST, C [1 ]
HALLIKAINEN, D [1 ]
PAUKKU, P [1 ]
机构
[1] UNIV HELSINKI,CENT HOSP,DEPT RADIOL,SF-00130 HELSINKI 13,FINLAND
关键词
D O I
10.1016/0278-2391(91)90340-R
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Of 214 patients with mandibular fractures treated following the AO/ASIF principle of rigid fixation, 13 patients (6.1%) developed postoperative infection. The yearly percentage decreased remarkably during the study period. When rigid fixation became a routine method, the infection rate was as low as the corresponding figure for cases treated with nonstable techniques and maxillomandibular fixation (MMF). All but one of the infected fractures were in the angular region of the mandible. Teeth had been extracted from the fracture line in 9 of the 10 dentulous patients. It was concluded that erroneous techniques had been used in almost all infected cases, because compression could not be achieved when there was an irregular fracture line, an atrophic edentulous mandible, or inadequate stability due to removal of a tooth in the line of fracture. In five patients, successful reoperation was performed using a reconstruction plate. Detailed radiologic examination was useful in assessment of infection and in follow-up. © 1991.
引用
收藏
页码:585 / 593
页数:9
相关论文
共 20 条
[2]   STABLE COMPRESSION PLATE FIXATION OF MANDIBULAR FRACTURES [J].
BECKER, R .
BRITISH JOURNAL OF ORAL SURGERY, 1974, 12 (01) :13-23
[3]  
BECKERS HL, 1979, J ORAL SURG, V37, P310
[4]   A RETROSPECTIVE STUDY OF 1,521 MANDIBULAR FRACTURES [J].
BOCHLOGYROS, PN .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1985, 43 (08) :597-599
[5]   FIXATION OF MANDIBULAR FRACTURES - A COMPARATIVE-ANALYSIS OF RIGID INTERNAL-FIXATION AND STANDARD FIXATION TECHNIQUES [J].
DODSON, TB ;
PERROTT, DH ;
KABAN, LB ;
GORDON, NC .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1990, 48 (04) :362-366
[6]  
JAMES RB, 1981, J ORAL SURG, V39, P275
[7]   RIGID FIXATION - A REVIEW OF CONCEPTS AND TREATMENT OF FRACTURES [J].
JONES, JK ;
VANSICKELS, JE .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1988, 65 (01) :13-18
[8]   BONE PLATE FIXATION OF MANDIBULAR FRACTURES [J].
KAHNBERG, KE ;
RIDELL, A .
INTERNATIONAL JOURNAL OF ORAL SURGERY, 1980, 9 (04) :267-273
[9]  
KLOTCH DW, 1985, LARYNGOSCOPE, V95, P1374
[10]   RIGID INTERNAL-FIXATION OF MANDIBULAR FRACTURES - AN ANALYSIS OF 45 PATIENTS TREATED ACCORDING TO THE ASIF METHOD [J].
LINDQVIST, C ;
KONTIO, R ;
PIHAKARI, A ;
SANTAVIRTA, S .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1986, 15 (06) :657-664