title: Open-packing method for the severely comminuted fractured mandible due to missile injury.
abstract: A new approach is introduced to treat a severely comminuted fractured mandible due to missile injury, whereby denuded bony pieces are re-incorporated into the defect. These are then immobilized by open-packing with iodoform ribbon gauze. The pack is changed regularly every 10-14 days until the cavity is completely obliterated with healthy granulation tissue by which time the mandible shows good consolidation with re-alignment of all displaced bony fragments. The method is simple, safe, does not need an expert surgeon and avoids the need for a future bone graft. Iodoform packs were used in different sites of the facial skeleton and none of our patients showed signs of sensitivity to iodoform or to iodine toxicity.
authors.forename: A
authors.initials: A
authors.lastname: al Shawi
mesh_terms: D000328:Adult; D005593:Fracture Fixation, Internal / Q000379:methods; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D006847:Hydrocarbons, Iodinated; D008337:Mandibular Fractures / Q000601:surgery*; D008875:Middle Aged; D009779:Occlusive Dressings; D014948:Wounds, Gunshot / Q000601:surgery*
chemical_list: D006847:Hydrocarbons, Iodinated; C010473:iodoform