title: Using pulsatile pressure saline/antibiotic irrigation before reduction and fixation of infected mandibular fractures: literature review and report of two cases.
abstract: The efficacy of pulsatile pressure saline irrigation has been demonstrated in the orthopedic, surgical, and dental literature. However, its use for treating infected mandibular fractures has not been documented. This article reviews the literature concerning pressure irrigation. The pulsatile pressure saline/antibiotic irrigation technique and indications for its use during the treatment of infected mandibular fractures are demonstrated with two case reports. The pulsatile pressure saline/antibiotic irrigation system is a useful adjunct to the standard therapeutic modalities of infection management. It is also useful for managing infected mandibular fractures, especially when open reduction and internal fixation with bone plates have been planned.
authors.affiliation: Department of Oral and Maxillofacial Surgery, New Jersey Dental School, University of Medicine & Dentistry of New Jersey, Newark, USA.
authors.forename: N J
authors.initials: NJ
authors.lastname: Betts
authors.forename: P K
authors.initials: PK
authors.lastname: Cocolis
authors.forename: D
authors.initials: D
authors.lastname: Beanland
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003646:Debridement; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D017759:Fractures, Malunited / Q000601:surgery; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000150:complications / Q000601:surgery*; D011312:Pressure; D012965:Sodium Chloride / Q000008:administration & dosage; D007507:Therapeutic Irrigation / Q000379:methods*; D014946:Wound Infection / Q000188:drug therapy* / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D012965:Sodium Chloride