An alternative method in mandibular fracture treatment: bone graft use instead of a plate.
In the treatment of the mandibular fractures, one of the main principles is to use the least amount of foreign material. We present an alternative technique that the bone grafts harvested from the fracture borders or from the iliac crest were used instead of plates and the fixation was done with screws. In the study including 24 mandible fractures, the bone grafts harvested from the fracture borders were used in the 10 favorable fractures and the bone grafts harvested from the iliac crest were used in the 14 unfavorable fractures. In the combined mandible fractures, four fractures were fixated with titanium plates and the other side with the bone graft. The patients, who were followed up for 12 to 20 months, were evaluated with macroscopic occlusion, panoramic graphs, and three-dimensional computerized tomographs. The advantage of this technique of fixation with the autogenous tissue is reduced infection rates and reduced operation costs. In the pediatric patients, the second session operation of plate removal is not necessary.
Alagöz
Murat Sahin
MS
Department of Plastic and Reconstructive Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey. sahinalagoz@hotmail.com
Uysal
Ahmet Cagri
AC
Sensoz
Omer
O
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods* / Q000473:pathology; D002648:Child; D017046:Cost Savings; D003766:Dental Occlusion; D020878:Device Removal / Q000191:economics; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D017721:Hospital Costs; D006801:Humans; D021621:Imaging, Three-Dimensional; D019248:Jaw Fixation Techniques; D008297:Male; D008337:Mandibular Fractures / Q000145:classification / Q000191:economics / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D011862:Radiography, Panoramic; D013530:Surgical Wound Infection / Q000517:prevention & control; D020858:Tissue and Organ Harvesting / Q000379:methods; D014025:Titanium; D014057:Tomography, X-Ray Computed
D014025:Titanium