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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2010, Number 2

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Rev Mex Cir Bucal Maxilofac 2010; 6 (2)

Research report of five cases of treatment of the mandibular parasymphyseal fracture with Michelet-Champy system under local anesthesia

López HCM, Miranda VJE

Language: Spanish
References: 23
Page: 51-56
PDF size: 524.49 Kb.


ABSTRACT

Internal reduction with open fixation is the standard of the surgical management for the lower third facial trauma, our goal is to evaluate the possibility of these surgical treatment under local anesthesia like an ambulatory major surgical procedure protocol. This paper presents the surgical treatment with the Michelet-Champy technique for open reduction and internal fixation in 5 patients with unilateral mandibular parasymphyseal fracture, using a mandibular vestibular approach in combination with surgical treatment under local anesthesia like an ambulatory major surgical procedure protocol in the Maxillofacial Surgery Service of the Hospital Regional «General Ignacio Zaragoza» Institute of Social Security and Services for State Workers practiced from March 1st of 2008 to May 1st of 2009 which allows the reduction of segments fracture by an ambulatory way avoiding the risks that are associated with general anesthesia procedure.


REFERENCES

  1. Ochs M, Tucker MR. Current concepts in management of facial trauma. J Oral Maxillofac Surg 1993; 51 (Suppl 1): 42-55.

  2. Ellis E. Rigid fixation of fractures. J Oral Maxillofac Surg 1993; 51: 163-173.

  3. Luhr HG. Zur stabilen ostéosynthèse bei unterkieferfrakturen. Dtsch Zahnarztl Z 1968; 23: 754.

  4. Spiessl B. Principles of rigid fixation in fractures of the lower jaw. In: Spiessl B (ed): New Concepts in Maxillofacial Bone Surgery. Berlin, Germany, Springer-Verlag, 1976: I.

  5. Korkmaz HH. Evaluation of different miniplates in fixation of fractured human mandible with the finite element method. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: e1, 2007.

  6. Champy M, Loddé JP, Schmitt R et al. Mandibular osteosynthesis by miniature screwed plates via buccal approach. J Maxilofac Sur 1978; 6: 14.

  7. Michelet FX, Deymes J, Dessus B. Osteosynthesis with miniaturized screwed plates in maxillofacial surgery. J Maxillofac Surg 1973; 1: 79.

  8. Champy M, Lodde JP, Jaeger JH et al. Mandibular osteosynthesis according to Michelet technique. I. Biomechanical basis. II. Presentation of new material. Rev Stomatol Chir Maxillofac 1976; 77: 568.

  9. Champy M, Lodde JP. Mandibular synthesis. Placement of the synthesis as a function of mandibular stress. Rev Stomatol Chir Maxillofac 1976; 77: 971.

  10. Ellis E. The internal fixation of fractures: Historical perspectives. In: Tucker MR, Terry BC, White RP et al. Rigid Fixation for Maxillofacial Surgery. Philadelphia, PA, Lippincott: 1991: 3-29.

  11. Ellis E III, Zide MF. Mandibular vestibular approach: Submandibular approach and retromandibular approach. In: Ellis E III, Zide MF (eds): Surgical Approaches to the Facial Skeleton (ed 1). Philadelphia, PA, Williams & Wilkins, 1995: 109-153.

  12. Ellis E III. Treatment methods for fractures of the mandibular angle. Int J Oral Maxillofac Surg 1999; 28: 243.

  13. Fordyce AM, Lalani Z, Songra AK et al. intermaxillary fixation is not usually necessary to reduce mandibular fractures. Br J Oral Maxillofac Surg 1999; 37: 52.

  14. Prein J. Manual of Internal Fixation in the craniofacial skeleton. Berlin, Germany, Springer-Verlag, 1998.

  15. Gabrielli MA, Gabrielli MF, Marcantonio E, Hocbuli-Vieira E. Fixation of mandibular fractures with 2.0-mm miniplates: Review of 191 cases. J Maxillofac Surg 2003; 60: 430-436.

  16. Transoral osteosynthesis at the mandibular ramus and subcondyle using angular screwing instrument and biodegradable miniplate system. Journal of Oral and Maxillofacial Surgery 2004; 62 (8): 1041-1043.

  17. Meyer C, Trost O, Wilk A. Notre expérience du traitement chirurgical des fractures de la région condylienne. Rev Stomatol Chir Maxfac 2005; 106: 1S, 55.

  18. Siddiqui A, Markose G, Moss KF et al. One miniplate versus two in management of mandibular angle fractures: A prospective randomized study. Br J Oral Maxillofac Surg 2007; 45: 223.

  19. Kroon F. The use of miniplates in mandibular fractures. An in-vitro study. J Cranio-Maxillo-Facial Surg 1991; 19: 199.

  20. Anesthesia Patients Foundation. American Society of Anesthesiologists. APSF Newletter, Il: ASA 2000: 480-510.

  21. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg. J Dermatol Surg Oncol 1990; 16: 248-63.

  22. Ditkoff BA, Chabot J, Feind C, Lo Gerfo P. Parathyroid surgery using monitored anesthesia care as an alternative to general anesthesia. Am J Surg 1996; 172: 698-700.

  23. Koeppe T, Constantinescu MA, Schneider J, Gubisch W. Current trends in local anesthesia in cosmetic plastic surgery of the head and neck: Results of a German national survey and observations on the use of ropivacaine. Plast Reconstr Surg 2005; 115 (6): 1723-30.




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