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Mandibular trauma: Secondary problems in reconstruction
Author(s) -
Bone Robert C.,
Davidson Terence M.,
Nahum Alan M.,
Dahlberg Roger
Publication year - 1977
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197706000-00008
Subject(s) - prosthodontist , malunion , medicine , nonunion , surgery , otorhinolaryngology , sine qua non , rehabilitation , general surgery , dentistry , physical therapy , linguistics , philosophy
Cosmetic and functional restoration of the fractured mandible in the great majority of cases is the sine qua non of therapeutic success. Not only must an acceptable low complication rate be obtained, but when present, their complex nature must be understood from the onset. Successful treatment of complications is a multifaceted problem requiring planned, interdisciplinary, often times staged reconstruction. The radiologist and dental prosthodontist make valuable contributions towards the surgeon's ultimate rehabilitation of the patient. A three year experience of 111 mandibular fractures treated on the UCSD Otolaryngology Service is characterized. Sixteen complications nine of which were seen after initial treatment elsewhere provide the focus of this report. Special emphasis is given to the pre‐treatment planning and surgical techniques necessary to correct malunion and nonunion. Particular advantages achieved by the use of osteogenic autogenous marrow, cellulose acetate filters and Vitalliumf (chrome cobalt) trays are detailed.