Fractures of mandible: is spontaneous healing possible? Why? When?

The Journal of Craniofacial Surgery
J O Guerrissi

Abstract

Closed and open reduction of fractures of the mandible constitutes an endless debate, and it is interesting that modern times have not brought a conclusion to this controversy. From 1995 to 1997 in the Plastic Surgery Department of Argerich Hospital in Buenos Aires, Argentina, 23 patients were evaluated with different fractures of the mandible in which neither closed nor open reduction was performed. Seventeen patients (74%) presented associated fractures in different areas of the mandible and 6 (26%) only had one fracture; 2 of them (9%) were edentulous. Three (13%) of the 23 patients had more than two fractures in different areas. Condylar fractures were the only lesion in 8 patients (35%), and they were associated with body fractures in another 6 patients (26%). Spontaneous healing of the fractures occurred in all 23 patients. No complications were found in any of them. All fractures presented the following characteristics: 1) Fractured fragments were aligned without displacement (or light displacement), 2) Occlusion was normal (or pretraumatic occlusion), 3) Facial symmetry was maintained, 4) Radiography demonstrated fractures without displacement, 5) Minor edema and hematoma were present in the area of the fracture, and 6)...Continue Reading

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Citations

Nov 29, 2005·Clinical Oral Investigations·Hiroshi MuginoKunio Ikemura
Jul 23, 2002·Journal of the American Geriatrics Society·Benito J FontechaAndy Leist
May 26, 2005·The Journal of Craniofacial Surgery·Forrest S RothChristopher S Hollenbeak
Oct 19, 2011·International Journal of Microbiology·Mircea Radu Mihu, Joshua Daniel Nosanchuk
Aug 24, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Panayiotis A Kyzas
Jul 4, 2009·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Rudolf SeemannClemens Klug
Dec 3, 2003·The Tohoku Journal of Experimental Medicine·Leyla KuntsalYigit Sirin
Oct 31, 2002·Cranio : the Journal of Craniomandibular Practice·Hideto UematsuKazunori Yamaguchi
Feb 9, 2010·Revista do Colégio Brasileiro de Cirurgiões·Antonio Augusto Ferreirinha LeporaceOdilon Victor Porto Denardin

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