Are open mandibular fractures still an emergency?

Details

Serval ID
serval:BIB_0570C040A84E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Are open mandibular fractures still an emergency?
Journal
Revue De Stomatologie, De Chirurgie Maxillo-faciale et De Chirurgie Orale
Author(s)
Zrounba H., Hoarau R., Zweifel D., Lanthemann E., Broome M.
ISSN
2213-6541 (Electronic)
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
116
Number
5
Pages
285-288
Language
english
Abstract
INTRODUCTION: Early surgical management is often advocated for fractures of the tooth-bearing portion of the mandible. A 6-hour delay has been mentioned for the fixation of these fractures. Our aim was to bring this paradigm into question.
METHODS: All patients referred to our department from September 2012 to May 2014 for fractures of the tooth-bearing portion of the mandible were retrospectively included. For each patient, age, gender, aetiology of the fracture, and characteristics of the fractures were recorded. Tobacco and/or alcohol addictions, diabetes and mandibular dental condition were taken into account. We also noticed the preoperative delay and the occurrence of complications such as: haematoma, infection, wound dehiscence, osteosynthesis failure and pseudarthrosis.
RESULTS: Among the 47 patients referred, 36 were treated with a delay of more than 6 hours (76.6%). In 88.8% of the cases, the reason for this delay was unavoidable. The mean delay time from trauma to surgery was 52 hours (range: 7-312). Forty-nine percent of the patients had comorbidities. Complications occurred in 6 patients leading to an overall complication rate of 16.67%. A statistically significant higher complication rate was observed among smokers (P=0.006). No statistical relationship was found between the delay and the occurrence of complications (P=0.994). This study suggests that fractures of the tooth-bearing portion of the mandible should no longer be considered as an emergency that must be treated within a 6-hour delay.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Emergencies/epidemiology, Female, Fracture Fixation, Internal/methods, Fracture Fixation, Internal/statistics & numerical data, Fractures, Open/epidemiology, Fractures, Open/surgery, Humans, Jaw Fixation Techniques/statistics & numerical data, Male, Mandible/surgery, Mandibular Fractures/epidemiology, Mandibular Fractures/surgery, Mandibular Injuries/epidemiology, Mandibular Injuries/surgery, Middle Aged, Retrospective Studies, Young Adult
Pubmed
Web of science
Create date
16/09/2016 21:02
Last modification date
20/01/2021 7:26
Usage data