Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case Report
The secondary treatment of mandibular bone fractures poses a great challenge due to the complexity of several factors, such as incorrect primary fracture repositioning, inadequate internal fixation, nonunion, necrosis, local inflammation and infection, tooth loss, and malocclusion, serving as obstac...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Reports |
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| Online Access: | https://www.mdpi.com/2571-841X/6/2/27 |
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| author | Paweł Piotr Grab Aldona Chloupek Jakub Nowocień Maciej Jagielak Dariusz Jurkiewicz |
| author_facet | Paweł Piotr Grab Aldona Chloupek Jakub Nowocień Maciej Jagielak Dariusz Jurkiewicz |
| author_sort | Paweł Piotr Grab |
| collection | DOAJ |
| description | The secondary treatment of mandibular bone fractures poses a great challenge due to the complexity of several factors, such as incorrect primary fracture repositioning, inadequate internal fixation, nonunion, necrosis, local inflammation and infection, tooth loss, and malocclusion, serving as obstacles encountered by surgical teams. The aim of this case report is to detail the planning process, surgical technique, and outcome of the secondary treatment of the post-traumatic deformation, bone exposure, and partial necrosis of the mandible. The new approach described herein incorporated 3D planning and printing procedures, employing surgical techniques such as the segmentation of the mandible with unilateral sagittal split osteotomy and the vertical osteotomy of the mandibular body. New, stable occlusion; appropriate spatial relations; and proper osteosynthesis of the mandible were achieved. The encouraging results obtained demonstrate that the described method can be incorporated in similar cases of the secondary treatment of mandibular fractures and possibly lead to shorter hospitalization and convalescence and lower the associated costs. |
| first_indexed | 2024-03-11T01:58:31Z |
| format | Article |
| id | doaj.art-f62e4474ec1f4c17b3dc90532dc8d468 |
| institution | Directory Open Access Journal |
| issn | 2571-841X |
| language | English |
| last_indexed | 2024-03-11T01:58:31Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Reports |
| spelling | doaj.art-f62e4474ec1f4c17b3dc90532dc8d4682023-11-18T12:28:07ZengMDPI AGReports2571-841X2023-06-01622710.3390/reports6020027Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case ReportPaweł Piotr Grab0Aldona Chloupek1Jakub Nowocień2Maciej Jagielak3Dariusz Jurkiewicz4Clinical Department of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine—National Research Institute, Szaserów 128, 04-141 Warsaw, PolandClinical Department of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine—National Research Institute, Szaserów 128, 04-141 Warsaw, PolandClinical Department of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine—National Research Institute, Szaserów 128, 04-141 Warsaw, PolandClinical Department of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine—National Research Institute, Szaserów 128, 04-141 Warsaw, PolandClinical Department of Otolaryngology, Military Institute of Medicine—National Research Institute, Szaserów 128, 04-141 Warsaw, PolandThe secondary treatment of mandibular bone fractures poses a great challenge due to the complexity of several factors, such as incorrect primary fracture repositioning, inadequate internal fixation, nonunion, necrosis, local inflammation and infection, tooth loss, and malocclusion, serving as obstacles encountered by surgical teams. The aim of this case report is to detail the planning process, surgical technique, and outcome of the secondary treatment of the post-traumatic deformation, bone exposure, and partial necrosis of the mandible. The new approach described herein incorporated 3D planning and printing procedures, employing surgical techniques such as the segmentation of the mandible with unilateral sagittal split osteotomy and the vertical osteotomy of the mandibular body. New, stable occlusion; appropriate spatial relations; and proper osteosynthesis of the mandible were achieved. The encouraging results obtained demonstrate that the described method can be incorporated in similar cases of the secondary treatment of mandibular fractures and possibly lead to shorter hospitalization and convalescence and lower the associated costs.https://www.mdpi.com/2571-841X/6/2/273D printingsagittal split osteotomymandible fracturesecondary reconstructive surgerycase report |
| spellingShingle | Paweł Piotr Grab Aldona Chloupek Jakub Nowocień Maciej Jagielak Dariusz Jurkiewicz Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case Report Reports 3D printing sagittal split osteotomy mandible fracture secondary reconstructive surgery case report |
| title | Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case Report |
| title_full | Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case Report |
| title_fullStr | Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case Report |
| title_full_unstemmed | Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case Report |
| title_short | Secondary Treatment of Mandibular Bone Fracture Using Sagittal Split Osteotomy and Segmentation of the Mandible: A Case Report |
| title_sort | secondary treatment of mandibular bone fracture using sagittal split osteotomy and segmentation of the mandible a case report |
| topic | 3D printing sagittal split osteotomy mandible fracture secondary reconstructive surgery case report |
| url | https://www.mdpi.com/2571-841X/6/2/27 |
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