TITLE:
Clinical Outcome of Conservative Treatment of Displaced Mandibular Fracture in Adults
AUTHORS:
Lipa Bodner, Sigal Amitay, Ben Zion Joshua
KEYWORDS:
Mandible; Jaw Bone; Trauma; Displaced Fracture; Conservative Management
JOURNAL NAME:
Surgical Science,
Vol.4 No.11,
November
26,
2013
ABSTRACT: The article evaluates 12 cases of conservative treatment of
displaced mandibular fractures in adults. Twelve cases of displaced mandibular
fractures treated surgically, either by closed reduction (IMF) or open reduction
internal fixation (ORIF) served as controls. Occlusion, maximal mouth opening,
lateral jaw movements, neurological dysfunction (=sensory deficit), and bone
remodeling were evaluated and scored in both groups, and results were compared.
No significant differences were found between the two groups in all the
evaluated parameters. It is concluded that in certain cases, with displacement
of 2 - 4 mm, where a surgical approach is not feasible, reasonable
spontaneous reduction and bone remodeling can occur. Meticulous follow-up is
mandatory.