Management of comminuted but continuous mandible defects after gunshot injuries.

Abstract

INTRODUCTION:

Firearm injuries continue as a major public health problem, contributing significant morbidity, mortality, and expense to our society. There are four main steps in the management of patients with gunshot wounds to the face: securing an airway, controlling haemorrhage, identifying other injuries and definitive repair of the traumatic facial deformities. The objective of this study was to determine late outcome of two treatment options by open reduction and internal fixation versus closed reduction and maxillomandibular fixation (MMF) in the treatment of gunshot injuries of the mandible.

METHODS:

Sixty patients of gunshot injury were randomly allocated in two groups. In group A, 30 patients were treated by open reduction and internal fixation and in group B, 30 patients were treated by closed reduction and maxillomandibular fixation. Patients were discharged as the treatment completed and recalled for follow up. Up to 3 months after injury, fortnightly complications like infection, malocclusion, malunion of fractured fragments, facial asymmetry, sequestration of bone and exposed plates were evaluated and the differences between two groups were assessed. The follow-up period ranged from 3 months to 10 months.

RESULTS:

Patients treated by open reduction tended to have less complications as compared to closed reduction.

CONCLUSION:

Based on this study open reduction and internal fixation is the best available method for the treatment of gunshot mandible fractures without continuity defect.

• Authors: Majeed Rana, Riaz Warraich, Ashkan Rashad, Constantin von See, Kashif A Channar, Madiha Rana, Marcus Stoetzer, Nils-Claudius Gellrich
• Journal: Injury (Injury) Vol. 45 Issue 1 Pg. 206-11 (Jan 2014) ISSN: 1879-0267 [Electronic] Netherlands
• PMID: 23084488 (Publication Type: Journal Article, Randomized Controlled Trial)
• Copyright: Copyright © 2012 Elsevier Ltd. All rights reserved.

Topics

• Adolescent
• Adult
• Bone Plates
• Child
• Female
• Fracture Fixation (methods)
• Fracture Fixation, Internal (methods)
• Fractures, Comminuted (etiology, physiopathology, surgery)
• Humans
• Jaw Fixation Techniques
• Male
• Mandibular Fractures (etiology, physiopathology, surgery)
• Middle Aged
• Pakistan (epidemiology)
• Surgical Wound Infection (prevention & control)
• Treatment Outcome
• Wounds, Gunshot (physiopathology, surgery)