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Stomatologija 2016; 18 (2): 39-50 285 KB

Management of maxillofacial fractures within three years of empirical findings
Marijus Leketas*, Evelina Vedlugaitė*, Ričardas Kubilius*

Summary

Objectives. To investigate which treatment of maxillofacial fractures is more effective and what type of complications is the most common after observed treatment. The second aim is to explore relationship between treated facial bone fractures and temporomandibular joint (TMJ) pathology.

Material and Methods. Cases with TMJ pathology in Lithuanian University of Health Sciences (LUHS) in the Department of Maxillofacial Surgery (MS) during 2012-2014 were analysed to research the occurrence of TMJ disorders after facial bone fracture treatment. Moreover, the clinical data of patients that were treated in LUHS in the Department of MS during 2012-2014 was collected and analysed.

Results. Male patients had higher fracture ratio (zygomatic and maxillary – 84%, mandibular – 89.72%). Complications occurred in 6% of the patients in a zygomatic and maxillary fractures group, mainly as an infraorbital nerve injury. Closed reduction and indirect fixation were performed for mandibular patients 49.7%. The ratio of complications for mandibular fractures was 6.1%. There were complications in group with the open reduction and direct fixation (24.2%, mostly osteomyelitis), when in the closed reduction and indirect fixation group (42.4%, mostly bone healing complications). There were no patients with TMJ pathology as a complication after facial bone fracture treatment.

Conclusions. Fractures treatment technique differs in all cases because of individual characteristics and treatment variations. In the open reduction and direct fixation group complications occurred in fewer cases than in the closed reduction and indirect fixation group. Well-timed facial bone fracture treatment leads to non-occurrence of TMJ complications.

Key words: fracture fixation, postoperative complications, mandibular fractures, maxillary fractures, zygomatic fractures, temporomandibular joint disorders.

Received: 13 01 2015

Accepted for publishing: 29 06 2016

*Department Maxillofacial Surgery, Lithuanian University of Health Sciences, Lithuania

Address correspondence to Marijus Leketas, Department of Maxillofacial Surgery, Medical Academy, Lithuanian University of Health Sciences, Eivenių g. 2, Kaunas LT-50028, Lithuania.

E-mail address: mleketas@gmail.com



	Baltic Dental and Maxillofacial Journal

June, 2016, Vol. 18, No. 2 CONTENTS SCIENTIFIC ARTICLES Management of maxillofacial fractures within three years of empirical findings Marijus Leketas, Evelina Vedlugaitė, Ričardas Kubilius 39-50 Radiologic features of temporomandibular joint osseous structures in children with juvenile idiopathic arthritis. Cone beam computed tomography study Hadeel Al-Shwaikh, Ilga Urtane, Pertti Pirttiniemi, Paula Pesonen, Zane Krisjane, Iveta Jankovska, Zane Davidsone, Valda Stanevica 51-60 Age and gender influence on oral hygiene among adolescents with fixed orthodontic appliances Ieva Kudirkaite, Kristina Lopatiene, Jurate Zubiene, Kristina Saldunaite 61-65 In vitro color and roughness stability of different temporary restorative materials Egle Mickeviciute, Egle Ivanauskiene, Viktorija Noreikiene 66-72 © 2016 Stomatologija		Stomatologija 2016; 18 (2): 39-50 285 KB Management of maxillofacial fractures within three years of empirical findings Marijus Leketas, Evelina Vedlugaitė, Ričardas Kubilius* Summary Objectives. To investigate which treatment of maxillofacial fractures is more effective and what type of complications is the most common after observed treatment. The second aim is to explore relationship between treated facial bone fractures and temporomandibular joint (TMJ) pathology. Material and Methods. Cases with TMJ pathology in Lithuanian University of Health Sciences (LUHS) in the Department of Maxillofacial Surgery (MS) during 2012-2014 were analysed to research the occurrence of TMJ disorders after facial bone fracture treatment. Moreover, the clinical data of patients that were treated in LUHS in the Department of MS during 2012-2014 was collected and analysed. Results. Male patients had higher fracture ratio (zygomatic and maxillary – 84%, mandibular – 89.72%). Complications occurred in 6% of the patients in a zygomatic and maxillary fractures group, mainly as an infraorbital nerve injury. Closed reduction and indirect fixation were performed for mandibular patients 49.7%. The ratio of complications for mandibular fractures was 6.1%. There were complications in group with the open reduction and direct fixation (24.2%, mostly osteomyelitis), when in the closed reduction and indirect fixation group (42.4%, mostly bone healing complications). There were no patients with TMJ pathology as a complication after facial bone fracture treatment. Conclusions. Fractures treatment technique differs in all cases because of individual characteristics and treatment variations. In the open reduction and direct fixation group complications occurred in fewer cases than in the closed reduction and indirect fixation group. Well-timed facial bone fracture treatment leads to non-occurrence of TMJ complications. Key words: fracture fixation, postoperative complications, mandibular fractures, maxillary fractures, zygomatic fractures, temporomandibular joint disorders. Received: 13 01 2015 Accepted for publishing: 29 06 2016 *Department Maxillofacial Surgery, Lithuanian University of Health Sciences, Lithuania Address correspondence to Marijus Leketas, Department of Maxillofacial Surgery, Medical Academy, Lithuanian University of Health Sciences, Eivenių g. 2, Kaunas LT-50028, Lithuania. E-mail address: mleketas@gmail.com