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Evaluation of Timing of Mandible Fracture Repair in Trauma Patients: A Single Institution Review
Dylan Childs MD, Craig Kornbau MD, Truong Ma MD, Douglas Wagner MD
Summa/Akron City Hospital
2017-02-20
Presenter: Dylan Childs MD
Affidavit:
This has not been published or presented at any meeting or Journal
Director Name: Douglas Wagner
Author Category: Fellow Plastic Surgery
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Background:
A common injury in trauma patients is fracture of the mandible. The timing of repair is not fully elucidated in the literature. However, complications such as malunion, malnutrition, infection, hardware removal, and malocclusion all contribute to patient morbidity.
Methods:
This was a retrospective chart review of all mandible fractures occurring at our institution over a five year period (2010-2015). Type of fracture, mechanism of injury, type of repair, Injury severity score (ISS), time to repair, and smoking status were evaluated.
Results:
151 patients were identified. 8 patients were lost to follow up, 8 patients died due to injuries, 39 patients were treated non-operatively. 96 patients had an intervention with 85 receiving ORIF with or without fixation and 11 receiving only maxillo-mandibular fixation (MMF). Repair took place on average 6.7 days after injury.18 patients required revision surgery they were repaired on average on post trauma day 4.
Conclusions:
Our results show that morbidity with mandible fracture is not affected by timing.
