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Scoring Mandibular Fractures: A Tool For Staging Diagnosis, Planning Treatment, And Predicting Prognosis.

F. Carinci, L. Arduin, Francesco Pagliaro, I. Zollino, G. Brunelli, R. Cenzi
Published 2009 · Medicine

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BACKGROUND Mandibular fractures (MF) are a daily problem in maxillofacial surgery. A staging system for classifying MF is of paramount importance to plan surgery, to define prognosis, and to exchange information among trauma centers. In this article, a classification for MF is proposed. METHODS The mandible is divided into six sites (symphysis, body, angle, ramus, coronoid, and condyle) and the mandibular nerve divides the alveolar process (i.e., the upper part containing teeth) from the basal bone (placed caudally with respect to the nerve). MF can be summarized using three abbreviations: A = alveolar, B = basal, and C = complete. Consequently, MFs are staged as follows: F in situ = a greenstick fracture; F1 = a single mobile fragment of alveolar or basal bone; F2 = double mobile fractures of the alveolar or basal portion or a single complete separation of the mandibular arch continuity; F3 = a complete double separation of the mandibular arch continuity; F4 = triple or more mandibular arch fragments. To evaluate the suitability of the proposed classification, a retrospective study on a series of 128 patients (and 205 MFs) was performed. Age, gender, stage, clinical diagnosis at admission, type of surgery, and outcome were considered. RESULTS A good correlation between the proposed classification and the studied variables was detected. CONCLUSIONS The new classification is a simple and precise method for staging MF. It can summarize MFs and be used in daily practice. It is our understanding, however, that a multicenter study should be performed before the effectiveness of the proposed classification can be clearly stated.
This paper references
A retrospective analysis of 327 mandibular fractures.
R. Chuong (1983)
Traditional methods vs rigid internal fixation of mandible fractures.
J. Leach (1995)
Jaw fractures in the county of Stockholm (1978-1980) (I). General survey.
L. Andersson (1984)
Plate osteosynthesis of 367 mandibular fractures. The unrestricted indication for the intraoral approach.
J. Raveh (1987)
Prospective Comparison of Panoramic Tomography (Zonography) and Helical Computed Tomography in the Diagnosis and Operative Management of Mandibular Fractures
I. F. Wilson (2001)
A treatment protocol for mandible fractures.
L. Chu (1994)
Antibiotic prophylaxis for facial fractures. A prospective, randomized clinical trial
K. J. Westlund (1988)
Risk Factors for Infection Following Operative Treatment of Mandibular Fractures: A Multivariate Analysis
I. Stone (1993)
Treatment considerations for comminuted mandibular fractures.
E. Ellis (2003)
Fractures of the mandible: a review of 580 cases.
R. Olson (1982)
Antibiotic prophylaxis for facial fractures. A prospective, randomized clinical trial.
R. Chole (1987)
Prospective study of mandibular fractures.
R. B. James (1981)
Prospective study on post-traumatic and postoperative sensory disturbances of the inferior alveolar nerve and infraorbital nerve in mandibular and midfacial fractures.
S. Schultze–Mosgau (1999)
Mandibular fractures in an urban trauma center.
M. J. Busuito (1986)
Condylar fractures of the mandible. I. Classification and relation to age, occlusion, and concomitant injuries of teeth and teeth-supporting structures, and fractures of the mandibular body.
L. Lindahl (1977)
Sensory disturbances associated with rigid internal fixation of mandibular fractures.
T. Iizuka (1991)
Comparison of panoramic and standard radiographs for the diagnosis of mandibular fractures.
G. Chayra (1986)
The epidemiology of mandibular fractures treated at the Toronto general hospital: A review of 246 cases.
A. J. Sojot (2001)
Biomechanics of the facial skeleton.
R. Rudderman (1992)
J. Laidlaw (1967)
[Late results of treatment of mandibular fractures].
L Kryst (1990)
Epidemiology of mandibular fractures treated in a Brazilian level I trauma public hospital in the city of São Paulo, Brazil.
M. Z. Martini (2006)
Subclassification of fractures of the condylar process of the mandible.
R. Loukota (2005)

This paper is referenced by
Pearls of mandibular trauma management.
J. Koshy (2010)
Inferior Alveolar Nerve Injury in Trauma-Induced Mandible Fractures.
Andrew Ban Guan Tay (2015)
Unterkieferfrakturen nach AO-CMF-Trauma-Klassifikation
Carl-Peter Cornelius (2017)
A comparison of panoramic radiography and cone beam computed tomography in the detection of osteosynthesis complications in sheep mandibular angle fractures.
Yiğit Şirin (2019)
The Comprehensive AOCMF Classification System: Midface Fractures - Level 2 Tutorial
C. Kunz (2014)
The Comprehensive AOCMF Classification System: Mandible Fractures-Level 3 Tutorial
C. Cornelius (2014)
Mandibular coronoid fractures: treatment options.
Longduo Shen (2013)
Multidetector CT of Mandibular Fractures, Reductions, and Complications: A Clinically Relevant Primer for the Radiologist.
David Dreizin (2016)
The First AO Classification System for Fractures of the Craniomaxillofacial Skeleton: Rationale, Methodological Background, Developmental Process, and Objectives
L. Audigé (2014)
A Complex Facial Trauma Case with Multiple Mandibular Fractures and Dentoalveolar Injuries
Yeliz Guven (2015)
The Comprehensive AOCMF Classification System: Mandible Fractures- Level 2 Tutorial
C Peter Cornelius (2014)
A retrospective analysis of mandibular trauma radiology dictations
Thomas M. Hagopian (2014)
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