Abstract
Cases of mandibular fracture resulting from extraction are rare, as long as intraoperative surgical concepts are used and post-surgical recommendations have been strictly followed. The theme is intended to explore jaw fixation techniques, especially the Champy technique. The objective of this article is to report a case of osteosynthesis of a mandible fracture following extraction of an impacted third molar. As a methodology, this article uses the case report of a female patient, 43 years old, who sought the urgent and emergency service in oral and maxillofacial traumatology, with a report of tooth extraction of tooth 48, approximately a week ago, without improvement in symptoms. It is possible to say that Champy's technique is based on the use of a single plate in the tension zone, which would be the region in which the fractured stumps tend to move away, creating difficulty in decreasing. The Champy technique has the great advantage of enabling intraoral access in the oblique line area, with rapid installation of a plate, reducing and stabilizing the fracture, contributing to bone repair. It is important to consider that the Champy technique is efficient and has considerable levels of success, as long as the procedure is carried out in the recommended manner, as shown in this case report.
References
BELLOTI NETO, O.; LOPES, M. F.; MANDARINO, S. C. A. Tratamento de fratura mandibular pela técnica de Champy: relato de caso. Braz. J. Surg. Clin. Res, v. 24, n. 3, p. 101-104, 2018.
BOHLULI, B. et al. Treatment of mandibular angle fracture: Revision of the basic principles. Chin J Traumatol., v. 22, n. 2, p. 117-119, 2019
FARIAS, J.G. et al. Prevalência de dentes inclusos em pacientes atendidos na disciplina de cirurgia do curso de odontologia da Universidade Estadual de Feira de Santana. Pesq Bras Odontoped Clin Integr. Jul.-Dez; v.3, n.2: p.15-
2003.
FLANDES, M. P.; Dias, L. B. G. M.; Junior, W. P. Fratura de mandíbula – relato de caso. Revista de Odontologia da Universidade Cidade de São Paulo, v. 31, n. 2: p. 205-212. 2019.
FRANCK, F. C. et al. Meios de fixação mais utilizados em fraturas de ângulo mandibular. Revista Científica da FHO/UNIARARAS; v.2, n.1: p.25-32. 2014.
LEE, Y. et al. Relationship between mandible fractures and third molars. Archives of craniofacial surgery, v. 20, n. 6, p: 376. 2019.
MONNAZZI, M. S. et al. Mandibular angle fractures: a comparative study between one‐and two‐plate fixation. Dental Traumatology, v. 33, n. 2, p. 121-125, 2017.
OLIVEIRA, C. C. M. X. et al. Fratura de mandíbula durante exodontia de terceiro molar inferior incluso: relato de caso. Rev. Cir. Traumatol. Buco- Maxilo-Fac.; v.13, n.4: p.15-20. 2013.
PATEL, N.; KIM, B.; ZAID, W. A detailed analysis of mandibular angle fractures: Epidemiology, patterns, treatments, and outcomes. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, v. 74, n. 9, p. 1792–1799, 2016.
PEREIRA, M. D. et al. Perfil Epidemiológico de Fraturas Mandibulares Tratadas na Universidade Federal de São Paulo – Escola Paulista de Medicina. Revista Associação Medicina Brasileira, v.50, n.4, p.417-421. 2011.
POGREL, M. A. et al. Cirurgia Bucomaxilofacial. Rio de Janeiro: Guanabara Koogan, 2016.
RIBEIRO, C. et al. Estudo da prevalência de fraturas mandibulares em Joinville-SC. Revista Cirurgia Traumatologia Buco-Maxilo-Facial. Camaragibe v.12, n.3, p. 79-84, jul./set. 2012.
SAITO, D. M.; MURR, A. H. Internal fixation of mandibular angle fractures with the Champy technique. Operative Techniques in Otolaryngology-Head and Neck Surgery, v. 19, n. 2, p. 123-127, 2008.
SAKONG, Y.; KIM, Y.-H.; CHUNG, K. J. Analysis of complication in mandibular angle fracture: Champy technique versus rigid fixation: Champy technique versus rigid fixation. The journal of craniofacial surgery, v. 32, n. 8, p. 2732–2735, 2021.
SANTOS, S. E.; MOREIRA, R. W. F.; ARAÚJO, M. M. Fratura de ângulo mandibular após tentativa de exodontia de 3o molar incluso: relato de um caso. Rev. cir. traumatol.buco-maxilo-fac, 2009.
WULKAN, et al. Epidemiologia do Trauma Facial. Revista Associação Medicina Brasileira, v. 51, n. 5, p.290-295, 2005.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Wesley Jonas Barros vasconcelos Jonas