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Oral and Maxillofacial Surgery

, Volume 23, Issue 4, pp 501–505 | Cite as

Treatment of comminutive fractures by firearm projectiles with adapted wrist external fixator

  • Paulo Henrique Rodrigues Carvalho
  • Pedro Henrique da Hora SalesEmail author
  • Suellen Sombra da Rocha
  • Alan Melke Moura Cavalcanti
  • Manoel de Jesus Rodrigues Mello
  • Jose Maria Sampaio Menezes Junior
Case Report
  • 37 Downloads

Abstract

Introduction

Facial and mandibular aggression with gunshot wound (GSW) is highly complex and represents a challenge for the assistant surgical team because in addition to the inherent lethal potential, they have the capacity for destruction and mutilation caused by the high kinetic energy conferred to the firearm projectile. Among these lesions, comminutive mandibular fractures are difficult to treat because the anatomical planes are distorted, soft tissues are in severe disarrangement, and bone fragments are without periosteum, which, if opted for an open treatment, with internal fixation, favor the development of soft tissue infections, osteomyelitis, and suture dehiscence. The treatment of comminuted mandibular fractures with external fixator, widely used during the Second World War, represents a modality of treatment that minimizes the risks of failure, since it allows stabilization of the fractured mandible with minimal aggression to the soft tissues.

Objectives

The objective of this study is to report three cases where surgical procedures were performed to treat comminuted mandible fractures with the adaptation of specific external orthopedic fixator for wrist.

Keywords

Fracture fixation Mandibular fractures External fixators 

Notes

Funding

The financial support was provided by the authors and there was not corporate involvement.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

The patients in this study signed a free and informed consent form in which they authorize the publication of their images or photographs in any type of media with educational purpose, research, and dissemination of scientific knowledge.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Paulo Henrique Rodrigues Carvalho
    • 1
  • Pedro Henrique da Hora Sales
    • 2
    • 3
    Email author
  • Suellen Sombra da Rocha
    • 4
  • Alan Melke Moura Cavalcanti
    • 4
  • Manoel de Jesus Rodrigues Mello
    • 4
  • Jose Maria Sampaio Menezes Junior
    • 1
    • 4
  1. 1.Santa Casa de Misericórdia Hospital of FortalezFortalezaBrazil
  2. 2.Federal University of PernambucoRecifeBrazil
  3. 3.Federal University of Pernambuco, School of DentistryRecifeBrazil
  4. 4.Doc. José Frota InstituteFortalezaBrazil

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