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Mandibular fracture

机译:下颌骨骨折

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摘要

Introduction: mandibular fractures are often treated by oral and maxillofacial surgery. Objective: conduct a bibliographic review about the anatomical considerations, diagnosis, classification, treatment and complications of mandibular fractures. Methods: a bibliographic review was conducted from July to August 2016. The evaluation included high impact journals from the Web of Sciences (35 journals) and 3 books. The databases MEDLINE, PubMed and SciELO were consulted, using the descriptors "mandibular fracture", " treatment", "epidemiology". Papers written in English were included, preferably if published in the last five years. Of the 120 papers obtained, the study considered 51. Data analysis and integration: anatomical considerations about the mandibular region are a starting point in this topic. Diagnosis is based on interrogation, physical examination and auxiliary diagnostic means. An accurate classification makes it possible to choose the therapy to be used and prevent complications. Conclusions: the bibliographic review permitted to confirm that there exist anatomical reasons for the high incidence of mandibular angle fractures. The first goal of interrogation is to obtain an exact patient history. The regional physical examination should be performed in an orderly, accurate manner. Panoramic radiography is a good choice of diagnostic technique. The first step in developing a treatment plan is to determine the type of lesion so as to provide an appropriate solution based on open and closed techniques, thus avoiding later complications
机译:简介:下颌骨骨折通常通过口腔颌面外科手术治疗。目的:对下颌骨骨折的解剖学考虑,诊断,分类,治疗和并发症进行书目审查。方法:2016年7月至2016年8月进行书目审查。评估包括来自Web of Sciences的高影响力期刊(35种期刊)和3本书。使用描述符“下颌骨骨折”,“治疗”,“流行病学”查阅了MEDLINE,PubMed和SciELO数据库。包括以英语撰写的论文,最好是最近五年发表的论文。在获得的120篇论文中,研究考虑了51个。数据分析和整合:有关下颌骨的解剖学考虑是本主题的起点。诊断基于讯问,身体检查和辅助诊断手段。准确的分类可以选择要使用的疗法并防止并发症。结论:书目审查可以确认存在解剖学原因导致下颌角骨折的高发。询问的首要目标是获得确切的患者病史。区域性体格检查应有序,准确地进行。全景射线照相是诊断技术的不错选择。制定治疗计划的第一步是确定病变的类型,以便根据开放和封闭技术提供适当的解决方案,从而避免以后的并发症

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