The Secondary Treatment for Maxillofacial Fractures after the Unsuccessful Primary Treatment: a Report for 51 Cases
WANG Yue-sen
GUO Zhi-chen
GONG Zhong-cheng
LI Hong
JIANG De-qi
Abstract：Objective To investigate principle and methods of secondary treatment for maxillofacial fractures after the unsuccessful primary treatment.Methods Clinical data of 51 maxillofacial fractures patients with unsuccessful primary treatment was retrospectively analyzed.Results All the 51 patients were transferred to our hospital for the unsuccessful primary treatment, Among the 51 patients, there were 20 patients with postoperative infection, 14 patients with occluding relation disorders, 11 patients with limitation of mouth opening and 6 patients with facial deformity.During the secondary treatment, 39 patients were gotten rid of the primary titanium plates, in whom 21 patients underwent internal fixation with new plates, and 12 patients with old malunion fractures underwent orthognathic surgical correction therapy.After the operation, the 31 patients underwent intermaxillary elastic traction for 2-3 weeks combined with orthodontic and occlusal adjustment treatments, and patients were training in opening and closing mouth regularly.All the 51 patients had good healing of osteotomy segments, in whom 47 patients had satisfied occlusal relationship, masticatory function and face form symmetry after operations;4 patients with general satisfaction for occluding relation and further plastic reconstruction for facial figure;4 patients had poor occluding relation, and postoperative orthodontic treatment or occlusal adjustment treatments were required.After operation, 49 patients were followed-up, in whom 5 patients had moderate limitation of mouth opening in 3 months after surgery;7 patients had nerve injury, and the symptoms disappeared gradually in postoperative 3-6 months.Conclusion Postoperative complications can be treated by getting rid of old plates or performing internal fixation with new plate.Orthognathic surgical correction in treatment of old malunion fractures can achieve good effect, and postoperative complications of complex upper and lower maxillofacial fractures need multiple surgeries to achieve satisfactory effect.
Keywords：Maxillofacial fractureTreatment failureSecondary treatment
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 34-38 )