Extraoral approach to a bilateral unfavourable mandibular fracture under local anaesthesia: A case report. (19th May 2021)

• Record Type: Journal Article
• Authors: Sindel, Alper; Özalp, Öznur; Bilgin, Busehan
• Is Part Of: Gerodontology. Volume 38:Number 2(2021)
• Page Start: 228
• Page End: 231
• Publication Date: 2021-05-19
• Subjects: atrophic mandible -- extraoral approach -- local anaesthesia -- mandibular fracture; Older people -- Dental care -- Periodicals; 617.60846
• DOI: 10.1111/ger.12517
• Languages: English
• ISSNs: 0734-0664

Abstract

Abstract: Objective: To present a feasible treatment method for fractures of severely atrophic mandibles in high‐risk patients undergoing general anaesthesia (GA). Case report: A 77‐year‐old man presented with bilateral unfavourable fractures in an atrophic mandible. Pre‐anaesthetic consultation revealed that the patient was at high risk for GA due to significant medical comorbid conditions of the patient, such as advanced age, chronic obstructive respiratory disease, diabetes mellitus and atherosclerosis. Thus, a modified treatment, consisting of open reduction and internal fixation using a combination of reconstruction plates and miniplates via an extraoral approach, was planned under local anaesthesia. The patient tolerated the surgical procedure well, without the need for sedation, and uneventful healing was achieved during postoperative period. Conclusion: Local anaesthesia may be considered as the anaesthetic technique of choice when managing atrophic mandible fractures to reduce the risk of complications and shorten the time needed for recovery, especially in elders with significant medical comorbidities.