Management of Isolated Mandibular Body Fractures in Adults
Objective The mandible is the most common fractured craniofacial bone of all craniofacial fractures in the Philippines, with the mandibular body as the most involved segment of all mandibular fractures. To the best of our knowledge, there are no existing guidelines for the diagnosis and...
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2021
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oai:doaj.org-article:5c13a7157a4a404d92615c963ea2e8b62021-12-05T21:32:52ZManagement of Isolated Mandibular Body Fractures in Adults1908-48892094-1501https://doaj.org/article/5c13a7157a4a404d92615c963ea2e8b62021-11-01T00:00:00Zhttps://pjohns.pso-hns.org/index.php/pjohns/article/view/1857https://doaj.org/toc/1908-4889https://doaj.org/toc/2094-1501 Objective The mandible is the most common fractured craniofacial bone of all craniofacial fractures in the Philippines, with the mandibular body as the most involved segment of all mandibular fractures. To the best of our knowledge, there are no existing guidelines for the diagnosis and management of mandibular body fractures in particular. General guidelines include the American Academy of Otolaryngology – Head and Neck Surgery Foundation (AAOHNSF) Resident Manual of Trauma to the Face, Head, and Neck chapter on Mandibular Trauma, the American Association of Oral and Maxillofacial Surgeons (AAOMS) Clinical Practice Guidelines for Oral and Maxillofacial Surgery section on the Mandibular Angle, Body, and Ramus, and a 2013 Cochrane Systematic Review on interventions for the management of mandibular fractures. On the other hand, a very specific Clinical Practice Guideline on the Management of Unilateral Condylar Fracture of the Mandible was published by the Ministry of Health Malaysia in 2005. Addressing the prevalence of mandibular body fractures, and dearth of specific guidelines for its diagnosis and management, this clinical practice guideline focuses on the management of isolated mandibular body fractures in adults. Purpose This guideline is meant for all clinicians (otolaryngologists – head and neck surgeons, as well as primary care and specialist physicians, nurses and nurse practitioners, midwives and community health workers, dentists, and emergency first-responders) who may provide care to adults aged 18 years and above that may present with an acute history and physical and/ or laboratory examination findings that may lead to a diagnosis of isolated mandibular body fracture and its subsequent medical and surgical management, including health promotion and disease prevention. It is applicable in any setting (including urban and rural primary-care, community centers, treatment units, hospital emergency rooms, operating rooms) in which adults with isolated mandibular body fractures would be identified, diagnosed, or managed. Outcomes are functional resolution of isolated mandibular body fractures; achieving premorbid form; avoiding use of context-inappropriate diagnostics and therapeutics; minimizing use of ineffective interventions; avoiding co-morbid infections, conditions, complications and adverse events; minimizing cost; maximizing health-related quality of life of individuals with isolated mandibular body fracture; increasing patient satisfaction; and preventing recurrence in patients and occurrence in others. José Florencio LapeñaJoselito DavidAnn Nuelli Acluba - PauigJehan Grace MaglayaEnrico Micael DonatoFrancis RoasaPhilip FullanteJose Rico AntonioRyan Neil AdanArsenio PascualJennifer de Silva- LeonardoMark Anthony GomezIsaac Cesar De GuzmanVeronica Jane YangaIrlan AlturaDann Joel CaroKaren Mae TyElmo LagoJoy Celyn IgnacioAntonio Mario de CastroPolicarpio JovesAlejandro PinedaEdgardo Jose TanTita CruzEliezer BlanesMario EsquilloEmily Rose DizonJoman LaxamanaFernando AninangMa. Carmela Cecilia LapeñaPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.articleMandibular fracturesjaw fracturesmaxillofacial fracturesclassificationcomplicationshistoryOtorhinolaryngologyRF1-547ENPhilippine Journal of Otolaryngology Head and Neck Surgery (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Mandibular fractures jaw fractures maxillofacial fractures classification complications history Otorhinolaryngology RF1-547 |
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Mandibular fractures jaw fractures maxillofacial fractures classification complications history Otorhinolaryngology RF1-547 José Florencio Lapeña Joselito David Ann Nuelli Acluba - Pauig Jehan Grace Maglaya Enrico Micael Donato Francis Roasa Philip Fullante Jose Rico Antonio Ryan Neil Adan Arsenio Pascual Jennifer de Silva- Leonardo Mark Anthony Gomez Isaac Cesar De Guzman Veronica Jane Yanga Irlan Altura Dann Joel Caro Karen Mae Ty Elmo Lago Joy Celyn Ignacio Antonio Mario de Castro Policarpio Joves Alejandro Pineda Edgardo Jose Tan Tita Cruz Eliezer Blanes Mario Esquillo Emily Rose Dizon Joman Laxamana Fernando Aninang Ma. Carmela Cecilia Lapeña Management of Isolated Mandibular Body Fractures in Adults |
| description |
Objective
The mandible is the most common fractured craniofacial bone of all craniofacial fractures
in the Philippines, with the mandibular body as the most involved segment of all mandibular
fractures. To the best of our knowledge, there are no existing guidelines for the diagnosis and
management of mandibular body fractures in particular. General guidelines include the American
Academy of Otolaryngology – Head and Neck Surgery Foundation (AAOHNSF) Resident Manual
of Trauma to the Face, Head, and Neck chapter on Mandibular Trauma, the American Association
of Oral and Maxillofacial Surgeons (AAOMS) Clinical Practice Guidelines for Oral and Maxillofacial
Surgery section on the Mandibular Angle, Body, and Ramus, and a 2013 Cochrane Systematic
Review on interventions for the management of mandibular fractures. On the other hand, a
very specific Clinical Practice Guideline on the Management of Unilateral Condylar Fracture
of the Mandible was published by the Ministry of Health Malaysia in 2005. Addressing the
prevalence of mandibular body fractures, and dearth of specific guidelines for its diagnosis and
management, this clinical practice guideline focuses on the management of isolated mandibular
body fractures in adults.
Purpose
This guideline is meant for all clinicians (otolaryngologists – head and neck surgeons, as
well as primary care and specialist physicians, nurses and nurse practitioners, midwives and
community health workers, dentists, and emergency first-responders) who may provide care
to adults aged 18 years and above that may present with an acute history and physical and/
or laboratory examination findings that may lead to a diagnosis of isolated mandibular body
fracture and its subsequent medical and surgical management, including health promotion and
disease prevention.
It is applicable in any setting (including urban and rural primary-care, community centers,
treatment units, hospital emergency rooms, operating rooms) in which adults with isolated
mandibular body fractures would be identified, diagnosed, or managed.
Outcomes are functional resolution of isolated mandibular body fractures; achieving
premorbid form; avoiding use of context-inappropriate diagnostics and therapeutics; minimizing
use of ineffective interventions; avoiding co-morbid infections, conditions, complications and
adverse events; minimizing cost; maximizing health-related quality of life of individuals with
isolated mandibular body fracture; increasing patient satisfaction; and preventing recurrence in
patients and occurrence in others.
|
| format |
article |
| author |
José Florencio Lapeña Joselito David Ann Nuelli Acluba - Pauig Jehan Grace Maglaya Enrico Micael Donato Francis Roasa Philip Fullante Jose Rico Antonio Ryan Neil Adan Arsenio Pascual Jennifer de Silva- Leonardo Mark Anthony Gomez Isaac Cesar De Guzman Veronica Jane Yanga Irlan Altura Dann Joel Caro Karen Mae Ty Elmo Lago Joy Celyn Ignacio Antonio Mario de Castro Policarpio Joves Alejandro Pineda Edgardo Jose Tan Tita Cruz Eliezer Blanes Mario Esquillo Emily Rose Dizon Joman Laxamana Fernando Aninang Ma. Carmela Cecilia Lapeña |
| author_facet |
José Florencio Lapeña Joselito David Ann Nuelli Acluba - Pauig Jehan Grace Maglaya Enrico Micael Donato Francis Roasa Philip Fullante Jose Rico Antonio Ryan Neil Adan Arsenio Pascual Jennifer de Silva- Leonardo Mark Anthony Gomez Isaac Cesar De Guzman Veronica Jane Yanga Irlan Altura Dann Joel Caro Karen Mae Ty Elmo Lago Joy Celyn Ignacio Antonio Mario de Castro Policarpio Joves Alejandro Pineda Edgardo Jose Tan Tita Cruz Eliezer Blanes Mario Esquillo Emily Rose Dizon Joman Laxamana Fernando Aninang Ma. Carmela Cecilia Lapeña |
| author_sort |
José Florencio Lapeña |
| title |
Management of Isolated Mandibular Body Fractures in Adults |
| title_short |
Management of Isolated Mandibular Body Fractures in Adults |
| title_full |
Management of Isolated Mandibular Body Fractures in Adults |
| title_fullStr |
Management of Isolated Mandibular Body Fractures in Adults |
| title_full_unstemmed |
Management of Isolated Mandibular Body Fractures in Adults |
| title_sort |
management of isolated mandibular body fractures in adults |
| publisher |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| publishDate |
2021 |
| url |
https://doaj.org/article/5c13a7157a4a404d92615c963ea2e8b6 |
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