Decade review of mandible XXXX and arch bar impact on outcomes of nonsubcondylar @entity174 .

@entity1 @entity1538 @entity174 @entity3232 @entity281
OBJECTIVES/HYPOTHESIS: Review trends in mandible @entity174 management and outcomes in @entity1 treated with and without intraoperative arch bar use. STUDY DESIGN: Retrospective chart review. METHODS: All @entity1 with mandible @entity174 between October 1, 2001, and October 1, 2011, were reviewed. Excluded were those with concomitant midfacial @entity174 or inadequate follow-up. RESULTS: Overall, 734 @entity1 sustained 1,312 mandible @entity174 . Assault was the most common etiology. The parasymphyseal, subcondylar, and angle regions were most likely fractured. In total, 85% of @entity1 underwent @entity1538 ( @entity1538 ). This overall number had no significant annual deviation. However, use of arch bars to achieve intraoperative maxillomandibular fixation (MMF) with @entity1538 decreased annually, whereas the use of manual reduction with @entity1538 increased annually. These trends held statistical significance. Outcomes were reviewed in @entity1 with one or two nonsubcondylar @entity174 by assessing complications of @entity3232 , @entity281 , and malunion. In 228 @entity1 meeting criteria, the incidence of complications was 12.9% in those treated using intraoperative arch bars with @entity1538 and 12.5% in those using manual reduction with @entity1538 . When assessing individual complications, there was no statistically significant difference. CONCLUSION: Our data suggest a shifting trend in mandible @entity174 management. Our techniques for achieving @entity174 reduction ideal for @entity1538 favors manual reduction over the use of arch bars in select cases. We found no statistical increase in the incidence of complications when using manual reduction with @entity1538 in @entity1 with one and two nonsubcondylar @entity174 . In appropriately selected cases, manual stabilization of fractured segments is an alternative to using arch bars to achieve intraoperative MMF. LEVEL OF EVIDENCE: 4. Laryngoscope, 2015.
