ENFOQUE INTRAORAL PARA FRACTURAS DE MANDÍBULA

Abstract

 Mandible fractures are the second most common site of facial fractures, and their treatment has been the most controversial topic in the field of facial fractures. The surgical approach should allow for anatomic reduction and fixation, be repeatable, and result in minimal morbidity. There are numerous possible ways to make the results more predictable. The aim of this work is to describe the intraoral approach to mandible fractures. For this, searches were carried out in the Scielo, Virtual Health Library and PubMed databases, in addition to reference books. In the research, the descriptors "oral surgery", "mandibular fractures" and "dentistry" were used. Intraoral access is performed through a scar-free mucosal incision that does not injure the mandibular marginal nerve and allows visualization and confirmation of the desired occlusion during insertion of plates and screws. However, it should be noted that there may be damage to the mental nerve and that this pathway is contaminated with a risk of infection. In some cases, both access methods are used at the same time. In addition, the intra-oral technique with a percutaneous trocar may have advantages over the conventional extra-oral technique, such as a shorter hospital stay, lower hospital costs, no complications and better aesthetic results compared to the extra-oral technique. In view of what has been presented, we can conclude that patients submitted to the intraoral approach had some advantages over the extraoral approach, however the choice of method is closely related to the surgeon's degree of experience.