Maxillofacial trauma in a pregnant patient: Contemporary management principles with a case report & review of literature

被引:2
作者
Sridharan, Geetha [1 ]
Panneerselvam, Elavenil [1 ]
Ponvel, Keerthana [1 ]
Tarun, Swetha [1 ]
Raja, V. B. Krishna Kumar [1 ]
机构
[1] SRM Dent Coll & Hosp, Dept Oral & Maxillofacial Surg, Ramapuram Campus, Chennai 600089, Tamil Nadu, India
关键词
Trauma; Pregnancy; Foetus; Condyle fracture; NON-OBSTETRIC SURGERY;
D O I
10.1016/j.cjtee.2020.02.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Trauma during pregnancy deserves special attention because of its management objectives, i.e. wellbeing of both pregnant woman and foetus. Maxillofacial trauma directly affects the nutrition of foetus by interfering with the normal functions in a pregnant woman such as mouth opening, mastication and breathing. Hence early restitution of form and function of maxillofacial skeleton is essential. However, the gravid status is associated with numerous anatomical and physiological changes which present with clinical dilemma related to imaging and treatment. A careful scrutiny of the patient's systemic and gestational status is absolutely essential before, during and after instituting any interventional procedures. We present a case of bilateral condyle fracture in a 30-year-old pregnant woman in the third trimester (32 weeks). She was treated with inter maxillary fixation using orthodontic brackets & elastics. After successful restitution of occlusion, the patient was advised aggressive physiotherapy which ensured normal mouth opening. Two weeks later, the patient delivered uneventfully. The patient was followed up at one month and 3 month and demonstrated restitution of normal occlusion, mouth opening and lower facial height. This article aims at analyzing the contemporary principles in management of maxillofacial trauma in a pregnant woman and clarifying the common misconceptions. (C) 2020 Chinese Medical Association. Production and hosting by Elsevier B.V.
引用
收藏
页码:78 / 83
页数:6
相关论文
共 35 条
[1]  
American Academy of Pediatric Dentistry, COUNC CLIN AFF
[2]   Management of Pelvic Injuries in Pregnancy [J].
Amorosa, Louis F. ;
Amorosa, Jennifer Harms ;
Wellman, David S. ;
Lorich, Dean G. ;
Helfet, David L. .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 2013, 44 (03) :301-+
[3]  
Aramanadka C., 2018, J Int Oral Health, V10, P99
[4]   SAFETY OF METRONIDAZOLE IN PREGNANCY - A METAANALYSIS [J].
BURTIN, P ;
TADDIO, A ;
ARIBURNU, O ;
EINARSON, TR ;
KOREN, G .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 172 (02) :525-529
[5]   Comparative Evaluation of the Resin Bonded Arch Bar Versus Conventional Erich Arch Bar For Intermaxillary Fixation [J].
Chandan S. ;
Ramanojam S. .
Journal of Maxillofacial and Oral Surgery, 2010, 9 (3) :231-235
[6]  
Cheek TG, 2002, SHNIDER LEVINSONS AN, P3
[7]  
Cornwall BC, 2018, DENT MANAGEMENT PREG, P75
[8]  
de Jong RH, 1994, LOCAL ANESTHETICS, P345
[9]   Pregnancy, breast-feeding and drugs used in dentistry [J].
Donaldson, Mark ;
Goodchild, Jason H. .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2012, 143 (08) :858-871
[10]  
Fayans Edgar P, 2010, Dent Clin North Am, V54, P697, DOI 10.1016/j.cden.2010.06.010