Using pulsatile pressure saline/antibiotic irrigation before reduction and fixation of infected mandibular fractures: literature review and report of two cases
Betts, N.J.; Cocolis, P.K.; Beanland, D.
Compendium of Continuing Education in Dentistry 17(9): 871
1996
ISSN/ISBN: 1548-8578 PMID: 9161159 Document Number: 468750
The efficacy of pulsatile pressure saline irrigation has been demonstrated in the orthopedic, surgical, and dental literature. However, its use for treating infected mandibular fractures has not been documented. This article reviews the literature concerning pressure irrigation. The pulsatile pressure saline/antibiotic irrigation technique and indications for its use during the treatment of infected mandibular fractures are demonstrated with two case reports. The pulsatile pressure saline/antibiotic irrigation system is a useful adjunct to the standard therapeutic modalities of infection management. It is also useful for managing infected mandibular fractures, especially when open reduction and internal fixation with bone plates have been planned.