ABSTRACT… Objectives: To compare the outcome of treatment of mandibular angle fracture by using intra oral, vs. transbuccal approaches in terms of complications. Setting: Design: Randomized controlled trail. Subject and Methods: 180 patients consuming bilateral mandible angle fracture were involved in this study. 90 randomly allocated patients were managed with transbuccal approach and 90 managed by intra oral approach. Follow up was continued for each patient after every one week for 8 weeks. Results: The average age of the patients was 35.09±5.96 years. Rate of infection, malocclusion, scar formation, facial nerve injury and non-union was significantly low in transbuccal approach as compare to intra oral approach. Conclusion: In conclusion, transbuccal approach was preferred over the intra oral approach due to easy usage, negligible requirement for plate twisting, and enablement of plate engagement in the neutral mid-point zone.Article Citation: Kumar A, Shah SFH, Ali MH, Hassan SG. Mandibular angle fracture; comparison of complication rates of intra oral and transbuccal approach.
Objective: To compare the frequency of the recovery of infraorbital nerve injuryfollowing zygomatic complex fracture management with open reduction and close reduction.Study Design: Randomized controlled trail study. Setting: Oral & Maxillofacial SurgeryDepartment of Dentistry, Liaquat University Hospital, Jamshoro. Period: From 17th October2015 to 16th October 2016. Material and Methods: Total 168 patients with zygomatic complexfracture with infraorbital nerve injury were included and equally divided in Close (Group-A)and Open (Group-B) reduction. Neurosensory evaluation was done. The areas were examinedbilaterally anterior cheek, lateral side of the nose and upper lip. After 24 weeks if two successivepositive responses were obtain then result was called recovery. Descriptive statistics wereapplied. Stratification was done using Chi square test. Results: The mean duration of fracture ingroup A was 21.41±9.81 hours while in group B it was 20.65±9.11 hours. The assessment after24 weeks showed better results in Group B as compared with Group A. Recovery of infraorbitalnerve injury was observed 13.1% in group A and 94% in group B. Conclusion: The frequencyof recovery is high with open reduction as compared to closed reduction.
Objectives: To analyze the pattern and presentation of frontal bone fractures at tertiary care hospital. Setting & Period: Department of Oral & Maxillofacial Surgery & Neurosurgery Liaquat University hospital Hyderabad. Study was conducted from 2012 to 2017. Study Design: Prospective study. Methodology: 62 patients of frontal bone fractures with age range of 21 to 60 years. Clinical diagnosis was done by plain radiograph PA view of face and 3D CT scan of face. The parameters used to classify the patients were age and sex, etiology and site of trauma, presence of associated craniomaxillofacial fractures. Results: Males were involved more than females. Peak age range was found between 31 to 40 years (50%) followed by 41 to 50 years (26.92%). RTA was the most common etiological factor involved followed by assault. Fractures of anterior table were most frequently seen (59.61%). Most frequently associated craniomaxillofacial involved was naso-orbito ethmoid fracture. Conclusion: This study concludes that RTA is the most contributing factor of frontal bone fracture. Fractures involving anterior table fracture are frequently seen, these fractures rarely occur in isolation and mostly seen with NOE type of craniomaxillifacial trauma.
Background/Objective: Glioblastomas are among the commonest primary brain cancers. This study aimed to assess the trend shift of high-grade glioma in our setting among the young and pediatric population. Materials and Methods: This is a descriptive and cross-sectional study; it was carried out at the Department of Neurosurgery, Liaquat University of Medical and Health Sciences, between duration. All cases with suspected brain tumors, irrespective of age or gender were assessed for glioblastoma. Once a solid tumor was identified on imaging with consistent features of glioblastoma, a provisional diagnosis was established. After that, the patient underwent a brain biopsy. Patients' gender, demographics, clinical presentation, radiologic records, etc. were collected in a predefined proforma. Results: 22 patients were diagnosed with glioblastoma with a high frequency of patients between the age range of 20 to 30 years. The most common location of the tumor was subcortical near the midline. There was slight male predominance. 8 patients had levels of KPS at presentation < 70 and among those two were infants, four were in a vegetative state, and two had a loss of consciousness secondary to increased intracranial pressure. The recurrence rate among those who came back for follow-ups was 27.2%. Conclusion: Though it is a short study with short follow-up results were astonishing due to perhaps trend shift among Glioblastoma patients, a further detailed workup is needed in different dimensions especially molecular level and genetics to know exactly about the disease and the national registry should be carried and alarmed to identify the problem at once, counter effectively and make a future strategy.
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