A comparative evaluation of different treatment modalities for parasymphysis fractures: a pilot study

Saluja, Harish; Kini, Yogesh; Mahindra, Uma; Kharkar, Viraj; Rudagi, B. M.; Dehane, Vipin

doi:10.1016/j.ijom.2012.05.007

Cited by 18 publications

(17 citation statements)

References 20 publications

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“…Titanium plate osteosynthesis for facial fracture treatment has gained popularity worldwide and is the gold standard. [38394041] In resource challenged environment however, adopting this trend has been quite difficult owing to the low socioeconomic status of our patients, high cost of acquisition, specialized training and skilled needed, and limited theater space for treatment under general anesthesia especially with other competing surgical specialties. [54243] However, a recent review by Akadiri and Omitola[44] demonstrated that despite the drawbacks of closed reduction results obtained are satisfactory and quite comparable with titanium plate osteosynthesis of ORIF.…”

Section: Discussionmentioning

confidence: 99%

Facial fracture management in Northwest Nigeria

Taiwo

Soyele

Godwin

et al. 2013

J Surg Tech Case Report

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Background:Facial fracture is gradually become a public health problem in our community due to the attendant morbidity and mortality. Hence, the aim of this study was to determine the pattern of facial fracture in Dental and Maxillofacial Surgery Department of Usmanu Danfodiyo University Teaching Hospital. This cross-sectional study was undertaken to provide information regarding gender, age, etiology, and diagnosis of patients with maxillofacial fractures.Materials and Methods:A 1-year review of patients diagnosed and treated for facial fractures in Usmanu Danfodiyo University Teaching Hospital between January 2011 and December 2011. The diagnosis was based on radiographic data and clinical examination. The main analysis outcome measures were etiology, age, gender, site, and treatment. Data were organized and presented by means of descriptive statistics and Pearson's Chi-square test. The level of significance adopted was 5%.Results:A total of 40 patients were treated in this period. Over 95% were male, 81% were caused by road traffic crash (RTC) and 86.4% were in the 21-30 years group. Most patients (52%) had mandibular fractures, and the most common site was the body. Most patients with midfacial fractures had fractures of the zygomaticomaxillary region (36%), while fractures of the parasymphyseal region were more common in the mandible 156 (31%). The most common treatment for jaw fractures was mandibulomaxillary fixation (MMF). Stable zygomatic complex fractures were reduced (elevated) intraorally, and unstable ones were supported by antral packs.Conclusions:This study highlights facial fractures secondary to RTC as a serious public health problem in our environment. Preventive strategies remain the cheapest way to reduce direct and indirect costs of the sequelae of RTC. It also bring to the fore the necessity to shift to open reduction and internal fixation (ORIF) of fractures.

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Section: Discussionmentioning

confidence: 99%

Facial fracture management in Northwest Nigeria

Taiwo

Soyele

Godwin

et al. 2013

J Surg Tech Case Report

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“…concluded single mini titanium plates are an easy to use alternative to conventional mini plates but contraindicated its use in fractures with less inter fragmentary bone contact [23,[25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

The Use of Double Y - Shaped versus Conventional Titanum Miniplates in Fixation of Anterior Mandibular Fractures

2016

IJSR

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Introduction:Anterior mandibular fracture rated between 23% to 36% of mandibular fracture, it anatomical location and muscle insertion can effect the frequents involvement.Objectives:This work aims at Compare clinically and radiographicallythe use of double Y-shaped titanium mini plate versus 2 straight titanium mini plates in treatment of anterior fracture of the mandible.Material and methods:A prospective study was conducted on a total number of 14 adult patients, who are suffering from mandibular fractures including (Symphyseal and parasymphyseal fractures), indicated for open reduction and internal fixation. the fracture was exposed throw trans oral vestibular incision and reduced under general anesthesia, temporarilymaxillomandibular fixation was done using 26 gauge stainless steel wires with arch bar, one double Y shaped mini plated fixed by 6 screws for group A, and 2 conventional mini plates fixed by 8 to 10 screws for group B.Results: Pain, edema and trismus decreased gradually through the follow up period , state of occlusion , condition of the teeth at fracture line, surgical wound healing was perfect at all cases and sensory nerve function one patient had parathesia in first month, decreased throw the follow up time, maximum interincisal mouth opening increased significantly throw the period. Postopertive panorama and cone beam CT showed the adequate reduction and bine healing on fracture line. There was no postoperative complication occurred.Conclusion:It has been shown that double Y-shaped mini plates have same stabilization due to it's configuration as conventional mini plates in fixation of simple anterior mandibular fractures.

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“…Open reduction and internal fixation (ORIF) is one of the treatments of choice (1-3). Maxillomandibular fixation (MMF) is usually performed during surgery (2-5). Recently, an arch bar was reconsidered as a means of providing additional stability to internal fixation in anterior mandibular fractures (1, 5).…”

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confidence: 99%

“…Maxillomandibular fixation (MMF) is usually performed during surgery (2-5). Recently, an arch bar was reconsidered as a means of providing additional stability to internal fixation in anterior mandibular fractures (1, 5). The arch bar needs to be secured to the dental arch spanning the fracture line at the same time as anatomical reduction and achieving proper occlusion.…”

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confidence: 99%

“…Then, maxillomandibular fixation (MMF) is performed with three wires in the anterior and molar regions. Internal fixation is principally performed using two miniplates in the symphyseal region or one miniplate in the region posterior to the mental foramen along Champy’s ideal osteosynthesis line against tensile and torsional forces (5, 6). After the release of MMF, occlusion and mandibular movement is checked.…”

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confidence: 99%

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