A Comparative Study between ORIF and ORIF with Mandibulomaxillary Fixation in Unfavourable Mandible Fractures
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2018, Vol 26, Issue 1
Abstract
Introduction This study aims to evaluate the efficacy of open reduction and the combination of open reduction with mandibulomaxillary fixation (MMF) in cases of unfavourable mandible fractures. Materials and Methods This is a prospective study carried out from 2010 to 2015 on 60 patients with mandible fracture attending the Dept. of ENT. The diagnosis and classification of mandible fracture into favourable and unfavourable types were done on the basis of clinical and CT faciomaxillary findings. The outcomes were assessed by comparing the preoperative and postoperative occlusion, mouth opening and symmetry of mandibular ramus. Patients with favourable mandible fractures were excluded from the study. Results We found that out of 60 patients, 40 cases were of the unfavourable type. ORIF with MMF gave better outcome compared to ORIF alone. The data were statistically analysed using Z score and P value. Conclusion Initial assessment of mandible fractures into favourable and unfavourable category plays a significant role in planning the management. Management of unfavourable mandible fractures with ORIF and MMF gives functionally and aesthetically better results as compared to ORIF alone.
Authors and Affiliations
Kripamoy Nath, Rudra Prakash, Bapan Devnath, Avinava Ghosh
Keywords
Related Articles
- EP ID EP433987
- DOI -
- Views 66
- Downloads 0
A CASE OF ORAL MUCOSAL MALIGNANT MELANOMA IN DISGUISE OF CERVICAL METASTATIC LYPMHADENOPATHY WITH APPARENTLY UNKNOWN PRIMARY.
Introduction: Primary malignant melanoma of the oral cavity is a rare neoplasm. The tumors tend to metastasize or locally invade tissue more readily than other malignant tumors in the oral region.Case Report: A 55 year o...
Intratympanic Methylprednisolone Injection as First Line Therapy for Idiopathic Sudden Sensorineural Hearing Loss
IntroductionSteroid therapy is considered to be the gold standard for sudden sensorineural hearing loss (SSNHL). Delivering steroids by intratympanic injection is more efficient than systemic injections with minimum or n...
A Comparative Study on Laryngeal Aerodynamics in Dysarthrophonic versus Normophonic Male Subjects
IntroductionDysarthria is a motor speech disorder. It occurs due to paralysis, weakness, or incoordination of the speech musculature. The authors with this study want to enrich clinical understanding of the difference o...
Vertigo, can it be redefined?
Background & Objectives- Vertigo, a clinical symptom complex is not infrequent in our patients. Its diagnosis too is controversial. Majority of these cases run from hospital to clinics, some times to Otolaryngologist...
Aberrant Thyroid in the Parapharyngeal Space
Introduction Aberrant thyroid is a mass of tissue having the structure of a normal or pathological thyroid gland and situated at some definite distance from normal thyroid, with which it has no connection. The prevalance...