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Comparison of two incisions for open reduction and internal fixation of mandibular body fractures: A randomised controlled clinical trial evaluating the surgical outcome

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Chinese Journal of Traumatology 2019年第1期22卷 34-40页

作者： Sasikala Balasubramanian Elavenil Panneerselvam Gayathri Gopi Komagan Prabhu Nakkeeran Aditi Rajendra Sharma krishnakumar raja vb Department of Oral & Maxillofacial Surgery SRM Dental College & Hospital Ramapuram Campus Ramapuram Chennai 600089 India

Purpose: The purpose of the study is to compare the surgical access and post-operative outcome of two intra-oral incisions used for approaching a mandibular body fracture. Methods: This clinical trial involved 60 patients with mandibular body fractures who were randomly allocated to control and study groups. The fractures were approached using the routine vestibular incision in the control group and crevicular incision with vertical release in the study group. The effects of incision design on the post-surgical outcome variables like swelling, trismus, paresthesia, wound healing and gingival recession were statistically analysed with non-parametric tests by using SPSS 22.0 software. Comparison of continuous variables between the groups and time points was done using Mann Whitney test and Friedman test respectively. Chi-square test was used to compare proportions between groups. Dunn's test with Bonferroni correction was used for pair wise comparisons. Results: The study group demonstrated favourable surgical outcome in the immediate postoperative phase as compared to the control group. The difference in mouth opening, swelling and neurosensory impairment between the two groups was found to be statistically significant (p < 0.05). Conclusion: Crevicular incision was found to be an ideal alternative to vestibular incision in achieving surgical access and fixation of mandibular body fractures with reduction in postoperative patient discomfort and better surgical outcome.

关键词： Mandibular fractures Incision Nerve injury

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Management of multiple and displaced mandibular fractures in a pediatric patient sans mandibular immobilization,sans open reduction and internal fixation

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Chinese Journal of Traumatology 2024年第5期27卷 284-287页

作者： Elavenil Panneerselvam Chandini Ravikumar Trishala Annamalai rajan Sasikala Balasubramanian krishnakumar raja V.B. Department of Oral and Maxillofacial Surgery SRM Dental College and HospitalRamapuramChennai600089Tamil NaduIndia

Maxillofacial fractures in the pediatric population are generally managed by conservative approaches such as soft diet and medication or semi-invasive procedures namely inter-maxillary fixation or circummandibular *** approaches are preferred over any invasive treatment to minimize injury to the growing skeleton and tooth *** fractures that cause functional problems such as restricted mouth opening,malocclusion or impaired breathing,mandate open reduction and internal ***,surgical management is associated with morbidity related to general anesthesia,risk of injury to vital structures,and potential,skeletal or dental growth *** case report describes a non-invasive method of managing displaced,multiple fractures of the mandible in a pediatric patient,with the use of low intensity pulsed ultrasound to achieve favorable clinical outcomes and nil *** immobilization of the mandible with inter-maxillary fixation nor open reduction and internal fixation was *** intensity pulsed ultrasound therapy is painless and patient-friendly.

关键词： Pediatric fractures Parasymphysis Ramus Composite splinting

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