Three-dimensional Assessment of Accuracy for Open Reduction and Internal Fixation of the Subcondylar Fracture and its implications on the TMJ function

2021 ◽  
Author(s):  
A.B.D.O.A.H.M.E.D.S.A.L.E.H. MOHAMED ◽  
B.A.S.S.A.M. ABOTALEB ◽  
H.O.N.G.L.I.A.N.G. DU ◽  
A.B.B.A.S. AHMED ABDULQADER ◽  
Karim Ahmed Sakran ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Three Dimensional ◽  
Subcondylar Fracture ◽  
Dimensional Assessment

scholarly journals Comparison of functional outcome after open and closed reduction of mandibular subcondylar fracture

2020 ◽  
pp. 1-12
Author(s):  
Samira Shabbir Balouch ◽  
Rana Sohail ◽  
Sadia Awais ◽  
Riaz Ahmad Warraich ◽  
Mir Ibrahim Sajid
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Subcondylar Fracture ◽  
Group A ◽  
Group B

Abstract Objective: To compare open reduction with internal fixation of mandibular subcondylar fracture with closed reduction in terms of adequate mouth opening. Method: The randomised clinical trial was conducted from March 2014 to February 2015 at the Oral and Maxillofacial Surgery Department, King Edward Medical University and Allied Hospitals, Lahore, Pakistan, and comprised patients who presented with unilateral subcondylar fractures. The patients were randomly divided into 2 groups. Group-A patients were treated with closed reduction and immobilisation and were discharged the same day, while Group-B patients were treated by open reduction with internal fixation and retained in ward for 1 day. Both were recalled for periodic follow-ups, and were compared in terms of achieving adequate mouth opening. Data was analysed using SPSS 20. Results: Of the 70 patients, 35(50%) were in each of the two groups. The mean age in Group-A was 28.88±11.86 years compared to 28.22±10.80 years in Group-B (p>0.05). Mean mouth opening in  the two groups were consistently positive, and significant at the last two follow-ups(p<0.001). Conclusion: The difference in results of both treatment modalities was significant, indicating that open reduction and internal fixation should be the preferred treatment. Key Words: Mandibular sub-condylar fracture, Open reduction, Closed reduction, Internal fixation, Mouth opening.

scholarly journals CRB modification to retromandibular approach for management of subcondylar fractures.

2019 ◽  
Vol 6 (3) ◽  
pp. 84-87
Author(s):  
Chandrashekhar Bande ◽  
Krishna Kurawar ◽  
Ashish Maheshkar ◽  
Ankita Bhagat ◽  
Manu Goel
Keyword(s):  
Postoperative Complications ◽  
Facial Nerve ◽  
Internal Fixation ◽  
Open Reduction ◽  
Good Alternative ◽  
Surgical Access ◽  
Subcondylar Fracture ◽  
Ease Of Access ◽  
Scar Mark

The aim of this study was to evaluate the efficacy of CRB modification of retromandibular approach to gain surgical access for open reduction and internal fixation of mandibular subcondylar fractures. A total number of 264 sustained extra-capsular subcondylar fractures from 230 patients were selected for the study over the period of 5 years. Evaluation of intraoperative accessibility, postoperative facial nerve function, postoperative complications and scar was carried out. All the patients were treated using CRB Curvilinear approach. Patient follow up was recorded for 1 year on a regular interval basis. Symptoms of postoperative facial nerve injury were seen in 2 patients which recovered with time, postoperative complications were not encountered in any case and minimum scar mark hidden in the cervical skin crease. Hence open reduction and internal fixation for Subcondylar fracture of mandible by using the CRB modification of retromandibular approach is a good alternative for other conventional approaches in having ease of access, ease of fixation, reduced incidences of injury to facial nerve and its branches with good aesthetic outcome.

Horizontal fracture of anterior mandible

2020 ◽  
Vol 13 (12) ◽  
pp. e240452
Author(s):  
Anuj Jain ◽  
Anshul Rai ◽  
Surendra Yadav
Keyword(s):  
Head Injury ◽  
Postoperative Complications ◽  
Internal Fixation ◽  
General Anaesthesia ◽  
Open Reduction ◽  
Three Dimensional ◽  
Horizontal Fracture ◽  
Patient Reported ◽  
History Of ◽  
Anterior Mandible

A 33-year-old male patient reported to us with the history of assault. The patient was cooperative and oriented, with no sign of head injury. He was assaulted with an axe over the mandible. The patient is having posteroanterior view radiographs of the mandible suggesting isolated horizontal fracture of the anterior mandible. Under general anaesthesia, this unusual fracture was treated by open reduction and internal fixation with a three-dimensional plate and miniplates. The case was managed successfully without any postoperative complications.

scholarly journals Treatment of Mandibular Angle Fractures with Single Three-Dimensional Locking Miniplates without Maxillomandibular Fixation: How Much Fixation is Required?

2017 ◽  
Vol 10 (3) ◽  
pp. 188-196 ◽  
Author(s):  
Sanjay Rastogi ◽  
Sam Paul ◽  
Sumedha Kukreja ◽  
Karun Aggarwal ◽  
Rupshikha Choudhury ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Three Dimensional ◽  
Mouth Opening ◽  
Mandibular Angle ◽  
Analog Scale ◽  
Hardware Failure ◽  
Angle Fractures ◽  
Fracture Stability

The aim of this simple nonrandomized and observational study was to evaluate the efficacy of single three-dimensional (3D) plate for the treatment of mandibular angle fractures without maxillomandibular fixation. A total of 30 patients with noncomminuted fractures of mandibular angle requiring open reduction and internal fixation were included in the study. All the patients were treated by open reduction and internal fixation using single 3D titanium locking miniplate placed with the help of transbuccal trocar or Synthes 90-degree hand piece and screw driver. 3D locking titanium miniplates used in our study was four-holed, box-shaped plate, and screws with 2 mm diameter and 8 mm length. The following clinical parameters were assessed for each patient at each follow-up visit: pain (visual analog scale: 0–5), swelling (visual analog scale: 0–5), mouth opening, infection, paresthesia, hardware failure (plate fracture), occlusal discrepancies, and mobility between fracture fragments. A significant decrease in pain level was seen during the follow-up visits. No statistically significant changes were seen in swelling, but mouth opening increased in the subsequent visits. Also better results were seen in terms of fracture stability and occlusion in the postoperative period. Two cases of infection and two cases of hardware failure were noted in sixth postoperative week. 3D plating system is an easy to use alternative to conventional miniplates to treat mandibular angle fractures that uses lesser foreign material, thus reducing the operative time and overall cost of the treatment. Better fracture stability and occlusion was also achieved using the 3D plating system.

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