scholarly journals Retromandibular Approach for Subcondylar Fractures: A Prospective Study

2018 ◽  
Vol 7 (1) ◽  
pp. 1637
Author(s):  
Geeta Mishra Tripathi ◽  
Divashree Sharma ◽  
Sourabh Dixit ◽  
Atul Bhat ◽  
Lal Singh Yadav ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Prospective Study ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Normal Function ◽  
Fracture Site ◽  
Mandibular Fractures ◽  
Anatomic Reduction ◽  
A Prospective Study ◽  
Condylar Fractures

<p><strong>Background:</strong> Condylar fractures accounts for 25-50% of all mandibular fractures. It can be extracapsular or intracapsular, nondisplaced, displaced, deviated, or dislocated from the disc.</p><p><strong>Objective:</strong> To evaluate the retromandibular transparotid approach for open reduction &amp; internal fixation of subcondylar fractures for post-operative occlusal status, stability of fixation &amp; postoperative complications.</p><p><strong>Material and Methods:</strong> The prospective study was performed on 24 patients (18 male and 8 females) sustaining 26 subcondylar fractures who were treated surgically utilizing retromandibular transparotid incision.</p><p><strong>Results:</strong> The most common etiology of injury was road traffic accidents in 62.5% patients. Satisfactory anatomic reduction and occlusion was achieved in all patients. The incidence of transient facial nerve injury was 16.67%. The facial nerve returned to normal function in 3 months in all the 4 affected patients.</p><p><strong>Conclusion:</strong> The incision provides easy visualization of the subcondylar region from the posterior edge of the ramus to the sigmoid notch, allows the perpendicular placement of screws to the fracture site, with minimal post operative complications and satisfactory esthetic results.</p>

scholarly journals Transmasseteric antero-parotid approach through modified preauricular lazy ‘S’ incision for management of mandible condylar fractures: a prospective study

2018 ◽  
Vol 1 (1) ◽  
pp. 85-89
Author(s):  
Kusuma Duda ◽  
Gaddipati R ◽  
Ramsetti S ◽  
Suvvada B
Keyword(s):  
Facial Nerve ◽  
Prospective Study ◽  
Closed Reduction ◽  
Open Reduction ◽  
Condylar Fracture ◽  
Anatomic Reduction ◽  
Operative Complications ◽  
Preauricular Approach ◽  
A Prospective Study ◽  
Condylar Fractures

To report the surgical details and results of our technique of Transmasseteric antero-parotid approach (TMAP) through modified preauricular lazy ‘S’ incision for management of mandibular condylar fractures. This was an observational analysis of 65 patients where 25 patients were treated with conventional preauricular approach, 25 patients with closed reduction and 15 patients with a mean age of 29.4 years with condylar fractures were treated by TMAP technique between September 2016 to June 2018. Aim of the study was to evaluate the proficiency of TMAP approach for open reduction and internal fixation (ORIF) of condylar fracture. The only complication which was noticed was sialocele formation and managed by drainage. TMAP is versatile since it avoids facial nerve damage as it involves identification and preservation of facial nerve and   has less chances of post-operative complications related to facial nerve injury. The accessibility achieved by this approach is fair enough to facilitate anatomic reduction and fixation of condyle.

scholarly journals Pattern and Etiology of Mandibular Fractures Reported at Nepalgunj Medical College: A Prospective Study

2017 ◽  
Vol 13 (2) ◽  
pp. 21-24
Author(s):  
Niva Kansakar ◽  
Bikram Budhathoki ◽  
Namdev Prabhu ◽  
Anjani Kumar Yadav
Keyword(s):  
Prospective Study ◽  
Traffic Accidents ◽  
Road Traffic ◽  
College Teaching ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Medical College ◽  
A Prospective Study

Background: Mandibular fracture is one of the most common fractures of the maxillofacial region. The pattern of mandibular fractures varies from country to country and these variations can be due to social, cultural, and environmental factors. Objectives: This study was conducted to evaluate the etiology, incidence and pattern of mandibular fractures in western region of Nepal, reported at Nepalgunj Medical College Teaching Hospital.Methodology: A prospective study of 130 patients with mandibular  fractures  was  conducted  in  Department  of  Dentistry,  Nepalgunj  Medical  College  Teaching  Hospital  from  November  2013  to November 2014. These patients were examined both using clinical and radiographic parameters for mandibular fracture. Data concerning age, gender, causes of fracture and sites of fracture were analyzed.Result: Out of 130 patients, 104(80%) were male patients and 26(20%) were female patients. Most common age group was between 21-30 years. Most common cause of mandibular fracture was road traffic accidents accounting for 66(50.77%) cases followed by fall injury in 30(23.08%) cases. Most common site involved was parasymphysis 46(30.47%) followed by angle 27(17.89%).  Road traffic  accidents due to alcohol  consumption 40(68.97%) was the leading cause followed by assault 10(17.24%) and fall 8(13.79%).Conclusion: Mandibular fractures are more frequent  in  male  than  female  with  higher  frequency  in  21-30  years  age  group.  The most commonly fractured site was the parasymphysis. Road traffic accidents were the most common etiology and significantly associated with alcoholism. JNGMC Vol. 13 No. 2 December 2015

scholarly journals Distal Tibial Fractures Managed by Minimally Invasive Plating Osteosynthesis: A Prospective Study

2021 ◽  
Vol 8 (11) ◽  
pp. 370-374
Author(s):  
Amit Kumar ◽  
Sanjeev Gupta ◽  
Vinay Badya
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Traffic Accidents ◽  
Tibial Fracture ◽  
Soft Tissues ◽  
Road Traffic ◽  
Tibial Fractures ◽  
Distal Tibial Fractures ◽  
A Prospective Study ◽  
Minimally Invasive Plating

Background: Distal tibial fracture is a common results of road traffic accidents and fall injuries. The treatment of tibial fractures is very important and this bone is very subcutaneous associated with soft tissue injury and precarious blood supply. Distal tibial fractures require accurate reduction, followed by perfect articular reduction then stable fixation with minimally stripping of soft tissues. Aim: Distal tibial fractures managed by minimally invasive plating osteosynthesis: a prospective study. Methodology: The prospective study was taken in GMC Jammu from 2019 -2020 in Department of Orthopaedics. All patients are approved by the ethical clearance of the same hospital from 2019-2020. 32 cases of the distal tibial fracture is were admitted according to which twenty two male and ten females. All the necessary data collected and reported to separate sheets. Results: In our study two age group were taken 19-40 and 41-60. About 19-40 group was majority in fractures distal tibia. In our observation around 22 males and around 10 females were noted. Around 68.7% were males and around 31.2% were females they were affected. In our observation closed or open fractures is noted and around 75% (24) patients are closed and 25% (8) patients were open. In our observation AO/OTA classification 43-A1 is the most common classification which was around 65.6% (21) patients then 43-A2 is the 15.6%, 43-A3 is about 12.5% and 43-B1 is around 6.2%. Conclusion: In our study it is concluded that all the fracture are due to road traffic accidents and fall from height. In our patients around superficial infection, varus angulation and implant failures are very less and similar to other studies done by other authors. Soft tissues handling and the minimally invasive plating osteosynthesis (MIPPO) allows early rehabilitation and excellent functional outcome. Keywords: disital tibia, MIPPO, closed fractures.

scholarly journals Lag Screws in Maxillofacial Trauma- A Review

2021 ◽  
pp. 105-109
Author(s):  
Subhashini Ramasubbu
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Sports Injuries ◽  
Fracture Site ◽  
Maxillofacial Trauma ◽  
Mandibular Fractures ◽  
Rigid Fixation ◽  
Simple Method ◽  
Lag Screw ◽  
Maximum Stability

The etiology of mandibular fractures includes mainly assaults and road traffic automobile accidents. Additionally, fall and sports injuries are the foremost common causes for mandibular fractures. Mandibular fractures outnumbered zygomatic and maxillary fractures by a ratio of 6:2:1, respectively. Road traffic accidents is that the most typical etiology, followed by assaults and sport-related injuries. For the management of maxillofacial trauma, the treatment commonly done is open reduction and Internal Fixation using miniplates. Lag screws as compared with plates, have a plus of the necessity of minimum implant material which they also provide maximum stability. The lag screw placement is a simple method of rigid fixation. The choice of the lag screw technique depends on patient factors, kind of fracture, site of fracture, and thus the skill of surgeon. The aim of this review is to assess the efficiency of Lag Screws for the management of maxillofacial trauma.

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