scholarly journals CONDYLAR FRACTURE;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Usman Ashraf ◽  
Shaheen Ahmed ◽  
Abdul Hafeez Shaikh ◽  
Noureen Iqbal ◽  
Syed Jaffar Abbas Zaidi ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Single Case ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Health Sciences ◽  
Oral And Maxillofacial Surgery ◽  
Plate Bending ◽  
Condylar Fracture ◽  
Group 2 ◽  
Group 1

Background: This study was conducted tocompare treatment outcomes of condylar fracture fixation usingeither single or double non-compressive mini plates. Study Design: Interventional study. Setting:  Department of Oral and Maxillofacial Surgery, Dr. IshratulIbad Khan Institute of Oral Health Sciences, Dow University of Health Sciences. Period: July 2017 till December 2017. Materials and Methods: A total of 30 participants were selected and randomly divided into 2 groups, each consisting of 15 participants.Patients treated with a single non-compression miniplate were placed in group 1, while those patients whose fractures were reduced and fixed by double non-compression mini plates were placed in group 2. Outcomes assessed were intraoperative time, deviation on mouth opening, malocclusion, plate bending, function of facial muscles and the relative cost of implants. Results: Out of a total of thirty patients, it was observed that those patients who were randomly assigned group 2 had better treatment outcomes and less complications as compared to the other group. Three patients with malocclusion were seen in group 1 compared with only a single case seen in group 2. Greater number of plate bending with susceptibility to plate fracture was also observed in Group 1. Conclusion: It can thus be concluded that using two plates for condylar fracture represents a more stable and sustainable solution with less complications in providing osteosynthesis.

Comparative Study between IMF and Pure Conservation in Management of Condylar Head Fracture in Children

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Closed Reduction ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Clinical Results ◽  
Number Of Patients ◽  
Condylar Head ◽  
Group 2 ◽  
Group 1

Background: The purpose of the present study was to compare IMF and pure conservation in management of condylar head fracture in children treated at the Department of Maxillofacial Surgery, Faculty of Medicine, Assiut University, Egypt, between 2011G - 2016G. Methods: Twenty four patients with condylar head fractures were included in this study, 14 males and 10 females ranging in ages from 5 – 15 years. They were divided into two equal groups. In group 1, twelve patients were treated by closed reduction for 2-3 weeks followed by physiotherapy, while group 2 patients were managed by pure conservation only for the same period. Outcome results on clinical and radiological parameters were evaluated during the follow up period. Results: In group 1, the maximum mouth opening after 2 months was ranged from 28-36 mm (average 32mm),while signs of development of ankylosis were reported in 3 patients. In group 2, the maximum interincisal opening was ranged from 28-37 mm (average 32.5mm) with absence of ankylosis. Pain in TMJ was noted in 3 cases of bilateral condylar head fractures of this group, but subsided gradually on the follow up. Conclusions: This study concluded that treatment of patients by closed reduction give satisfactory clinical results, though the condyle is not anatomically normal in radiographs. Whereas management of patients by pure conservation only without any surgical intervention showed excellent results clinically as well as radiographically. Perhaps a study conducted on larger number of patients with longer post operative follow up will throw more light on this subject.

scholarly journals A randomized, prospective trial to assess the safety and efficacy of hilotherapy in patients after orthognathic surgery

2021 ◽  
Author(s):  
Lars Bonitz ◽  
Adrian El-Karmi ◽  
Johannes Linssen ◽  
Dietmar Abel ◽  
Stefan Hassfeld ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Prospective Trial ◽  
Reference Value ◽  
Oral And Maxillofacial Surgery ◽  
Post Operative Pain ◽  
Study Results ◽  
Group 2 ◽  
Operative Assessment ◽  
C 78 ◽  
Group 1

Abstract Purpose A post-operative cooling method in oral and maxillofacial surgery is the cooling with hilotherapy. The aim of this study was the post-operative comparison of cooling temperatures of 18°C and 22°C. The parameters of this trial were swelling and the post-operative pain levels. Methods This study included 156 patients, divided into two groups among whom a mono-one, bignathic osteotomy or genioplasty was indicated. The post-operative assessment of swelling was performed using a 3D optical scanner. This examination was repeated on post-operative days 1, 2, 3, 7, 14, 30, and 90. The examination on day 90 served as a reference value in respect of swelling and pain. Results Group 1 (18°C, 78 patients) showed an increase in post-operative swelling on the 1st post-OP day of 52.06 ± 35.41ml. The maximum was reached on the 2nd post-OP day with 75.82 ± 38.97ml. On the 30th post-OP day, residual swelling measured 11.60 ± 12.62ml. Group 2 (22 °C, 78 patients) showed an increase in postoperative swelling on the 1st post-OP day of 76.07 ± 63.15ml. The maximum was reached on the 2nd post-OP day with 106.97 ± 69.63 ml. On the 30th post-OP day, residual swelling measured 14.36 ± 32.26ml. The differences between the two groups and between different visits were statistically significant. Conclusion The study results indicate less residual swelling in group 1 on the 30th post-OP day, possible based on the lower cooling temperature. The post-operative pain exhibits a comparable level of pain intensity between the two groups. In overall terms, a subjectively more agreeable treatment was observed in group 1.

scholarly journals Surgical Treatment of Medication-Related Osteonecrosis of the Jaw: A Retrospective Study

2020 ◽  
Vol 17 (23) ◽  
pp. 8801
Author(s):  
Na Rae Choi ◽  
Jung Han Lee ◽  
Jin Young Park ◽  
Dae Seok Hwang
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Treatment Outcomes ◽  
Maxillofacial Surgery ◽  
Osteonecrosis Of The Jaw ◽  
Oral And Maxillofacial Surgery ◽  
Single Institution ◽  
Patient Factors ◽  
Surgical Success ◽  
Negative Impacts

The purpose of this study was to confirm the success rate of surgical treatment of medication-related osteonecrosis of the jaw (MRONJ) in patients at a single institution (Association of Oral and Maxillofacial Surgery (AAOMS) stages 1, 2, or 3), and to identify the factors that influence treatment outcomes. As a result of analyzing the outcomes of treatment, surgical “success” was achieved in 93.97% (109) of cases, and “failure” was observed at 6.03% (7) cases. Analysis of patient factors that potentially affect treatment outcomes showed that zoledronate dose (p = 0.005) and the IV (intravenous) injection of drugs (p = 0.044) had significant negative impacts.

scholarly journals Anchoretic Infection

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
S. Gokkulakrishnan ◽  
Ashish Sharma ◽  
Satish Kumaran ◽  
P. L. Vasundhar
Keyword(s):  
English Literature ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Unknown Etiology ◽  
Oral And Maxillofacial Surgery ◽  
Basic Principles ◽  
Limited Mouth Opening ◽  
Space Infection ◽  
Temporal Space ◽  
Long Run

Active and passive mouth opening exercises are a very common practice in oral and maxillofacial surgery especially for various conditions causing limited mouth opening like space infections, trauma, and ankylosis. But most of the practitioners do not follow basic principles while advocating these active mouth opening exercises and also take it for granted that it would benefit the patient in the long run. Because of this, the mouth opening physiotherapy by itself can at times lead to unwanted complications. We report a case wherein due to active physiotherapy, the patient had complications leading to persistent temporal space infection which required surgical intervention and hospitalization. This could have been because of hematoma formation during physiotherapy which got infected due to anchoretic infection of unknown etiology and resulted in temporal space infection. Hence, our conclusion is that whenever mouth opening exercises are initiated, it should be done gradually under good antibiotic coverage to avoid any untoward complications and for optimum results. According to the current English literature, such a complication has not been documented before.

scholarly journals Correlation of hemoglobin with recovery time in COVID 19 infected patients.

2021 ◽  
Vol 28 (12) ◽  
pp. 1692-1695
Author(s):  
Zunnera Rashid Chaudhry ◽  
Erum Rashid ◽  
Sana Rasheed ◽  
Hina Aslam ◽  
Sabeen Shakir ◽  
...  
Keyword(s):  
Observational Study ◽  
Study Design ◽  
Recovery Time ◽  
Health Sciences ◽  
Hemoglobin Level ◽  
Medical Sciences ◽  
Group 2 ◽  
Study Setting ◽  
Spearman’S Correlation ◽  
Group 1

Objectives: To study the correlation between recovery time and hemoglobin level in COVID-19 infected patients. Study Design: Observational study. Setting: Rawal Institute of Health Sciences Islamabad, Pakistan Institute of Medical Sciences Islamabad. Period: February 2021 to June 2021. Material & Methods: Data was analyzed using SPSS version 27.Mann Whitney U test was used to compare the duration of recovery among the groups and spearman's correlation was applied for correlating the duration of recovery with the Hb levels of COVID-19 patients. Result: Group 1 patients recovered within 14 days and group 2 patients recovered after 14 days. COVID-19 infected Patients with low hemoglobin level took more than 14-20 days to recover from disease and those with high hemoglobin recovered within 8-14 days. Conclusion. Recovery from disease was prolonged in corona virus infected patients with less hemoglobin as compared to patients with high levels of hemoglobin levels.

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 Computed tomography-assisted morphological assessment of the components of the temporomandibular joint – a pilot study

New Medicine ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Maja Stańczyk ◽  
Ronald Lukashevich ◽  
Aleksandra Gorzkowska ◽  
Paulina Urbańska ◽  
Piotr Laskowski ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Accurate Analysis ◽  
Asymptomatic Patients ◽  
Mandibular Fossa ◽  
Group 2 ◽  
Medical University ◽  
Group 1

Introduction. Temporomandibular joint (TMJ) disorders are a common diagnostic problem. No universal radiological parameter of the analysis was introduced. Aim. Comparison of values of selected radiological parameters between asymptomatic patients and those with the TMJ arthropathy. Material and methods. Retrospective analysis of CT scans of patients of the Department of Dental and Maxillofacial Radiology and the Department of Cranio-Maxillofacial Surgery, Oral Surgery and Implantology, Medical University of Warsaw. Patients were divided into two groups: 1. without TMJ disorders, 2. with TMJ dysfunction symptoms. Following parameters of heads of mandible were analyzed bilaterally: shape, anteroposterior and lateromedial dimensions, the distance between lateral points of both heads (HL-HR), distance between a head and the mandibular fossa. The angle between the horizontal axis of the head of mandible and the line drawn by posterior points of heads of mandible was measured. Results. The most common type of the head of mandible in group 1 (40 patients; 13 women, 27 men) was convex (14 patients), in group 2 (16 patients; 14 women, 2 men) – plane (8 patients). Significant differences between groups were obtained for: GL-GP (group 1 – 120.35 mm, group 2 – 115.4 mm), dimensions of heads of mandible: lateromedial – 19.7 mm, 18.14 mm, anteroposterior – 8.03 mm, 7.04 mm for group 1 and 2, respectively. Conclusions. Computed tomography allowed for an accurate analysis of the TMJ components. Measurements of structures discussed in this work should be a part of the diagnosis of patients with TMJ dysfunction.

scholarly journals Efficacy of platelet rich plasma (PRP) on mouth opening and pain after surgical extraction of mandibular third molars

2020 ◽  
Vol 27 (1) ◽  
pp. 9
Author(s):  
Maidah Hanif ◽  
Muhammad Azhar Sheikh
Keyword(s):  
Platelet Rich Plasma ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Third Molar Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Molar Teeth

Introduction: Surgery of mandibular third molar teeth for removal is one of the most common procedures undertaken in oral and maxillofacial surgery departments. The complications created by the post extraction wound healing and physiological consecution of third molar surgery can affect patients' quality of life. Platelet rich plasma (PRP) is an autologous concentrate of platelets suspended in the Plasma that accelerates healing by concentration of growth factors which lessen the inflammation and as a result pain and trismus. Materials and methods: A Study was conducted on 130 patients at the department of Oral and Maxillofacial Surgery, FUCD Islamabad, for a period of 6 months after ethical approval. The patients with impacted mandibular wisdom teeth were selected and divided equally into two equal groups. The pain score was measured using the visual analogue scale (VAS) and trismus was measured using Vernier caliper before the surgery, immediately after surgery, on 3rd and 7th follow up visits. Results: The mean postoperative pain on 7th day was significantly lower in the PRP group with statistically significant P-value <0.0001. Trismus was also less reported in the PRP group with P-value <0.00065. Conclusion: Platelet Rich Plasma is effective to lessen trismus and pain after surgical removal of mandibular third molar teeth.

scholarly journals Efficacy of Temporalis Myofascial Flap in Maxillofacial Reconstruction

2015 ◽  
Vol 32 (2) ◽  
pp. 78-83
Author(s):  
Muhammad Sohag Shikder ◽  
Md Mokerrom Hasan ◽  
Abdullah Al Masud ◽  
Ismat Ara Haider ◽  
Mohiuddin Ahmed
Keyword(s):  
Oral Cavity ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Cross Sectional Study ◽  
Great Promise ◽  
Oral And Maxillofacial Surgery ◽  
Maxillofacial Region ◽  
Large Defect ◽  
Cross Sectional ◽  
Temporalis Myofascial Flap

Temporalis myofascial flap holds great promise for the reconstruction of various defects of the maxillofacial region for its dependable blood supply, proximity to the maxillofacial region, possibility to mobilize it to the oral cavity and its fanned out nature. The purpose of the study was to evaluate the efficacy of temporalis myofascial flap in maxillofacial reconstruction.This cross sectional study was carried out in the Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital from January 2011 to December 2011. Nineteen patients (10 male and 9 female), age ranging from 19 to 55 years with medium to large defect (>8cm)were selected for this study. After surgical resection of the pathological lesion, the TMF was exposed by a hemicoronal incision with a preauricular extension. The muscle was rotated to oral cavity and sutured with defect margin. Post-operatively the patient were clinically evaluated at 1, 2, 3 weeks and 1 and 3 months. Complete flap take was observed in 84% cases where as partial flap take was seen in 16% cases. Mouth opening restriction were 2-3 mm in 10 cases and 5-8 mm in 5 cases.Temporalis myofascial flap is a useful, reliable and versatile option for reconstruction of moderate to large sized defects. This flap provide abundant tissue, with minimum to no functional morbidity or esthetic deformity in donor site.J Bangladesh Coll Phys Surg 2014; 32: 78-83

Condromatose sinovial unilateral da articulação temporomandibular após trauma local – relato de caso

2020 ◽  
Vol 12 (45) ◽  
pp. 53-58
Author(s):  
Luiz Henrique de Melo Nogueira ◽  
Luciano Henrique Ferreira Lima ◽  
Beneval José dos Santos Junior ◽  
André Vitor Alves Araújo
Keyword(s):  
Pathological Condition ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Synovial Chondromatosis ◽  
Knee Joints ◽  
Oral And Maxillofacial Surgery ◽  
Limited Mouth Opening ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Ct And Mri

Synovial chondromatosis (SC) is a rare pathological condition that is characterized by the formation of cartilaginous nodules inside a joint cavity. It mainly affects the knee joints, hip, shoulder, and elbow, so the TMJ is rarely the target of such condition. Its etiology is still unknown and is usually diagnosed through magnetic resonance imaging (MRI), computed tomography (CT), histopathological exams, and, in some cases, arthroscopy, once the clinical inspection normally is not enough to conclude the diagnose. This study reports a case of a 35-year-old man that came to the Oral and Maxillofacial Surgery service complaining about limited mouth opening, occlusal dystopia, and increase of volume on the right pre-auricular region associated to pain. The SC diagnosis was suggested after realizing a CT and MRI. An Al-Kayat approach was performed to fully visualize the TMJ, removal of all the cartilaginous fragments, hemostasis and suture by layers. The diagnosis was confirmed through the histopathological exam. The patient evolved asymptomatic.

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