scholarly journals Use of Three-dimensional Plates in Mid-face Fracture: A Prospective Study

2015 ◽  
Vol 16 (7) ◽  
pp. 571-577 ◽  
Author(s):  
Manpreet Singh ◽  
Amiya Agrawal ◽  
Arvind Yadav ◽  
Manoj Chaudhary ◽  
Bhupendra Harjani

ABSTRACT Aim The aim of our study was to evaluate the advantages and disadvantages of three-dimensional (3D) plating system in the treatment of mid-face fractures. Patients and methods Thirty mid-face fractures in 18 patients at various anatomic locations were treated by open reduction and internal fixation using 3D plates. All patients were followed at regular intervals of 4th, 8th and 12th weeks respectively. Patients were assessed postoperatively for postoperative complication and occlusal stability. The incidence of neurosensory deficit, infection, masticatory difficulty, nonunion and malunion was also assessed. Results A significant reduction in fracture (72.2%) and occlusal stability (72.2%) was seen. The overall complication rate was (16.6%) which included two patients who developed postoperative paresthesia of lip, three patients had infection and two cases of masticatory difficulty which later subsided by higher antibiotics and 4 weeks of MMF. No evidence of nonunion and malunion was noted. Conclusion Single 3D titanium plates with 1.7 mm diameter holes and 1.7 mm screws were reliable and an effective treatment modality for mid-face fracture. Clinical significance Because of unique biogeometrical design owing to lesser amount of hardware material (fixation device) resulting into increased stability, the fixation in mid-face fractures is better in comparison to conventional 1.5 mm miniplate fixation. How to cite this article Singh M, Agrawal A, Chaudhary M, Kaur G, Harjani B, Yadav A. Use of Three-dimensional Plates in Mid-face Fracture: A Prospective Study. J Contemp Dent Pract 2015;16(7):571-577.

Author(s):  
Roberto Rongo ◽  
Line Nissen ◽  
Cécile Leroy ◽  
Ambrosina Michelotti ◽  
Paolo M. Cattaneo ◽  
...  

2018 ◽  
Vol 1 (1) ◽  
pp. 85-89
Author(s):  
Kusuma Duda ◽  
Gaddipati R ◽  
Ramsetti S ◽  
Suvvada B

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.


2021 ◽  
Vol 8 (31) ◽  
pp. 2900-2905
Author(s):  
Sadhu Nagamuneiah ◽  
Gandikota Venkata Prakash ◽  
Sabitha P ◽  
Karthik Periyasamy ◽  
Sanjay Raj Kumar Reddy Madduri ◽  
...  

BACKGROUND Thyroidectomy is a surgical procedure which is commonly performed by surgeons worldwide, but the outcome and complication rates were mainly dependent on the surgeon’s skill and experience, indication and the extent of surgery and the number of thyroid surgeries performed at that particular centre. The aim of this study was to assess the frequency of the postoperative complications after thyroid surgery in Sri Venkateswara Ramnaraian Ruiya Government General Hospital, Tirupati. METHODS A prospective study conducted on 100 patients with thyroid swelling who attended the Sri Venkateshwara Ramnaraian Ruya Government General Hospital, Tirupati. Patient age, sex, rural/urban origin, history, diagnosis, type of surgery, laboratory investigation such as complete blood, serum calcium, thyroid function test, us culture and sensitivity test in wound infections and indirect laryngoscopy for all pre-operative patients and postoperative voice change patients. Outcomes recorded as a complication of thyroid surgery within one week. RESULTS Totally 100 patients were enrolled in the study. Thyroid enlargement was more common in females (F: M =5.6:1) presenting in 3rd and 4th decades mostly with the mean age and standard deviation were 42.92 years and 13.097 years respectively. Total thyroidectomy was the most common procedure performed (44 %) followed by hemithyroidectomy (31 %), subtotal thyroidectomies (29 %) and near total thyroidectomy (5 %). On histopathological examination most common finding was multinodular goiter (54 %) followed by nodular goiter (33 %) and malignancies (10 %). The overall postoperative complication rate was 47 %. The most common postoperative complications after thyroidectomies were seroma formation in wound complication (27 %), followed by hypocalcemia (11 %), recurrent laryngeal nerve (RLN) injury (3 %), and surgical site infection (2 %). Majority of these complications were found to be associated with total thyroidectomy, female population, and in patients with age more than 30 years. CONCLUSIONS Seroma formation in wound complication is the commonest post thyroidectomy complication. Female gender, old age, and extensive thyroid surgery were associated with increased complication rate. KEYWORDS Post-Operative Complications, Thyroid Surgery


Injury ◽  
1999 ◽  
Vol 30 (6) ◽  
pp. 421-430 ◽  
Author(s):  
J.C. Goslings ◽  
A.H. Broekhuizen ◽  
H. Boxma ◽  
E.J. Hauet ◽  
Y.E.A. van Riet ◽  
...  

2020 ◽  
Vol 33 (04) ◽  
pp. 227-234
Author(s):  
Özlem Şengöz Şirin ◽  
Bruno Peirone ◽  
Lisa Adele Piras ◽  
Hasan Bilgili

Abstract Objective The aim of this study was to investigate the applicability of computer-assisted hexapod fixators in dogs and to consider the advantages and disadvantages during implementation. Materials and Methods This was a prospective study. The study material consisted of 11 deformed extremities of 6 dogs. The correction plans were defined according to multiple extremity radiographs of the dog and the clinical evaluation of deformities. All measurements were uploaded to Click2Correct software program. Latent, correction and consolidation periods of each dog were recorded. The hexapod external fixators were removed after completion of the correction. Results Data were adapted to the radiographic navigation software to be used during operation and postoperative period. The latent period ranged from 3 to 20 days, the correction period ranged from 7 to 20 days and the consolidation period ranged from 39 to 81 days. It was concluded that special fixators can be used in dogs with complex antebrachial deformities. Clinical significance The ability to perform six axes correction at the same time has a considerable advantage, especially in dogs with complex antebrachial deformities. It is practical to use this fixation system in dogs with antebrachial deformities.


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