The effectiveness of kinesio taping in edema-reducing treatment for fractures of the lower jaw

Aim. To assess the effect of Kinesio taping on edema reduction among the patients with fractures of the mandible (lower jaw) in the early postsurgical period of osteosynthesis. Methods. Patients with unilateral mandibular angle fractures with displacement of fragments (49 men at the age of 1850 years), divided into 2 groups: the main group 26 patients (with the inclusion of Kinesio taping in the complex of treatment) and the control group 23 patients (the traditional complex of treatment). All patients underwent splinting of the jaw and miniplate osteosynthesis. Kinesio tapes were applied the next day after surgery to the skin above and below the surgical wound. Three out of five standard landmarks were used to measure edema on the 1st and 5th days after osteosynthesis. Data were analyzed by using descriptive statistics and Student's test. In all cases, the level of statistical significance was 5% (p 0.05). Results. On the day after osteosynthesis, the patients of the main group showed a statistically significant (р 0.003) increase in the measured length for all three landmarks compared with the intact side due to pronounced postoperative edema. On the 5th day after the inclusion of Kinesio taping in the complex of treatment, there was a reduction in edema the indicators of the fractured and intact sides did not differ significantly from each other (р 0.05). In patients of the comparison group, the decrease in the parameters of postoperative edema on the 5th day of observation was negligible and insignificant in all measurements (р 0.05). Conclusion. The results indicate the effectiveness of using Kinesio taping for mandibular fractures in the early postoperative period of osteosynthesis, which makes it possible to achieve a significant reduction in postoperative edema; Kinesio taping is a promising, easy-to-perform method that can be used to reduce inflammatory edema in fractures of the mandible.

Shaping of comminuted midface fractures with stock Titanium mesh: a technical note

Multiply fragmented fractures of the maxillofacial region are difficult to fix with traditional miniplate osteosynthesis because of the extremely small size of fragments, complex three-dimensional anatomy, thin bone unable to hold screws and multidirectional pull of muscles. We intend to present a technical note on a case series of extremely comminuted midfacial fractures reconstructed with stock Titanium mesh, cut to shape and used to mold the small fragmented segments into the shape of the facial bones. Severe fragmentation of midface leads to facial hollowing, tissue prolapse and asymmetry even after major facial buttresses are fixed and reconstructed. Simple stock Titanium mesh can be used to reconstruct these severe fragmentations of thin bones of the midface as shown in the series and avoid late and unsightly complications.

Is the Routine Removal of Titanium Plates and Screws Following Miniplate Osteosynthesis of Maxillofacial Bone Fractures Justified? A Fifteen-Year Experience in a Maxillofacial Centre, Saudi Arabia

Background Routine removal of titanium miniplates in the maxillofacial region is still controversial. This current study hopes to share our experience with the different reasons for maxillofacial plates and screws removal following miniplate osteosynthesis. Methods This was a retrospective study of plates and screws removal following Open Reduction and Internal Fixation (ORIF) of maxillofacial fractures at King Khalid Hospital, Kingdom of Saudi Arabia, from 2005-2019. Information collected includes demographics, etiology and pattern of maxillofacial fractures, treatment modalities as well as reasons for plates and screws removal. Data was stored and analyzed using IBM SPSS Statistics for windows Version 25 (Armonk, NY: IBM Corp). Results A total of 985 patients with maxillofacial bone fractures had ORIF during the study period out of which 149 had miniplates and screws removed, giving a prevalence rate of 15.1%. There were 141 (94.6%) males and 8 (5.4%) females, with a M:F of 17.6:1. Their ages ranged from 4-65 years with mean (SD) at 24.6 (12.2) years. The age group from 16-30 years had the most cases of plates removal with statistical significance ( P = .000). Young age (43 (28.8%)) constituted the majority of reasons responsible for plate removal. The angle of the mandible is the site with the largest number of plate removal with 34 (22.8%) cases followed by the parasymphyseal site with 21 (14.1%) cases. Conclusion With removal rate of 15.1%, this study concluded that there is no evidence to support routine removal of asymptomatic plates and screws in maxillofacial region.

Comparison of Transosseous Wiring and Miniplates in Management of Mandibular Parasymphyseal Fractures

Background: Mandibular fractures are the most common type of facial fractures in the adult population, accounting for 36%-59% of all maxillofacial injuries and their treatment is one of the most frequent forms of therapy provided by maxillofacial surgeons. The objective of the study was to compare the outcome of transosseous wiring and miniplates in the management of mandibular parasymphyseal fractures in terms of infection and malocclusion. Material and Methods: This randomized control trial was carried out at Oral and Maxillofacial Department, Ayub Medical College/ Ayub Teaching Hospital Abbottabad. A total of 124 patients were randomly allocated into two groups by lottery method. Patients in group A were subjected to transosseous wiring with maxilla-mandibular fixation. Patients in group B underwent miniplate fixation method. Post-operative wound in­fection and malocclusion findings at 6 weeks were recorded. Results: Frequency of post-operative infection and malocclusion at 6 weeks of surgery was slightly more but statistically non-significant in patients of group A undergoing Transosseous wiring method as compared to group B patients experiencing Miniplate technique. Conclusions: Miniplate osteosynthesis causes slightly less post-operative morbidity in terms of infection and malocclusion as compared to transosseous wiring for the management of mandibular parasymphyseal fractures.

Effect of plate configuration on resistance in mandibular angle fractures

Aim: This in-vitro experimental study compared the biomechanical behaviors of three single-miniplate osteosynthesis configurations used in the treatment of mandibular angle fractures. Methodology: Twenty-one synthetic polyurethane hemimandible replicas including the medullar and cortical portions were used in this study. The replicas were divided randomly into three groups (n = 5/group). Data from the three groups were compared using analysis of variance and the Tamhane T2 test. P values < 0.05 were considered to indicate significance. The replicas in all groups were fixed with 7-mm-long self-tapping screws and 2.0-mm four-hole miniplates in three different configurations external oblique, lateral angulus superior and lateral angulus inferior configuration. Results: The replicas were tested on a servohydraulic apparatus, and the data were transmitted to a computer for analysis of peak displacement and peak force. Peak load and peak displacement did no differ significantly among the three groups.. Conclusion: This experimental study showed that the torsional forces resulting from the fixation of miniplates for the treatment of mandibular angle fracture did not differ among the three configurations tested. How to cite this article: Polat ME, Ghahramanzadeh asl H, Yanık S. Effect of plate configuration on resistance in mandibular angle fractures. Int Dent Res 2020;10(1):6-11. https://doi.org/10.5577/intdentres.2020.vol10.no1.2 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.