Details
Category: Volume 05 Issue 11 November 2017
Hits: 1251

Title: Single versus two Miniplates in the Treatment of Mandibular Parasympheal and Sympheal Fracture; A Study on Fifty Patients

Authors: Nahida Dar, Wasim Salman

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.80

Abstract

Aim: was to compare between single versus two mini plates in parasympheal and sympheal fracture.

Materials and Methods: 50 patients were randomly selected with age distribution from 18 years to 60 years with ASA 1 and 2.  They were divided into two groups 25 each. In one group single 6 holeminiplate was used at the inferior border and arch bar was used as a tension band. In the second group 6 hole min iplate and 4 hole were for fixation.

Results: In group 1 that is single miniplate patients only 1 patient needed imf as there was mobility across the fragments after two weeks. Rest of the patients healed quite well. In group 2 all patients there was good bony union without any complications.

Conclusion: There was no statistically significant difference. P>1.

References

  1. Raymond F.J., Walter R.V. Oral and Maxillofacial Trauma, Pennsylvania , W.B. Saunders Company, 1997;3rd  Edition , Vol 1 : 481.
  2. Rowe and Williams, Maxillofacial Injuries, Churchill Livingstone, 2nd, 1994; Vol. I: 354.
  3. Lane WA , On the advantage of steel screw in the treatment of ununited fractures. Lancet1893; 2: 1500.
  4. Sherman WO ,Vanadium steel plates and screws. SurgGynecolObstet 1912; 24: 629.
  5. Bernard Spiessl. Internal fixation of the mandible. A manual of AO/ASIF principles, 1989; 151.
  6. Bagby LW, Janes JM. The effect of compression on the rate of fracture healing using a special plate. Am J Surg1958; 95: 761,
  7. Brons R, Boering GJ. Fracture of mandibular body treated by stable internal fixation. J Oral Surg 1970; 28: 407.
  8. Michelet et al. Osteosynthesis with minia-turized screwed plates in maxillofacial surgery. J Maxillofac. Surge1973; 1:79
  9. Champy M, Lodde JP, Schmidt R. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg1978; 6: 14.
  10. Champy M et al. Mandibular synthèses. Placement of the synthesis as a function of mandibular stress. Rev Stomatol Chir Maxillofac. 1976 ;77(8): 971-6
  11. Steinhauser E.W. “Bone screws and plates in orthognathic surgery ” .Int J Oral Surg. 1982 ; 11 : 209-216

Corresponding Author

Nahida Dar

Oral and Maxillofacial Surgeon