Analysis of the Outcome of Mandible Fracture Management
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: The mandible is the second most common facial fracture, with the nasal bone being the first. Knowledge of the anatomy of the mandible and the muscular forces applied to it is the key to proper reduction of mandibular fractures. The goal in reduction is to restore premorbid occlusion, allowing patients to resume masticatory functions. Aim: The aim of this study is to analyze the outcome of mandibular fracture fixation with eyelets, arch bars, miniplates, and screws. Methods: A total of 67 patients who reported to the trauma ward and the department of plastic and reconstructive surgery for the treatment of fracture mandible were included in this study. Information was collected from the clinical and surgical notes of each of the patients in a standardized and systematic pattern. Results: Of the 15 patients treated conservatively, 11 (73.3%) had single fracture and 4 (26.6%) had double fractures. In the surgically treated patients, 30 (57.6%) had single fracture, 17 (32.6%) had double fractures, and 15 (28.8%) had segmental fractures. In the conservative group, the visual analog score for chewing improved from 9 to 6 in 6 weeks’ time, and in the surgical group, the score improved in 4 weeks’ time since we removed maxillomandibular fixation soon after surgery. The mouth opening becomes near normal (45-50 mm) in single fractures both in conservative and surgical groups. In double fractures of both the groups, the mouth opening was 40-45 mm in 6 weeks’ time. Conclusion: An adequate knowledge of the diagnosis and management of various types of mandibular fracture is needed so as to provide the desired treatment to prevent unfavorable and adverse complications.
Authors and Affiliations
R Senthilkumar, A Kavitha Priya, Heber Anandan
Keywords
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