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Virk SK, Gumber TK, Dhawan A, Bhullar RS, Kapila S. Comparative Evaluation of Masticatory Bite Force in Mandible Fractures Treated with Three-Dimensional Curved Locking Strut Plate Versus Straight Locking Miniplate. J Maxillofac Oral Surg 2023; 22:1006-1021. [PMID: 38105849 PMCID: PMC10719182 DOI: 10.1007/s12663-023-01996-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 08/05/2023] [Indexed: 12/19/2023] Open
Abstract
Aims and Objectives To compare the efficacy of titanium 2.0-mm curved locking strut plate and 2.0-mm straight locking miniplate with regard to their intraoperative use and the stability of fixation achieved both, clinically and radiographically. Materials and Methods Forty patients with 62 sites of mandibular fractures requiring open reduction and internal fixation were included in the study. The sample was divided into two groups of twenty patients each depending upon whether patient received three-dimensional 2.0-mm locking curved strut plate (group A) or 2.0-mm straight locking miniplates (group B). Mouth opening, teeth in the fracture line, degree of displacement, time taken, neurosensory and bite force evaluation were done preoperatively, 1st, 7th day, 2nd week, 4th week, 6th week and 12th week postoperatively. Results Positive correlation was found between preoperative and postoperative bite force values at subsequent follow-up weeks. At 3rd month evaluation, the change in bite force from the previous follow-up visit was significantly greater in group A (locking strut plate) than group B (locking miniplate) in the incisor, left molar and right molar region. Statistically significant difference was observed between the two groups regarding time taken (P < 0.016) depicting less time taken for placement of three-dimensional 2.0-mm locking curved strut plate(group A) 20.30 ± 4.85 min as compared to 27.30 ± 6.82 min for fixation with 2.0 mm straight locking miniplates in group B. Conclusion The findings were suggestive that the both systems had better adaptation during fixation, comparable radiographic reduction and increased stability in postoperative period. However, 3D locking strut plate took relatively lesser operative time, offered good rigidity and better stabilization of fractured segments in three dimensions along with significant improvement in the masticatory bite force postoperatively.
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Affiliation(s)
- Sukhpreet Kaur Virk
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, India
| | - Tejinder Kaur Gumber
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, India
| | - Amit Dhawan
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, India
| | - Ramandeep Singh Bhullar
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, India
| | - Sarika Kapila
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, India
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Three-Dimensional Osteosynthesis Plates for the Surgical Treatment of Mandibular Fractures. J Craniofac Surg 2021; 32:e728-e735. [PMID: 34172684 DOI: 10.1097/scs.0000000000007709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES Mandible fractures can be treated with different plate systems, that is, miniplates or three-dimensional (3D) plates. This systematic review describes the effectiveness and clinical outcomes of 3D plates used in fractures of the mandible and aims to critically evaluate its risks and benefits. MATERIALS AND METHODS A comprehensive electronic search was conducted without date but with restriction to articles written in English. Studies in humans, including randomized or quasi-randomized controlled trials and retrospective studies, were included. The outcome parameters measured were number of patients, fracture classification, results, follow-up period, postoperative complications, and mean age of patients. Major complications were defined as those needing additional surgical intervention, for example, malocclusion, infection or plate fracture. Accordingly, complications not needing additional surgical intervention were defined as minor (ie, dehiscence, trismus). RESULTS Guided by the PRISMA statement and the Cochrane Handbook for Systematic Reviews of Interventions, the authors identified 44 publications with a total of 1790 patients. Among the articles selected for the final review, there were 32 reported prospective studies, 12 reported retrospective studies. Regarding the evaluation of quality, 8 studies showed a low value of the risk of bias, 17 a moderate risk, and 19 a high risk. There were statistically significant advantages for 3D plates in mandibular fractures in terms of postoperative complications, for example, wound dehiscences or plate fracture. CONCLUSIONS The 3D plate is an effective treatment modality for mandibular fractures, with low incidence of major complications, decreased length of operation time, and increased stability of osteosynthesis.
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Bohner L, Beiglboeck F, Schwipper S, Lustosa RM, Pieirna Marino Segura C, Kleinheinz J, Jung S. Treatment of Mandible Fractures Using a Miniplate System: A Retrospective Analysis. J Clin Med 2020; 9:jcm9092922. [PMID: 32927782 PMCID: PMC7565660 DOI: 10.3390/jcm9092922] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 09/01/2020] [Accepted: 09/08/2020] [Indexed: 11/16/2022] Open
Abstract
Three-dimensional (3D) mini plate systems are used in the treatment of mandibular fractures. The system is advantageous in comparison to conventional plates due to the stabilization of tension and compression areas, improved initial stability, and biomechanical behavior. The aim of this retrospective study was to evaluate the use of a 3D miniplate system for the treatment of patients with mandibular fractures. Patients with mandibular fractures treated with a 3D plate system at the Department of Oral and Maxillofacial Surgery, University Hospital Münster, during a period of 5 years, were included in this study. Mandibular fracture conditions and minor and major post-operative complications were reported. In total, 336 patients and 391 mandibular fractures were assessed. The most common fracture site was anterior mandible, and 155 cases involved a tooth-bearing area. Minor complications were seen in 8.03% of cases, whereas only 1.49% of patients suffered from major complications. The treatment of mandible fractures using 3D miniplates resulted in fracture reduction with a low complication rate.
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Affiliation(s)
- Lauren Bohner
- Department of Oral and Maxillofacial Surgery, University Hospital Münster, 48149 Münster, Germany; (F.B); (S.S.); (J.K.); (S.J.)
- Correspondence: ; Tel.: +49-25183-47004
| | - Fabian Beiglboeck
- Department of Oral and Maxillofacial Surgery, University Hospital Münster, 48149 Münster, Germany; (F.B); (S.S.); (J.K.); (S.J.)
| | - Stephanie Schwipper
- Department of Oral and Maxillofacial Surgery, University Hospital Münster, 48149 Münster, Germany; (F.B); (S.S.); (J.K.); (S.J.)
| | | | | | - Johannes Kleinheinz
- Department of Oral and Maxillofacial Surgery, University Hospital Münster, 48149 Münster, Germany; (F.B); (S.S.); (J.K.); (S.J.)
| | - Susanne Jung
- Department of Oral and Maxillofacial Surgery, University Hospital Münster, 48149 Münster, Germany; (F.B); (S.S.); (J.K.); (S.J.)
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Management of mandibular angle fractures using 3- dimensional or standard miniplates: A systematic review and meta-analysis. J Craniomaxillofac Surg 2019; 47:622-628. [DOI: 10.1016/j.jcms.2019.01.032] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Revised: 12/14/2018] [Accepted: 01/25/2019] [Indexed: 11/20/2022] Open
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Mishra N, Thakkar N, Kar I, Baig SA, Sharma G, Kar R, Sahu GR, Birmiwal KG. 3-D Miniplates Versus Conventional Miniplates in Treatment of Mandible Fractures. J Maxillofac Oral Surg 2019; 18:65-72. [PMID: 30728695 PMCID: PMC6328813 DOI: 10.1007/s12663-017-1068-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Accepted: 12/08/2017] [Indexed: 10/18/2022] Open
Abstract
AIM To study whether the use of 3-D miniplate, when compared with conventional miniplate, gives better clinical outcomes with fewer complications in patients with fracture mandible. MATERIALS AND METHODS A prospective study was conducted in the Department of Oral and Maxillofacial Surgery, Trauma Care Centre, on 40 patients. They were randomly divided into Group-I and Group-II with 20 patients in each group. In Group-I, 3-D miniplate was used and in Group-II, conventional miniplate was used. Parameters such as fracture stability, occlusal status, mouth opening, nerve paresthesia, infection, pain, swelling, and complications were evaluated on 1st, 7th postoperative day, 1st month and 3rd month. RESULTS Fracture stability and occlusion were clinically better in Group-I than in Group-II on each follow-up; however, it was not statistically significant. Infection rate was lesser in Group-I than in Group-II (p = 0.003). Mouth opening was more in Group-II than in Group-I on immediate (p = 0.001) and 7th post-op day (p = 0.002). Overall complications were lesser in Group-I than in Group-II (p > 0.005). CONCLUSION There is no major difference observed in clinical outcomes between 3-D miniplate and conventional miniplate. Either method of fixation can be used successfully in treatment of mandible fractures with comparable rates of complications.
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Affiliation(s)
- Niranjan Mishra
- Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha India
| | - Nirav Thakkar
- Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha India
| | - Indubhusan Kar
- Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha India
| | - Shadab Ali Baig
- Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha India
| | - Gaurav Sharma
- Department of Public Health Dentistry, SCB Dental College and Hospital, Cuttack, Odisha India
| | - Rosalin Kar
- Department of Prosthetic Dentistry, SCB Dental College and Hospital, Cuttack, Odisha India
| | - Gyana Ranjan Sahu
- Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha India
| | - Krishna Gopal Birmiwal
- Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha India
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Three-dimensional versus standard miniplate, lag screws versus miniplates, locking plate versus non-locking miniplates: Management of mandibular fractures, a systematic review and meta-analysis. J Dent Sci 2019; 14:66-80. [PMID: 30988882 PMCID: PMC6445977 DOI: 10.1016/j.jds.2018.04.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Revised: 03/31/2018] [Indexed: 11/27/2022] Open
Abstract
Background/purpose The aims of the present study were to 1) evaluate the clinical outcomes between different fixation methods in the management of mandibular fractures (MFs) and 2) determine which fixation method is the best option for the treatment of mandibular fractures. Materials and methods A systematic review was conducted according to PRISMA guidelines, examining Medline-Ovid, Embase, and Pubmed databases. Inclusion criteria were studied in humans, including randomized controlled trials, controlled clinical trials, and retrospective studies, with the aim of comparing the two techniques. In addition, the incidence of complications was evaluated. Results Thirty-two publications were included: 20 randomized controlled trials, 4 controlled clinical trials, and 8 retrospective studies. There were statistically significant advantages for 3-dimensional miniplate and lag screws. There was no statistically significant difference between locking plates and standard miniplates (P = 0 0.2). The cumulative odds ratio was 0.64, meaning that the use of locking miniplate in the fixation of MFs decreases the risk for postoperative complications by 36% over the use of standard miniplates. Conclusion The results of the three-Dimensional Versus Standard miniplate showed that 3-dimensional miniplate is the best option for mandibular fractures. Regarding Lag Screws Versus Miniplates results of the meta-analysis found that the use of lag screws is superior to using miniplates in reducing the incidence of postoperative complications. And in regards to locking miniplates versus non-locking miniplate, the analysis indicates that the 2.0-mm locking miniplate is a prospective fixation system in the treatment of maxillofacial fractures.
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de Oliveira JCS, Moura LB, de Menezes JDS, Gabrielli MAC, Pereira Filho VA, Hochuli-Vieira E. Three-dimensional strut plate for the treatment of mandibular fractures: a systematic review. Int J Oral Maxillofac Surg 2017; 47:330-338. [PMID: 28928010 DOI: 10.1016/j.ijom.2017.08.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2017] [Revised: 08/12/2017] [Accepted: 08/30/2017] [Indexed: 11/25/2022]
Abstract
The treatment of mandibular fractures by open reduction and internal fixation is very variable. Thus, there are many controversies about the best fixation system in terms of stability, functional recovery, and postoperative complications. This systematic review sought scientific evidence regarding the best indication for the use of three-dimensional (3D) plates in the treatment of mandibular fractures. A systematic search of the PubMed/MEDLINE, Elsevier/Scopus, and Cochrane Library databases was conducted to include articles published up until November 2016. Following the application of the inclusion criteria, 25 scientific articles were selected for detailed analysis. These studies included a total of 1036 patients (mean age 29 years), with a higher prevalence of males. The anatomical location most involved was the mandibular angle. The success rate of 3D plates was high at this location compared to other methods of fixation. In conclusion, the use of 3D plates for the treatment of mandibular fractures is recommended, since they result in little or no displacement between bone fragments.
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Affiliation(s)
- J C S de Oliveira
- Oral and Maxillofacial Surgery Residency Program, Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil.
| | - L B Moura
- Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil
| | - J D S de Menezes
- Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil
| | - M A C Gabrielli
- Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil
| | - V A Pereira Filho
- Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil
| | - E Hochuli-Vieira
- Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil
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Liu Y, Wei B, Li Y, Gu D, Yin G, Wang B, Xu D, Zhang X, Kong D. The 3-dimensional miniplate is more effective than the standard miniplate for the management of mandibular fractures: a meta-analysis. Eur J Med Res 2017; 22:5. [PMID: 28196543 PMCID: PMC5322783 DOI: 10.1186/s40001-017-0244-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2016] [Accepted: 02/02/2017] [Indexed: 11/10/2022] Open
Abstract
PURPOSE The study aimed to determine the superiority between 3-dimensional (3D) miniplate and standard miniplate for mandibular fractures (MFs) treatment. BACKGROUND Controversial results on the use of standard miniplate and 3D miniplate have remained for management of MFs. METHODS Several electronic databases were retrieved up to September 2014 to identify eligible studies. The quality of studies was assessed, and the relative risk (RR) with its corresponding 95% confidence interval (CI) was assessed to measure the effect size. Subgroup analyses by different fracture regions and different 3D miniplate sizes were performed. Publication bias was measured by a funnel plot. RESULTS There were 13 studies included for the meta-analysis, consisting of 593 participants. The 3D miniplate achieved significant lower incidences of malocclusion (RR 0.43, 95% CI 0.24-0.77, P = 0.004) and hardware failure (RR 0.31, 95% CI 0.13-0.74, P = 0.008) than the standard miniplate. There were no significant differences between the two miniplates on the incidence of the remaining outcomes: wound dehiscence, infection, paresthesia, and nonunion/malunion. Subgroup analyses indicated that 3D miniplate caused a lower hardware failure than standard with the size of 8 or 10 holes (RR 0.23, 95% CI 0.08-0.66, P = 0.006). Besides, publication bias was not detected. CONCLUSION The 3D miniplate is superior to the standard miniplate on the reduction of postoperative complication rates for the management of MFs. More holes in the 3D miniplate might contribute to a successful treatment.
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Affiliation(s)
- Yong Liu
- Departments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China
| | - Bo Wei
- Departments of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, 130033, Jilin, China
| | - Yuxiang Li
- Departments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China
| | - Dawei Gu
- Departments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China
| | - Guochao Yin
- Departments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China
| | - Bo Wang
- Departments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China
| | - Dehui Xu
- Departments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China
| | - Xuebing Zhang
- Departments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China
| | - Daliang Kong
- Departments of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, 130033, Jilin, China.
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Wusiman P, Yarbag A, Wurouzi G, Mijiti A, Moming A. Three dimensional versus standard miniplate fixation in management of mandibular fractures: A systematic review and meta-analysis. J Craniomaxillofac Surg 2016; 44:1646-1654. [PMID: 27618717 DOI: 10.1016/j.jcms.2016.07.027] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 06/15/2016] [Accepted: 07/27/2016] [Indexed: 10/21/2022] Open
Abstract
PURPOSE The aims of the present study were to 1) evaluate clinical outcomes between standard and three-dimensional (3D) miniplate fixation in the management of mandibular fractures and 2) determine which fixation method is the best option for the treatment of mandibular fractures. MATERIALS AND METHODS A comprehensive electronic search language without date was performed in July 2015. Inclusion criteria were studies in humans, including randomized controlled trials, controlled clinical trials, and retrospective studies, with the aim of comparing the two techniques. In addition, the incidence of complications was evaluated. RESULTS Seventeen publications were included: nine randomized controlled trials, three controlled clinical trials, and five retrospective studies. The meta-analyses showed statistically significant differences for the incidence of hardware failure, malocclusion, and postoperative trismus. There were no significant differences in the incidence of postoperative infection, wound dehiscence, non-union/malunion, and paresthesia. The cumulative odds ratio was 0.48, meaning that the use of 3D miniplates in the fixation of mandibular fractures decreases the risk of the event (postoperative complication) by 52%. CONCLUSION The results of this meta-analysis showed that the use of 3D miniplates was superior to the two-miniplate technique in reducing the incidence of postoperative complications in the management of mandibular fractures.
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Affiliation(s)
- Patiguli Wusiman
- Department of Oral and Maxillofacial Surgery (Head: Prof. A. Moming), The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, People's Republic of China; Stomatological Research Institute of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang 830054, People's Republic of China
| | | | - Guli Wurouzi
- Department of Oral and Maxillofacial Surgery (Head: Prof. A. Moming), The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, People's Republic of China; Stomatological Research Institute of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang 830054, People's Republic of China
| | - Ainiwaer Mijiti
- Department of Oral and Maxillofacial Surgery (Head: Prof. A. Moming), The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, People's Republic of China; Stomatological Research Institute of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang 830054, People's Republic of China
| | - Adili Moming
- Department of Oral and Maxillofacial Surgery (Head: Prof. A. Moming), The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, People's Republic of China; Stomatological Research Institute of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang 830054, People's Republic of China.
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The use of three-dimensional strut plates for the management of mandibular angle fractures: a retrospective analysis of 222 patients. Int J Oral Maxillofac Surg 2016; 45:1410-1417. [PMID: 27328630 DOI: 10.1016/j.ijom.2016.05.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2015] [Revised: 05/19/2016] [Accepted: 05/31/2016] [Indexed: 11/22/2022]
Abstract
This study was performed to evaluate the use of three-dimensional (3D) strut plates for the surgical management of mandibular angle fractures and to determine the subsequent postoperative complication rate. Two hundred and twenty-two patients met the inclusion criteria for mandible angle fracture at the university hospital in Miami between 2009 and 2013 and were included in this study. The treatment protocol for mandibular angle fractures included open reduction and internal fixation with the utilization of a 3D strut plate. Patients were not placed in postoperative intermaxillary fixation. An evaluation of the cases revealed a complication rate of 15.3%, of which 6.8% were considered major complications requiring a surgical intervention. The 3D strut plate has been found to have many advantages over single miniplate techniques with respect to the stability of the fracture and the rate of complications. Based on the current data, 3D strut plates provide a predictable result in the treatment of mandibular angle fractures.
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Kanubaddy SR, Devireddy SK, Rayadurgam KK, Gali R, Dasari MR, Pampana S. Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate-A Prospective Randomised Study. J Maxillofac Oral Surg 2016; 15:535-541. [PMID: 27833349 DOI: 10.1007/s12663-016-0892-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 03/18/2016] [Indexed: 10/22/2022] Open
Abstract
PURPOSE This prospective study was conducted to evaluate the efficacy of stainless steel single linear miniplate with rectangular grid plate in the treatment of mandibular angle fractures. METHODS This study included 30 patients who were allocated randomly into two groups of each. Group 1 patients were treated with single 2 mm × 4 hole linear stainless steel miniplate and group 2 patients with 2 mm × 4 hole rectangular grid plate. Patients were evaluated for fracture stability, occlusion, mouth opening, and complications at 1st week, 1 and 3 months post operatively. RESULTS There were no significant differences between the two groups with respective variables statistically. In group 1 20 % (n = 3) had mild occlussal derangement 6.66 % (n = 1) patient had deranged occlusion at 1 week post operatively and 13.3 % (n = 2) had mild derangement at 1 month post operatively. In group 2 6.66 % (n = 1) had mild derangement at 1 week postoperatively. 20 % (n = 3) had limited mouth opening at 1 week in group 1 and 13.3 % (n = 2) in group 2. All patients in both groups achieved adequate mouth opening by the end of 3 month. None of the patients in both groups had plate fracture, screw loosening, non union or mal-union. CONCLUSION Within the limits of the study, use of rectangular grid plates for fixation of mandibular angle fractures was reliable with low complication rates, easy adaptation and an effective alternative to conventional miniplates. Further clinical studies with larger sample size can derive a more comprehensive conclusion.
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Affiliation(s)
- Sridhar Reddy Kanubaddy
- Department of Oral Maxillofacial Surgery, Narayana Dental College, Chintareddy Palem, Nellore, Andhra Pradesh 524003 India
| | - Sathya Kumar Devireddy
- Department of Oral Maxillofacial Surgery, Narayana Dental College, Chintareddy Palem, Nellore, Andhra Pradesh 524003 India
| | - Kishore Kumar Rayadurgam
- Department of Oral Maxillofacial Surgery, Narayana Dental College, Chintareddy Palem, Nellore, Andhra Pradesh 524003 India
| | - Rajsekhar Gali
- Department of Oral Maxillofacial Surgery, Narayana Dental College, Chintareddy Palem, Nellore, Andhra Pradesh 524003 India
| | - Mallikarjun Rao Dasari
- Department of Oral Maxillofacial Surgery, Narayana Dental College, Chintareddy Palem, Nellore, Andhra Pradesh 524003 India
| | - Sivaganesh Pampana
- Department of Oral Maxillofacial Surgery, Narayana Dental College, Chintareddy Palem, Nellore, Andhra Pradesh 524003 India
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Pandey V, Bhutia O, Nagori SA, Seith A, Roychoudhury A. Management of mandibular angle fractures using a 1.7 mm 3-dimensional strut plate. J Oral Biol Craniofac Res 2016; 6:35-40. [PMID: 26937367 DOI: 10.1016/j.jobcr.2015.11.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Accepted: 11/05/2015] [Indexed: 10/22/2022] Open
Abstract
AIM We report our experience with the use of 1.7 mm 3-dimentional (3D) strut plate for the management of mandibular angle fractures. METHODS This prospective study enrolled 15 patients in whom mandibular angle fractures were treated with 1.7 mm 3D plate using trans-buccal trochar. Patients were evaluated at 72 h, 2 weeks, 6 weeks and 12 weeks for fracture stability, occlusion, soft-tissue swelling, infection and post-operative inferior alveolar nerve damage. Other complications like wound dehiscence, non-union, mal-union and hardware failure were also assessed. RESULTS In the immediate post-operative period, fracture instability was seen in 1 (6.7%) patient which resolved by 2 weeks. Mild occlusal discrepancy was also noted in 1 (6.7%) patient. Wound dehiscence was seen in 5 (33.3%) patients and all resolved by local measures. 1 (6.7%) patient developed post-operative nerve paraesthesia. Immediate post-operative radiographic evaluation demonstrated optimal reduction in all cases with no inferior border gaping. No case of infection, hardware failure, non-union and mal-union was noted. CONCLUSION Within the limitations of the study, 1.7 mm 3D strut plate was found to be effective for management of non-communited mandibular angle fractures.
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Affiliation(s)
- Varnika Pandey
- Ex-Resident, Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India
| | - Ongkila Bhutia
- Professor, Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India
| | - Shakil Ahmed Nagori
- Ex-Resident, Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India
| | - Ashu Seith
- Professor, Department of Radiology, All India Institute of Medical Sciences, New Delhi, India
| | - Ajoy Roychoudhury
- Professor and Head, Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India
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Yamamoto K, Matsusue Y, Horita S, Murakami K, Sugiura T, Kirita T. Routine removal of the plate after surgical treatment for mandibular angle fracture with a third molar in relation to the fracture line. Ann Maxillofac Surg 2015; 5:77-81. [PMID: 26389039 PMCID: PMC4555954 DOI: 10.4103/2231-0746.161077] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Purpose: The purpose was to analyze the clinical course of surgically treated mandibular angle fractures from the viewpoint of routine removal of the plate because these fractures are associated with high rates of complications and plate removal. Subjects and Methods: The subjects were 40 patients with unilateral mandibular angle fracture, which was intraorally reduced and principally fixed with a single miniplate on the external oblique ridge. The third molar in relation to the fracture line was extracted in seven patients during the surgery. Clinical course was evaluated in terms of removal of the plate, preservation of the third molar and complications. Results: One patient showed a wound infection postoperatively, and two patients developed pericoronitis during the follow-up. These were managed with medication and local irrigation. One patient with a preserved third molar did not make a required visit and was lost from the follow-up. Removal of the plates was performed in 39 patients after confirmation of good fracture healing, mostly within a year. Twenty-four of 32 preserved third molars were simultaneously extracted. These procedures were generally performed under local anesthesia on an outpatient basis, and they did not cause any complications. Conclusions: Routine removal of the plate after surgical treatment for mandibular angle fractures, simultaneously with extraction of the third molar if indicated, may be beneficial to avoid complications related to the plate and the third molar later in life.
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Affiliation(s)
- Kazuhiko Yamamoto
- Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
| | - Yumiko Matsusue
- Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
| | - Satoshi Horita
- Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
| | - Kazuhiro Murakami
- Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
| | - Tsutomu Sugiura
- Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
| | - Tadaaki Kirita
- Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
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Al-Moraissi E, Mounair R, El-Sharkawy T, El-Ghareeb T. Comparison between three-dimensional and standard miniplates in the management of mandibular angle fractures: a prospective, randomized, double-blind, controlled clinical study. Int J Oral Maxillofac Surg 2015; 44:316-21. [DOI: 10.1016/j.ijom.2014.10.012] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2013] [Revised: 10/12/2014] [Accepted: 10/15/2014] [Indexed: 11/30/2022]
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16
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What Method for Management of Unilateral Mandibular Angle Fractures Has the Lowest Rate of Postoperative Complications? A Systematic Review and Meta-Analysis. J Oral Maxillofac Surg 2014; 72:2197-211. [DOI: 10.1016/j.joms.2014.05.023] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2014] [Revised: 05/21/2014] [Accepted: 05/21/2014] [Indexed: 11/19/2022]
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17
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Al-Moraissi E, El-Sharkawy T, El-Ghareeb T, Chrcanovic B. Three-dimensional versus standard miniplate fixation in the management of mandibular angle fractures: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 2014; 43:708-16. [PMID: 24637159 DOI: 10.1016/j.ijom.2014.02.002] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2013] [Revised: 11/21/2013] [Accepted: 02/10/2014] [Indexed: 11/26/2022]
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