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Register a new userAssessment of Reduction and Stabilization Adequacy of Mandibular Angle Fractures treated by mini plates Intraorally
تقييم كفاية الرد و استقرار التثبيت لكسور زاوية الفك السفلي بالصفائح الصغيرة من داخل الفم
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تهدف هذه الدراسة إلى تقييم كفاية الرد و استقرار التثبيت لكسور زاوية الفك السفلي باستخدام صفيحة صغيرة مفردة مطواعة غير ضاغطة موضوعة عبر مقاربتين (من داخل التجويف الفموي- و داخل فموي عبر الخد) . شملت الدراسة 20 مريضاً من المرضى المراجعين لمشفى الأسد الجامعي و مصابين بكسور أحادية أو ثنائية الجانب غير المتبدلة بشدة و غير المتفتتة في زاوية الفك السفلي و ذلك في الفترة مابين ايلول 2011 و كانون الأول 2013. قسمت عينة البحث إلى مجموعتين و استخدمت مقاربتين جراحتين و طبقت الصفائح في أمكنة تثبيت متعارف عليها وفق مبادئ و بروتوكول Champy. جرى تقييم كفاية الرد و استقرار التثبيت من خلال الصور الشعاعية المأخوذة بعد العمل الجراحي مباشرة و تضمنت المراقبة السريرية كلا من الإطباق ، الفعالية المضغية, المضاعفات المتطورة بعد العمل الجراحي (الإنتان – انكشاف صفيحة التثبيت ) و ذلك بعد شهر، ستة أشهر و سنة. أظهرت النتائج وجود فروق ذات دلالة إحصائية خلال فترة المتابعة بعد شهر و بعد ستة أشهر و ذلك بالنسبة لجميع المتغيرات المدروسة و ذلك لصالح المقاربة عبر الخد بينما لم تكن هناك فروق ذات دلالة بعد سنة من المتابعة. أظهرت الدراسة أن استخدام المقاربة داخل الفموية مع استخدام المدخل عبر الخد كانت الافضل من حيث عدم انكشاف الصفيحة و تطور الإنتان و الأكثر سهولة مقارنة مع المدخل الفموي و ذلك بالنسبة للمتغيرات المدروسة .
The purpose of this study was to evaluate the reliability of a single malleable noncommpression titanium miniplate in fixation and stability of fractures of the mandibular angle using two approaches(.transbuccal and intra-oral approach, or intra-orally alone) . The research sample included 20 patients from patients who attended AL Assad University Hospital with Unilateral or bilateralun-comminuted mandibular angle fractures in the period between September 2011 and October 2013. The research sample was divided into two groups depending on the two approaches that have been used . Adequacy of the reduction and stability of fixation were evaluated through Radiographic examinations immediately after surgery. Postoperative assessment was based on clinical examination after 1 month, 6 monthes and a year to evaluate: Occlusion, Masticatory efficiency, Maximum mouth opening range, and Other complications(infection –mini-plate exposure). The results of the present study showed that there were statistical difference between the two approaches(transbuccal and intra-oral approach, or intra-orally alone) regarding Occlusion, Masticatory efficiency and Other complications after 1 and 6 months while there was no statistical difference between the approaches after 1 year . we Concluded that using the combined transbuccal/oral approach was the best regarding(infection and mini-plate exposure) and compared with intra-oral approach .
References used
In .Emergency airway management in the traumatized patient :MUSKAT, P.C .Fonseca R, editors: Oral and maxillofacial surgery. Saunders, 2009,34-35
American college of surgeons committee on trauma: Advanced trauma life support, 7th ed, Chicago, 2004,81-83
MANSON, P.N; HOOPES, J.E: Structural pillars of the facial skeleton: an approach to the management of Le Fort fractures, Plast Reconstr Surg, 1980,54-57
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So this study
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The fixation of the humeral,s supracondylare fractures in children by percutaneous pinning is considered a new and good principle in without the disadvantages that appear by treating it by open reduction and internal fixation . A prespective and pers
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It used a sample consisting of 10 patients have lost bilateral in the mandibular we
re
prepared two abutments (first and second premolar ) and compensation as follows : the
right side of the patient by rigid attachment type MKI and the left side by resilient
attachment type ASC 52 , then to assess patient’s satisfaction for each of the two types of
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scale 0 5 (0 = excellent ,1 = very good, 2 = good, 3 = middle , 4 = bad, 5 = very bad) ,
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retention ), comfort , the ability to chew ,easy removal denture , deposition foods under the
removable part .
The results showed , no difference statistically significant between tow attachments
in terms of general satisfaction included (aesthetics, speech and retention) ,comfort , the
ability to chew ,easy removal denture after one month and 6 months to use the dentures
while showing difference statistically significant between tow attachments after one month
and 6 months to use the dentures , when the level significance p< 0.05 .
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gingiva and lower anterior teeth may
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Purpose: Evaluation of neurosensory deficiency of the lower lip, chin area ,
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