Shushma G

Abstract

Background: The fractures of the ramus of the mandible are generally negligibly displaced. This is because of the anatomical situation of the ramus between the masseter and the medial pterygoid muscle. The present study was conducted to assess ramus of mandible fractures in patients. Materials and Methods: Present study was carried out on 125 subjects of both genders with fractures of ramus of mandible. The reason of injury, pretreatment occlusion, treatment protocol (open or closed), period of MMF and post-treatment occlusion was documented. Results obtained were subjected to statistical analysis. Results: Out of 125 patients, 75 were males and 50 females. Prime reason of fracture of ramus was road traffic accident (RTA) in 87 cases, fall in 26 and assault in 12 cases. The difference was statistically significant with p value < 0> and closed treatment in 20 cases. Conclusion: This study revealed that fractures of ramus are not commonly seen. Open reduction and internal fixation of fracture of ramus warrants acceptable functional and anatomic reduction. Keywords: Ramus, Mandible, Fracture.

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Abstract

Background: The introduction of bone plates as the implants for osteosynthesis has changed this facet of oral and maxillofacial surgery. The objective of this study was to evaluate the treatment outcome of fixation of mandibular fractures with Eccentric Dynamic Compression Plates (EDCP) with a follow up interval of 1 week, 3 weeks, 6 weeks and 3 months. Materials and Methods: Ten patients will be randomly selected and subjects underwent Open Reduction and Internal Fixation under General anesthesia/ Local anesthesia. Fixation will be done using 2.5 mm Titanium Eccentric Dynamic Compression Plates 2.5x 8.0mm Titanium screws through Intraoral/ Extraoral approach. Results: In our study the 2.5mm EDC plates had low morbidity and significantly lower infection rates. It was proved to be comparable to other plating systems. It was also easy to use alternative to the conventionally used miniplates, in that it provided absolute rigidity to the fractured segments. Conclusion: All the patients present in the study appreciated early recovery of normal jaw function, primary healing and good union at the fracture site with minimal weight loss due to early functional rehabilitation. Keywords: Mandibular fractures, Eccentric dynamic compression plates.

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