Literature DB >> 29382998

Reduction of Palatal Midline and Para-Midline Fractures Using Intra-arch Wire Fixation Versus Transmucosal Miniplate Stabilization: Prospective Randomized Clinical Study to Evaluate Postoperative Occlusion.

Darpan Bhargava1,2, Shaji Thomas1, Ankit Pandey1.   

Abstract

PURPOSE: The aim of the study is to compare the post reduction squealae of transmucosal miniplate fixation technique for stabilization of palatal fractures with intra-arch wiring technique. MATERIALS AND
METHOD: This study was prospectively undertaken on 16 patients, dividing them into two treatment arms based on random sampling methodology (Group A & B). For patients in Group A, intra-arch wire stabilization technique and in Group B trans-mucosal miniplate stabilization technique was used. The pre-operative and post-operative occlusion and time taken for stabilization in both the techniques was compared.
RESULTS: The mean time taken for reduction and stabilization of palatal fracture in group A was 10.9 ± 2.21 min and in group B was 14.2 ± 1.13 min. Four out of eight study patients in group A required post reduction interception to stabilize occlusion postoperatively, whereas none of the patients in group B needed any post operative intervention.
CONCLUSION: The post operative occlusal stability was found better in study patients included in group B when compared to group A patients, although satisfactory post-operative occlusion was obtained even in group A with post-operative interception for occlusal stability.

Entities:  

Keywords:  Bone; Fracture; Maxillofacial; Oral surgery; Palatal fracture

Year:  2016        PMID: 29382998      PMCID: PMC5772020          DOI: 10.1007/s12663-016-0980-9

Source DB:  PubMed          Journal:  J Maxillofac Oral Surg        ISSN: 0972-8270


  5 in total

Review 1.  Diagnosis of midface fractures with CT: what the surgeon needs to know.

Authors:  Richard A Hopper; Shahram Salemy; Raymond W Sze
Journal:  Radiographics       Date:  2006 May-Jun       Impact factor: 5.333

2.  Palatal fractures: classification, patterns, and treatment with rigid internal fixation.

Authors:  M Hendrickson; N Clark; P N Manson; M Yaremchuk; B Robertson; S Slezak; W Crawley; C Vander Kolk
Journal:  Plast Reconstr Surg       Date:  1998-02       Impact factor: 4.730

3.  The search for the ideal fixation of palatal fractures: innovative experience with a mini-locking plate.

Authors:  Richard A Pollock
Journal:  Craniomaxillofac Trauma Reconstr       Date:  2008-11

4.  Treatment of Palatal Fractures by Osteosynthesis with 2.0-mm Locking Plates as External Fixator.

Authors:  Ricardo Cienfuegos; Eduardo Sierra; Benjamin Ortiz; Gerardo Fernández
Journal:  Craniomaxillofac Trauma Reconstr       Date:  2010-12

5.  Sagittal fracture of the maxilla.

Authors:  K Antoniades; C Dimitriou; C Triaridis; I Karabouta; N Layaridis; D Karakasis
Journal:  J Craniomaxillofac Surg       Date:  1990-08       Impact factor: 2.078

  5 in total

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