MANDIBULAR FRACTURE MANAGEMENT;

COMPARISON OF EFFICACY OF MAXILLOMANDIBULAR FIXATION OF SCREWS VERSUS ERICH ARCH BAR.

  • Manoj Kumar LUMHS, Jamshoro
  • Syed Fida Hussain Shah Minimal Invasive Surgical Centre LUMHS, Jamshoro.
  • Suneel Kumar Panjabi LUMHS.
  • Soonhan Abdullah LUMHS, Jamshoro.
  • Salman Shams LUMHS.
Keywords: Efficacy, Maxillomandibular Fixation Screws, Erich Arch Bar, Mandibular Fractures

Abstract

Objectives: To compare the efficacy of Maxillomandibular fixation screws versus Erich Arch bar in the management of mandibular fractures. Study Design: Comparative case series study. Setting: Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Liaquat University Hospital Hyderabad, Jamshoro. Period: 29/03/2016 to 28/09/2016. Methodology: Forty patients of either gender with age above 18 years with mandibular fracture requiring closed reduction were included. 20 patients of Groups A, treated with Maxillomandibular fixation screws and 20 patients of Group B treated with Erich Arch bar. Mean operative time was noted. All patients were followed up on every week up to four weeks. The statistical analysis via t-test was used and P-value <0.05 was categorized as significant. Results: In MMF screw group 13(65.0%) patients were male and 7(35.0%) patients were female whereas in Arch Bar group, 15(75.0%) were male and 5(25.0%) were female. Evidence of wire stick injury was found positive in 2(10.0%) and 4(20.0%) patients among MMF screw and Arch Bar groups respectively. In MMF screw group, mean operative time was 84.20±18.04 minutes whereas in Arch Bar groups it was 121.80±13.68 minutes. The mean operative time is significantly reduced in MMF screw group as compared to Arch Bar group with p value <0.01. Conclusion: We conclude that Maxillomandibular fixation with screws was more worthwhile mode as matched to the conservative Erich arch bars for managing the mandibular fractures.

Author Biographies

Manoj Kumar, LUMHS, Jamshoro

BDS, MSc

Dental Surgeon

Department of Oral & Maxillofacial Surgery

 

Syed Fida Hussain Shah, Minimal Invasive Surgical Centre LUMHS, Jamshoro.

MBBS, MS (General Surgery)

Assistant Professor

 

Suneel Kumar Panjabi, LUMHS.

BDS, FCPS

Associate Professor

Department of Oral & Maxillofacial Surgery

 

Soonhan Abdullah, LUMHS, Jamshoro.

BDS, MSc

Registrar

Department of Oral & Maxillofacial Surgery

 

Salman Shams, LUMHS.

BDS, MSc

Lecturer

Department of Oral & Maxillofacial Surgery

 

Published
2019-04-10