10Nov 2017

MINI - RETROMANDIBULAR APPROACH FOR OPEN REDUCTION AND INTERNAL FIXATION OF CONDYLAR FRACTURES BY DELTA PLATES: AN EXPLORATORY STUDY.

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Background: The main objective of our study is to evaluate the new delta condylar plate for condylar fracture with mini retromandibular approach. Materials and methods: 20 patients with displaced condylar fracture were treated with delta condylar plate using mini retromandibular approach. Patients were evaluated on the basis of pre op and post op parameters and X-rays. Patients were followed for 18 months. Results: In 20 patients, there was high male predominance (75%) to female (25%). The mean mouth opening is 44.85mm (40-50mm). The duration of surgery varied from minimum of 40 min to maximum of 65 min (mean= 52.95 min ). In this study excellent access was achieved in 14 cases (70%), access was good in 5 cases (25%) & fair in 1 case (5%). Post operative complications like infection at surgical site (25%) is in 5 cases &sialocele (15%) in 3 case. We didn?t encounter any facial nerve palsy. All 20 patients (100%) had inconspicuous scar which was well camouflaged. Conclusion: The mini retromandibular approach is easy and fast to perform and carries low risk of damaging the facial nerve while leaving a barely noticeable scar . Delta shaped plate for condylar fractures aids in neutralization of changing strains and the plate can be easily place at the constricted condylar neck region. We concluded that surgical treatment of the fractured, displaced condyle using the mini retromandibular approach for anatomic reduction using delta condylar plates is excellent.

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[Sujeeth Kumar Shetty, Mds, Vijay Singh Rai, Mds, Sai Krishna D., Mds, Asutosh Das, Mds and Praveen Kumar Singh, Mds. (2017); MINI - RETROMANDIBULAR APPROACH FOR OPEN REDUCTION AND INTERNAL FIXATION OF CONDYLAR FRACTURES BY DELTA PLATES: AN EXPLORATORY STUDY. Int. J. of Adv. Res. 5 (Nov). 120-131] (ISSN 2320-5407). www.journalijar.com

Dr. Vijay Singh Rai

DOI:

Article DOI: 10.21474/IJAR01/5745      
DOI URL: http://dx.doi.org/10.21474/IJAR01/5745

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