الفهرس | Only 14 pages are availabe for public view |
Abstract : Mandibular fracture treatment aims to achieve adequate reduction of the fracture fragments, to immobilize these fragments firmly in order to restore premorbid occlusion and to promote direct bone healing. With a repositioning forceps, a more accurate anatomical reduction and higher pre-compression can be achieved compared to IMF or manual reduction. Following this technique provides better alignment of the fragments is to favor bone healing and diminish risks of complications. Aim of the study: was to evaluate clinically and radiographically the effect of using bone reduction forceps in reduction of isolated mandibular fractures. Materials and Methods: A prospective study was done on 10 patients complaining of isolated mandibular fractures in need of open reduction and internal fixation. Patients had reduction using bone reduction forceps. The patients were followed up clinically for 3 months postoperatively evaluating the pain, the facial edema, the occlusal disturbances, the maximal mouth opening and infection at the surgical site. Radiographic evaluation was performed by computed tomography (CT) preoperatively, and cone beam computed tomography (CBCT) was done after 3 and 6 months postoperatively. The results were calculated, compared and statistically analysed to indicate the efficacy of using the forceps in the treatment of displaced isolated mandibular fracture. Results: Clinically, all the parameters evaluated were statistically significant along the follow up period (p value ≤0.05). Radiographically, postoperative CBCT was carried out which showed an increase in bone density in the fracture site, the results were statistically significant at the 3 and 6 months postoperatively as p value <0.0001. Conclusion: Using bone reduction forceps followed by semi-rigid fixation by miniplates was easy and safe for the management of isolated mandibular fractures with small number of major complications. |