Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reduction
Abstract Objective: To compare the outcomes of intraoral versus extraoral approach in the treatment of mandibular angle fracture. Method: The randomised controlled trail was conducted at the Department of Maxillofacial Surgery, Mayo Hospital, Lahore Pakistan, from September 2016 to March 2017...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2020-10-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1655 |
| _version_ | 1797820618595368960 |
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| author | Yasir Bilal Ashfaq ur Rahim Shazia Mahar Gul Riaz Ahmed Warraich |
| author_facet | Yasir Bilal Ashfaq ur Rahim Shazia Mahar Gul Riaz Ahmed Warraich |
| author_sort | Yasir Bilal |
| collection | DOAJ |
| description |
Abstract
Objective: To compare the outcomes of intraoral versus extraoral approach in the treatment of mandibular angle fracture.
Method: The randomised controlled trail was conducted at the Department of Maxillofacial Surgery, Mayo Hospital, Lahore Pakistan, from September 2016 to March 2017, and comprised patients of mandibular angle fracture who were divided into two equal extraoral group A and intraoral group B. . Baseline and post-operative data on 1st and 7th days as well as 3 months following the surgery was collected. Data was analysed using SPSS 20.
Results: Of the 100 patients, there were 50(50%) in each of the two groups. Mean age of group A was 32.28±7.79 years compared to 33.72±8.13 years in group B. There were 39 (78%) males in group A and 36(72%) in group B. The mean pain score at baseline in the groups was not significantly different (p=0.795). On the 7th day and 3 months post-operation, mean pain score was significantly lower in group A (p=0.002). Nerve complication in group A was significantly high compared to group A (p=0.005).
Conclusion: Extra oral approach for the management of mandibular angle fracture is better with regards to pain while intra-oral approach is less associated with nerve complications.
Key Words: Angle of mandible, Fracture, Intraoral approach, Extraoral approach, Incision.
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| first_indexed | 2024-03-13T09:40:55Z |
| format | Article |
| id | doaj.art-d45bfc074244466b94bc6ba409bc8c53 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:40:55Z |
| publishDate | 2020-10-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-d45bfc074244466b94bc6ba409bc8c532023-05-25T04:25:27ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822020-10-0110.47391/JPMA.673Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reductionYasir Bilal 0Ashfaq ur Rahim 1Shazia Mahar Gul 2Riaz Ahmed Warraich 3Department of Oral and Maxillofacial Surgery, King Edward Medical University, Mayo Hospital, Lahore, PakistanDepartment of Maxillofacial Surgery, University of Lahore, PakistanDepartment of Oral and Maxillofacial Surgery, King Edward Medical University, Mayo Hospital, Lahore, PakistanDepartment of Oral and Maxillofacial Surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan Abstract Objective: To compare the outcomes of intraoral versus extraoral approach in the treatment of mandibular angle fracture. Method: The randomised controlled trail was conducted at the Department of Maxillofacial Surgery, Mayo Hospital, Lahore Pakistan, from September 2016 to March 2017, and comprised patients of mandibular angle fracture who were divided into two equal extraoral group A and intraoral group B. . Baseline and post-operative data on 1st and 7th days as well as 3 months following the surgery was collected. Data was analysed using SPSS 20. Results: Of the 100 patients, there were 50(50%) in each of the two groups. Mean age of group A was 32.28±7.79 years compared to 33.72±8.13 years in group B. There were 39 (78%) males in group A and 36(72%) in group B. The mean pain score at baseline in the groups was not significantly different (p=0.795). On the 7th day and 3 months post-operation, mean pain score was significantly lower in group A (p=0.002). Nerve complication in group A was significantly high compared to group A (p=0.005). Conclusion: Extra oral approach for the management of mandibular angle fracture is better with regards to pain while intra-oral approach is less associated with nerve complications. Key Words: Angle of mandible, Fracture, Intraoral approach, Extraoral approach, Incision. https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1655 |
| spellingShingle | Yasir Bilal Ashfaq ur Rahim Shazia Mahar Gul Riaz Ahmed Warraich Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reduction Journal of the Pakistan Medical Association |
| title | Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reduction |
| title_full | Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reduction |
| title_fullStr | Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reduction |
| title_full_unstemmed | Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reduction |
| title_short | Outcomes of extra oral versus intraoral approach for Mandibular angle fracture reduction |
| title_sort | outcomes of extra oral versus intraoral approach for mandibular angle fracture reduction |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1655 |
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