Health Condition 1: Z768- Persons encountering health services in other specified circumstances
Conditions
Interventions
Intervention1: Study group: In the top-down approach calvarium frontal sinus and orbital roof fractures will be fixed sequentially Then zygomaticomaxillary complex fractures including the arch will be
Sponsors
Department of Oral Maxillofacial surgery
Eligibility
Inclusion criteria
Inclusion criteria: 1.Male Patients aged 18 years and above. 2.Patients diagnosed with pan facial fractures involving a minimum of two of the following regions: upper, middle, and lower thirds of the facial skeleton. 3.Patients requiring open reduction and internal fixation for pan facial fractures under general anesthesia 4.Patients classified as American Society of Anesthesiologists (ASA) Physical Status I or II. 5.Patients providing written informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1.Patients with severe traumatic brain injury or cervical spine injury precluding definitive surgical management. 2. Edentulous patients having maxillofacial injuries. 3. Patients with autoimmune, hematological, or platelet disorders affecting healing or coagulation. 4. Patients with immunosuppression due to systemic illness, malignancy, chemotherapy, or prolonged steroid use. 5. Patients with a history of radiation therapy to the head and neck region. 6. Patients with previous facial fracture surgery affecting occlusion or facial symmetry. 7. Patients unwilling or unable to provide informed consent or comply with follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate and compare the 1 occlusion 2 facial symmetry 3 aesthetic outcomes 4 mouth openingTimepoint: all the parametersn will be evaluated at 48th hour 4th week and 8th week post operatively | — |
Secondary
| Measure | Time frame |
|---|---|
| 5. To assess and compare postoperative complication rates, such as infection, plate exposure, non-union, malunion and the need for revision surgery, between the two approaches.Timepoint: At 48th hour, 4th week, 8th week | — |
Countries
India
Contacts
Public ContactDr Chirag Sharma
Geetanjali Dental & Research Institute
Outcome results
None listed