Health Condition 1: W499- Exposure to other inanimate mechanical forces
Conditions
Interventions
Intervention1: Fixation sequence: dentate first or condylar segment first
Intervention2: Fixation of condylar segment first: Condylar segment first, followed by dentate segment
Control Intervention1:
Sponsors
AIIMS Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients of two or more mandibular fractures within 2 weeks of trauma with at least one condylar fracture. 2.Patients with skeletally mature mandible where dental occlusion can be assessed 3.Patients in good physical and mental condition, classified as ASA I or II, to ensure optimal surgical tolerance and reliable postoperative assessment.
Exclusion criteria
Exclusion criteria: 1.Severely comminuted fractures 2.Pathologic fractures (secondary to any tumor or cyst). 3.Edentulous mandible where occlusal assessment is not possible. 4.Previous mandibular surgery altering its anatomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Restoration of pre-injury occlusion and clinical function (assessed clinically by comparing to pre- operative records mouth opening, deviation, protrusion, lateral excursion and need of postoperative maxillomandibular fixation)Timepoint: 1st day, 3rd day, 15th day,1 month, 6 months postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Radiographic alignment of fracture site on OPG & CBCT at 1st day postoperatively & 6 months postoperatively 2.Operative time & surgeon s ease 3.Incidence of facial nerve disturbances & sialocele 4.Postoperative complications: infection, malocclusion, non-union, plate exposure, need for secondary surgery Timepoint: 1st day, 3rd day, 15th day,1 month, 6 months postoperatively. | — |
Countries
India
Contacts
Public ContactAnika Shakeel
AIIMS Jodhpur
Outcome results
None listed