Mandible Fracture
Conditions
Brief summary
Mandibular fractures are the second most common maxillofacial fracture after nasal bone fracture. As a result, a lot of research work has gone into improving treatment methods for these fractures including, reduction of immobilization period and enhancement of rigid fixation. One of these modalities is the use of Sagittal Split plate at the angle of the mandible.
Interventions
patients will be treated using a single Sagittal Split plate at the neutral zone of mandible
patients will be treated using two conventional miniplates according to Champy's osteosynthesis lines.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients suffering from recent, uninfected angle mandibular fracture. * Fracture that demands open reduction and internal fixation.
Exclusion criteria
* Medically compromised patients contradicting the operation. * Existence of infection at the fracture line. * Pathological fracture. * An old fracture.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain scores | baseline, 24 hours, 1 week, and 6 weeks | Will be assessed through a 10-point Visual Analogue Scale (VAS) (34). (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe). |
| Change in Maximal Inter-Incisal Mouth | baseline, 24 hours, 1 week, and 6 weeks | Using a millimeter ruler to measure maximal inter-incisal mouth opening |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative infection | 24 hours, 1 week, and 6 weeks | observation for any manifestations of wound healing disturbance |
| change in bone density | baseline and 12 weeks | Immediate CT (T0) scan will be done and then another CT (T1) will be taken at 12th week to estimate the mean bone density at the fracture line in comparison with the immediate postoperative scan |
Countries
Egypt