Comparative evaluation of different osteosynthesis modalities with respect to lingual splaying in mandibular interforaminal fractures using CBCT: A prospective study.

National journal of maxillofacial surgery Pub Date : 2024-01-01 Epub Date: 2024-03-19 DOI:10.4103/njms.njms_5_23
Gaurav Mittal, Ritesh Garg, Abhishek Rathi, Debi Prasad Ghatak, Jhilik Biswas
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Abstract

Introduction: The management of interforaminal fracture can prove to be challenging because of its unique anatomy and muscular forces. Often, lingual splaying has been found either postoperatively or even during the procedures in such fractures and can be challenging when it comes to managing them. Various modalities such as miniplates, lag screws, and three-dimensional (3D) miniplates have been utilized to manage these fractures. This article compares these three modalities in the management of lingual splaying.

Material and methods: Thirty patients were allotted randomly to either of the aforementioned modalities randomly in this prospective study. The patients were operated and followed up for the period of 6 months.

Results: It was found that no significant difference exists between the modalities in terms of reduction in lingual splay.

Conclusion: All three modalities have different ventures to offer. A larger sample size study may be warranted to elucidate the obtained results.

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使用 CBCT 对下颌骨椎间孔骨折的舌侧劈裂进行不同骨合成方式的比较评估:一项前瞻性研究。
导言:由于其独特的解剖结构和肌肉力量,椎间孔骨折的治疗具有挑战性。在此类骨折的术后甚至手术过程中,经常会发现舌侧劈裂的情况,这在治疗上具有挑战性。在处理这类骨折时,人们采用了多种方式,如微型钢板、滞后螺钉和三维(3D)微型钢板。本文比较了这三种治疗舌侧劈裂的方法:在这项前瞻性研究中,30 名患者被随机分配到上述两种方法中的任意一种。对患者进行手术并随访 6 个月:结果:在减少舌侧外翻方面,三种方法没有明显差异:结论:三种方法都有不同的优势。结论:三种治疗方法都有不同的效果,可能需要更大样本量的研究来阐明所获得的结果。
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