Advertisement

Journal of Maxillofacial and Oral Surgery

, Volume 16, Issue 1, pp 113–117 | Cite as

Single Miniplate Fixation for Mandibular Symphysis and Parasymphysis Fracture as a Viable Alternative to Conventional Plating Based on Champy’s Principles: A Prospective Comparative Clinical Study

  • Rohan Raut
  • R. Keerthi
  • N. Vaibhav
  • Abhishek Ghosh
  • Shashidhara Kamath Kateel
Comparative Study
  • 256 Downloads

Abstract

To compare long term and short term outcomes of fixing mandibular symphysis and parasymphysis fractures with single mini plate and conventional fixation using two mini plates. Study design: in this prospective clinical comparative study, 30 patients with fracture in study region were randomly divided into two groups. Group A patients received single 2.5 mm titanium miniplate and Group B patients received two 2 mm titanium miniplates as per Champy's lines of osteosynthesis. Patients were followed up at intervals of 1, 12 and 24 weeks. Parameters assessed were: duration of surgery, fracture stabilization, paresthesia, occlusion and wound dehiscence. Statistically significant difference was observed in mean duration of surgery and wound dehiscence (P < 0.05). No significant difference was observed with respect to other parameters. Single 2.5 mm miniplate for mandibular symphysis and parasymphysis fractures is a time saving and cost effective technique with post-operative outcomes similar to conventional 2 plate fixation.

Keywords

Champy’s lines Parasymphysis fractures Single miniplate Two miniplates 

Notes

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Human and Animals Rights

No animals were used in this study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Approval to conduct the study was obtained by the ethical committee of the institutional review board.

Informed Consent

Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article. Appropriate permission was also obtained to use clinical photographs for the purpose of further academic research and publication in academic journals.

References

  1. 1.
    Subhashraj K, Nandakumar N, Ravindran C (2007) Review of maxillofacial injuries in Chennai, India: a study of 2748 cases. Br J Oral Maxillofac Surg 45:637–639CrossRefPubMedGoogle Scholar
  2. 2.
    Brook IM, Wood N (1983) Aetiology and incidence of facial fractures in adults. Int J Oral Surg 12(5):293–298CrossRefPubMedGoogle Scholar
  3. 3.
    Spiessl B (1989) Internal fixation of the mandible. Springer, New YorkCrossRefGoogle Scholar
  4. 4.
    Champy M, Lodde JP, Schmitt R et al (1978) Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 6:14–21CrossRefPubMedGoogle Scholar
  5. 5.
    Parren SM (1969) A dynamic compression plate. Acta Orthop Scand Suppl 125:29Google Scholar
  6. 6.
    Perren SM, Huggler A, Russenberger M, Allgöwer M, Mathys R, Schenk R et al (1969) The reaction of cortical bone to compression. Acta Orthop Scand Suppl 125:19–29PubMedGoogle Scholar
  7. 7.
    Reitzik MB, Schoorl W (1983) Bone repair in the mandible. J Oral Maxillofac Surg 41:215CrossRefPubMedGoogle Scholar
  8. 8.
    Prein J, Kellman RM (1987) Rigid internal fixation of mandibular fractures—basics of AO technique. Otolaryngol Clin North Am 20(3):441–456PubMedGoogle Scholar
  9. 9.
    Ellis E, Walker L (1994) Treatment of mandibular angle fractures using two non-compression miniplates. J Oral Maxillofac Surg 52:1032–1036CrossRefPubMedGoogle Scholar
  10. 10.
    Schierle HP et al (1997) One or two plate fixation of mandibular angle fractures? J Craniomaxillofac Surg 25(3):162–168CrossRefPubMedGoogle Scholar
  11. 11.
    Rix L, Stevenson ARL, Punnia-Moorthy A (1991) An analysis of 80 cases of mandibular fractures treated with miniplates osteosynthesis. Int J Oral Maxillofac Surg 20:337–341CrossRefPubMedGoogle Scholar
  12. 12.
    Koshy JC, Feldman EM, Chike-Obi CJ, Bullocks JM (2010) Pearls of mandibular trauma management. Semin Plastic Surg 24(4):357–374. doi: 10.1055/s-0030-1269765 CrossRefGoogle Scholar
  13. 13.
    Tams J, Van Loon JP, Rozema FR, Otten E, Bos RRM (1997) A three dimensional study of bending and torsion movements for different fracture sites in the mandible: an in vitro study. Int J Oral Maxillofac Surg 26:383–388CrossRefPubMedGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  • Rohan Raut
    • 1
  • R. Keerthi
    • 1
  • N. Vaibhav
    • 1
  • Abhishek Ghosh
    • 1
  • Shashidhara Kamath Kateel
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryV.S. Dental College and HospitalBangaloreIndia

Personalised recommendations