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Treatment Outcome Comparison Between two 3-Dimensional Plates (Y-Shaped Plate Versus Trapezoidal Condylar Plate) in Management of Mandible Condylar Fracture: A Randomized Control Trial

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Abstract

Aim

To compare the treatment outcomes (clinical, functional and radiographical) using the two different 3-Dimensional plates in open reduction internal fixation of mandibular condylar fracture (MCF). Assessment of ease of fixation and fixation time were also performed.

Methodology

20 MCF patients were divided equally into two groups (Group A: Trapezoidal Condylar Plate and Group B: Y-shaped plate) and the treatment outcomes were compared. Intraoperatively time required for fixation was also compared. The patients were followed up at different timelines till 3 months.

Result

Baseline parameters had statistically insignificant distribution in both groups implying effective randomization and balanced confounding factors. Intraoperatively, adequate anatomical reduction was achieved in both groups with statistically insignificant difference in time required for fixation. Postoperatively, no statistically significant difference was found in radiographic and functional parameters. None of the patients in either group reported with facial nerve injury, condylar resorption, Temporomandibular Disorders. However, 02 patients in Group A and 01 patient in Group B presented with infection, parotid fistula, and hardware failure respectively with statistically insignificant difference.

Conclusion

This study concluded that the treatment outcomes were satisfactory with the use of both 3-D plate, but further studies with larger sample size and longer follow up are required.

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Acknowledgements

We want to acknowledge the contribution and motivation from (Late) Dr. Rajesh Kumar and also thank our patients for their regular follow-up and co-operation.

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India

    Shailendra Kumar, Ankita Chugh, Amanjot Kaur, Aparna G., Gigi P.G. & Kirti Chaudhry

  2. Department of Physiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India

    Shival Srivastav

  3. Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India

    Pravin Kumar

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  1. Shailendra Kumar
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  2. Ankita Chugh
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  3. Amanjot Kaur
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  4. Aparna G.
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  5. Shival Srivastav
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  6. Gigi P.G.
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  7. Pravin Kumar
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Correspondence to Kirti Chaudhry.

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Kumar, S., Chugh, A., Kaur, A. et al. Treatment Outcome Comparison Between two 3-Dimensional Plates (Y-Shaped Plate Versus Trapezoidal Condylar Plate) in Management of Mandible Condylar Fracture: A Randomized Control Trial. J. Maxillofac. Oral Surg. 22, 25–32 (2023). https://doi.org/10.1007/s12663-021-01662-6

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  • DOI: https://doi.org/10.1007/s12663-021-01662-6

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