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57857

EVALUATION OF RHOMBIC THREE DIMENSIONAL PLATE IN TREATMENT OF MANDIBULAR SUBCONDYLAR FRACTURES IN ADULT PATIENTS FROM ALEXANDRIA

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Oral and maxillofacial surgery

Abstract

INTRODUCTION: Open reduction–internal fixation (ORIF) of extracapsular condylar fracture is necessary when there is a displacement of 10–45◦, or a shortening of the ramus by more than 2 mm. The two miniplates is considered the gold standard in fixation of condylar fractures. however, it needs a certain size of the proximal segment restricting its use to low condylar neck fracture. Recently a 3D rhombic plate was introduced, which can be used with high condylar neck fracture, while still providing good anatomical positioning and stability. OBJECTIVES: To evaluate both clinically and radiographically the three dimensional rhombic plate compared with the two miniplates in the fixation of mandibular subcondylar fractures. MATERIALS AND METHODS: This prospective clinical study was performed on 20 patients with extracapsular condyle fractures. Patients were divided into 2 groups. Group I was treated with the three dimensional rhombic plate and group II was treated with two miniplates. RESULTS:There was a significant difference in the maximal mouth opening between the two groups at 3 months postoperatively in favor of the study group, however there was no significant difference in mandibular mobility throughout the follow up period.20% of patients from group (I) and 30% of patients from group (II) had lateral deviation in mouth opening on the first week.This was absent in both groups on the third week postoperatively.The difference between the two groups was not statistically significant one week. The mean bone density in the study group was statistically significantly higher than the control group at 3 and 6 months postoperatively. CONCLUSIONS:The application of the Rhombic plate for the stable osteosynthesis of condylar fractures ensures satisfactory treatment results, both from the clinical and the radiological points of view

DOI

10.21608/adjalexu.2017.57857

Keywords

Subcondylar fracture, Rhombic plate, Three dimensional plates

Authors

First Name

Gaafar N.

Last Name

El Halawani

MiddleName

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Affiliation

Assistant lecturer at Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University

Email

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City

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Orcid

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First Name

Sherif S.

Last Name

Ayad

MiddleName

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Affiliation

Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

Email

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City

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Orcid

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First Name

Sameh A.

Last Name

Darwish

MiddleName

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Affiliation

Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

Email

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City

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Orcid

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First Name

Ragab S.

Last Name

Hassan

MiddleName

-

Affiliation

Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

Email

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City

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Orcid

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Volume

42

Article Issue

1

Related Issue

8732

Issue Date

2017-04-01

Receive Date

2019-11-09

Publish Date

2017-04-01

Page Start

56

Page End

61

Print ISSN

1110-015X

Online ISSN

2536-9156

Link

https://adjalexu.journals.ekb.eg/article_57857.html

Detail API

https://adjalexu.journals.ekb.eg/service?article_code=57857

Order

9

Type

Original Article

Type Code

1,057

Publication Type

Journal

Publication Title

Alexandria Dental Journal

Publication Link

https://adjalexu.journals.ekb.eg/

MainTitle

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Details

Type

Article

Created At

22 Jan 2023