ABSTRACT
Introduction: The cosmetic result is one key measure in theassessment of operation in the head and neck region. Theprinciple of wound closure, should be to achieve precisewound approximation, easy handling and working propertiesof wound closure materials and low infection rates. In ourstudy, we evaluated the efficiency of 2-OCA on extra oralincisions placed in the trauma patients.Material and Methods: A total of 20 patients were enrolledand treated for open reduction and internal fixation procedures.The extra oral incisions were placed in these patients. Thesepatients were categorized into 2 groups wherein the group Iunderwent suture closure with Ethilon 4-0 and group II, theincision closure done with 2-OCA. Wounds were evaluatedfor 24th hours, 1st week and 2ndweek post operatively for pain,inflammation, dehiscence, infection, and wound closure/wound seal. The scar and the surface texture were evaluatedonly after a minimum follow up of 1st month and 3rd monthpost operatively.Results: Clinical parameters such as pain and time taken forclosure techniques were significant difference when comparedto the sutured group, indicating the use of 2-OCA is beneficialin pain and application time taken for closure.Conclusion: 2-OCA is suitable for skin closure and easy touse alternative to conventional sutures. 2-OCA is associatedwith good esthetic and less post operative complication.
ABSTRACT
Introduction: Mandibular fractures are one of the mostcommon fractures of facial skeleton because of its prominentposition in maxillofacial region. Traditionally, surgeons haveattempted to achieve: anatomic reduction, immobilization andfixation, prevention of infection and rehabilitation of function.The aim of our study was to evaluate the following parameterslike surgical procedures, infection, hardware failure, wounddehiscence, neurosensoery deficit, and fate of implant.Material and methods: The present study was conducted inthe Department of Oral and Maxillofacial Unit, after obtainingethical clearance. A total of 20 patients were selected toevaluate the usefulness of 3-Dimensional titanium miniplatesin fixation of mandibular fractures. After surgical exposure,either straight 6 holed or 8 holed or curved 8 holed 3-Dtitanium miniplates are placed. The patients were in the agegroup of 21-40 years. Etiology of trauma in most of the patientwas Road traffic accident (70%).Result: The frequency of fracture site being mainlyparasymphysis fracture (50%). Two patients had infection(10%). None of the patients had malunion or nonunion. The3-Dimensional titanium miniplates are suitable for fixation ofsimple mandibular fractures and an easy to use alternative toconventional miniplates.Conclusion: This plate is associated with good stability offracture segments and low infection rate