Pattern of presentation of mandibular condylar fractures in relation with known risk factors

Mandibular fractures are one of the most common fractures of facial bones. Parasymphysis is the most common site followed by condylar and subcondylar areas of the mandible. A descriptive study was carried out at Department of Oral and Maxillofacidl Surgery, King Edward Medical University I Mayo Hospital, Lahore from 27th September 2011 to 26th September 2012. The study was carried out on forty patients with mandibular condylar fractures. The fractures were classified according to the Spiessl and Schroll classification system. Objective of this study was to describe pattern of presentation of mandibular condylar fractures and to evaluate factors leading to mandibular condylar fractures in a tertiary care hospital. 32 [80%] were males and 8 [20%] females. The age ranged from 1% to 65 years with mean of 26 years [SD +/- 16.90]. Road traffic accidents including motor bike, auto-rickshaw and car accidents were found to be predominant risk factors [15 patients - 37.5%]. Type II fractures [low neck displacement] comprised the highest proportion - 16 out of 48 fractures [33.3%]

Road traffic accidents and falls were the leading risk factors for mandibular condylar fractures identified in this study. Type II fractures were seen to be the most frequent variant of condylar fracture. It was noted that no specific pattern of condylar fracture was associated with any specific risk factors

Utilization of nasolabial flap for reconstruction of oral cavity defects

Objective of this study was to highlight the utilization of nasolabial flap for reconstruction of oral cavity defects. The study revealed the results of 21 nasolabial flaps in 14 patients over the period of two and a half year. The patients presented at the Department of Oral and Maxillofacial Surgery, King Edward Medical University/Mayo Hospital, Lahore from November 2009 to November 2011 and at the Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital Lahore from May 2012 to October 2012. In 08[57.14%] patients the defects were secondary to Oral Submucous Fibrosis of buccal mucosae; 03[21.43%] patients were with biopsy proven Squamous Cell Carcinoma of the oral cavity and in 02[14.28%] patients flap was used to cover the post traumatic oro-antral defects secondary to firearm and machine injuries to the maxilla. One patient [7.14%] had the defect after resection of the cystic lesion of the maxilla. Uneventful flap healing was observed in 20[95.24%] and partial flap loss occurred in only 01[4.76%]. It was concluded that the nasolabial flap is a reliable and minimally traumatic local flap for reconstruction of small-to-medium sized oral cavity defects with predictable functional and good aesthetic results