Comparison of post operative complications in mandibular angle fractures treated by single versus two miniplates

The ojective of this study was to compare the complications [infection and non union] when fractures through the angle of the mandible are treated with a single noncompression miniplate versus 2 noncompression miniplates. 300 patients were randomly divided in two groups, 150 patients in each. Group A was treated by single non compression miniplate plate at superior borber of angle of mandible using intraoral approach. Group B was treated by two noncompression plates one at superior border as in group A, and other plate at lower border using extra oral approach. Patients were assessed for infection and non union on 21st, 45th and 60th days after the procedure. Mean age of patients in Group-A was 35.87 +/- 1.90 and in Group-B mean age of patients was 31.30 +/- 3.45 years respectively. Gender distribution showed that there were 241 [80.34%] [Group-A=124, Group-B=117] male and 59 [19.67%] female patients [Group-A=26, Group-B=33]. There were 10[6.67%] patients in Group-A and 22[14.67%] patients in Group-B who got infection at fracture site at 21st day.. At 45th day 6 [4%] patients in Group-A and 17[11.33%] patients in Group-B had infection. At 60th day infection was present in 10 [6.67%] patients and in Group-A only 2 patients had infection. This study shows that there are less chances of Infection when the patients are treated with one miniplate as compared to two miniplates for the treatment of displaced mandibular angle fractures

Etiology, pattern and management of maxillofacial fractures in patients seen at mayo hospital, Lahore - Pakistan

The objective of the study was to determine the varying etiology, pattern and mode of treatment of maxillofacial injuries in a tertiary care centre, Mayo Hospital, Lahore, Pakistan. This was a retrospective study spread over two years and six months i.e. January 2010 to June 2012. 214 consecutive indoor/ outdoor and emergency patients with maxillofacial injuries farmed the study group. Data concerning the patients' demographics, aetiology, occupation, socioeconomic status and pattern of maxillofacial injuries were obtained and analysed. The most frequent bone fractured was the mandible, which accounted for 106 cases 49.5%, followed by 15.4% of pan facial [full house] fractures and 15.4% of Zygomatic complex fracture. The associated mid face fractures were found in 12.6% and isolated nasal bone fractures were found in 1.5% cases. The most common cause of injury was RTA 58.4%, followed by falls 24%, FAIs 6.1%, interpersonal violences 2.8%, sports and other injuries were 8.4%. Employees 49.5% and students 31.3% in age groups 20-40 years were mostly affected by RTA, while falls 14.4% were more common in age group less than 20 years. Open reduction and internal fixation alone 43.9%, maxillomandibular fixation +/- suspension 38.8% and open reduction and internal fixation with maxillomandibular fixation 14.5% were the main mode of treatment in this centre. In this study, mandible was the most commonly fractured facial bone; RTA especially by motorbike and chigchi rikshaw was the most common etiological factor. Results could be influenced by the personal and working environment

Prosthetic rehabilitation of traumatic nasal defect: a case report

Trauma, tumor resection, and congenital deformities results in facial defects.1 These defects are highly unpleasing and cause a considerable psychological stress to patients. Site and size of defect, etiology of tissue loss and age of the patients are the factors which are to be considered when planning for reconstruction. Some people may not be medically fit for long reconstructive surgeries or may not wish to undergo surgery. Here is the case report of the patient who preferred prosthetic nasal rehabilitation rather plastic reconstructive surgery

Oral malignant melanoma: a case report

Oral Malignant melanoma is a rare neoplasm representing less than 1% of all melanomas and -0.5% of all oral malignancies.[1-2] Approximately one half of melanomas occur in oral cavity [48%], and the remaining portions are located in nasal cavity [44%] and sinuses [8%].[3] As this type of tumor is rare so data collection from the case reports will be the best source of information and further research. A case report is presented here