ABSTRACT
Objective: to determine the efficacy of tranexemic acid in preventing alveolar osteitis after third molar extraction
Study Design: randomized control trial
Place and Duration of Study: June 2013 to June 2014. Oral and Maxillofacial Surgery department, Dental section, Punjab Medical College, Faisalabad
Materials and Methods: thirty patients, between the ages 18-35 years without any gender discrimination, presenting for removal of bilateral mandibular impacted third molars were included in the study. One side was the study group [Group A] and the other side acted as control [Group B]. Group A was given Inj Transamine 500mg IV 10 minutes before surgical removal however no pre-operative medication was given to group B. The rest of the procedure was carried out in a standard fashion in both the groups. The frequency of dry socket was assessed in both the groups and compared using Chi Square test
Results: the age ranged from 18-35 years with a mean age of 23.3+/-3.5 years. Out of these 30 patients 18 were males and 12 females with an overall M:F ratio of 1.5:1. Eight patients out of the 18 males were smokers and 3 females out of 12 were using oral contraceptives. Two patient [6.7%] developed dry socket in Group A, and 4 [13.3%] developed dry socket in Group B. Although the control group showed a greater frequency of dry socket but overall the results were statistically insignificant [P-value>0.05]
Conclusion: although IV tranexemic acid cannot prevent dry socket completely however it can decrease the incidence of dry socket formation and its use may be considered in patients who show an increased predisposition towards formation of dry socket
ABSTRACT
Objectives: to determine the pattern of maxillofacial injuries in the local population
Study Design: retrospective clinical and epidemiologic study
Period: January 2009 to December 2013
Setting: tertiary care hospital
Methods: 3360 patients reported for maxillofacial injuries. A number of parameters, including age, gender, facial bone fractures, laceration on face, injury of trigeminal and facial nerve branches, sensory and motor deficit in relation to soft tissue trauma and bone fracture, were evaluated
Results: males were dominant and male to female ratio was 6.3:1. Patients of 3[rd] decade were more and constitute 63.2%. Road traffic accident was the common etiological factor [78%]. Mandible fracture was dominant and it was present in 1591 patients [47.7%]. Soft tissue laceration frequency was high in cheek region and was 13.7%. Sensory deficit [Trigeminal nerve injury] was present in 1167 patients [34.7%]. Motor deficit [Facial nerve injury] was present in 249 patients [6.83%]. Nerve injuries in relation to mandible fracture were common
Conclusion: road traffic accident was the most common etiological factor and mandible fracture was common. Trigeminal nerve injuries were common and frequency of nerve injuries was high in relation to mandible fracture
ABSTRACT
Objective: To compare membranous with endochondral bone graft in orbital floor reconstruction in terms of donor site hematoma and correction of postoperative diplopia
Study Design: Randomized clinical trial
Place and duration of study: Department of Oral and Maxillofacial Surgery, King Edward Medical University / Mayo Hospital Lahore. One year from 01-07-09 to 30-06-10
Material and Method: 58 patients clinically and radiographically having defect in the orbital floor due to trauma were included in the study. According to the treatment, patients were randomly divided into two groups by lottery method. Group A [29 patients] received the membranous bone graft from calvariumand Group B [29 patients] received the endochondral bone graft from anterior iliac crest. The variables to be analyzed were donor site hematoma and post-operative diplopia
Results: Group A consisted of 29 patients [mean age 30.31years + 11.41] and Group B consisted of 29 patients [mean age 29.6 years + 9.05]. Donor site hematoma developed in 3 [10.3%] patients in Group A and in 9 [31.0%] patients in Group B. In Group A, postoperative diplopia persisted in 2 [6.9%] patients and in Group B, it persisted in 5 [17.2%] patients. Chi-Square test was used to compare the variables in both groups and the results were statistically significant for donor site hematoma [p value: 0.026] but insignificant for postoperative diplopia [p value: 0.113]
Conclusion: Membranous bone graft is better than endochondral bone graft in terms of donor site hematoma. When it comes to the correction of postoperative diplopia, there is no difference between two types of bone graft