RESUMEN
@#With the advancement of the transportation system and improvement in road conditions, the number of high-velocity accidents has also increased. Almost all of these reported cases involve individuals who had travelled in vehicles without adhering to personal protection standards and with rash driving. Injuries to the facial region can be profoundly disturbing and particularly in children. Parents find it very distressing to see their child in pain with a disfigured or injured face. It is difficult to manage such crying & sometimes uncontrollable children. The most commonlyinjuredfacialbonesareNasal,Zygomaticandthe Mandible. The incidence of facial bone fracture in children is uncommon, and we present a case report of an18-month old child with a history of road traffic accident and swelling on the right side of the face. Intraoral examination shows limited mouth opening with submucosal ecchymosis in the right buccal mucosa and based on clinical and computed tomographic scan working diagnosis of fracture in the right body of the mandible was arrived. The child was treated with the circum-mandibular wiring to stabilize the mandibular fracture under general anaesthesia. After three weeks the splint was removed. The injury healed without complications in the post-operativeperiod.
RESUMEN
Aims & objectives The purpose of this study was to compare the effects of 4mgm inj dexamethasone IV intra operatively after ORIF on post operative oedema, pain & trismus in fracture mandible. Material & Method. THis prospective study included 162 cases of fracture mandible. Patients were divided into two groups randomly. Patients who received IV injection of 4 mgm Dexamethasone intraoperatively were study group (Group 1) & those who didn’t receive injections of Dexamethasone were categorised as controlled group (Group 11) with 81 patients each. Clinically mouth opening, swelling, infection pain, post operative discomfort were assessed on 2nd, 4th 7th, 10 day Th day followed by 4, 8 & 12 weeks time Result Pain ,Mouth Post operative oedema & other postoperative discomfort was significantly less in study group as compared to controlled group
RESUMEN
Traumatic fracture of unilateral genial tubercles and displacement to the mid-floor is rarely reported. These tubercles are attached to the geniohyoid and genioglossus muscles. Separation of these unilateral tubercles can lead to sublingual pain, dysfagia and difficulty in swallowing. A 28-year-old patient was admitted for sublingual pain. A fracture of the genial tubercle segment was discovered beneath the tongue. Surgical correction of this separated bone to allow it to return to its original position was performed without divulsion of the attached muscles. No evidence of complications from separated genial tubercles has been found after 3 years of follow-up.
Fratura traumática de tubérculos geni unilateral e deslocamento para o meio do assoalho bucal são raramente relatados. Esses tubérculos são presos pelos músculos genio-hioideo e genioglosso. A separação desses tubérculos unilaterais leva à dor sublingual, disfagia e dificuldade de deglutição. Paciente de 28 anos foi admitido devido à dor sublingual. A fratura do tubérculo geni foi descoberta debaixo da língua. A correção cirúrgica do osso fraturado pode ser feita sem a divulsão da musculatura anexa. Não há evidência de complicações de tubérculos geni não reduzidos após 3 anos de acompanhamento neste caso.