ASSESSING ORONASAL FISTULA RATES: MANIPULATE AS EXTERNAL FIXATOR VS ANTERIOR NASAL SPINE PLATING FOR PALATAL FRACTURES
DOI:
https://doi.org/10.55519/JAMC-02-12367Keywords:
Palate, Palatal Fractures, Sagittal Fracture, Locking PlatesAbstract
Background: Palate, a midface bone, shapes the face and supports buttresses. Palatine process of maxilla and horizontal plate of palatine bone constitute it. Palatal bone is thicker anteriorly and laterally than posteriorly and centrally. Palatal fractures occur with maxillary fractures. Palatal-maxillary fractures occur 8–46.4% of the time.2,5 Palatal fractures can cause palatal ecchymosis in closed fractures and upper lip, palatal mucosa, incisor tooth loss, or occlusal disruption in displaced fractures. The objective was to determine the surgical outcome of palatal fractures with locking plates as external fixator vs. alveolar plating in terms of frequency of oronasal fistula formation. Methods: A Randomized control trial was carried out in Department of Oral and Maxillofacial surgery, Pakistan Institute of Medical Sciences, Islamabad. between 14th July, 2017 to 14th July, 2018. Lottery split patients into groups A and B. Data was collected on designed questionnaire and was entered and analyzed using SPSS v22. Chi-square was applied to check the association. Results: A total of 130 patients were enrolled in the trial based on the predefined inclusion criteria. The average age of participants in the research was 41.16 years with a standard deviation of 10.44. Of the total participants, 88 (67.7%) were male and 42 (32.3%) were female, as per the inclusion criteria. The occurrence rate of oronasal fistula development in both groups, namely palatal fractures treated with locking plates as an external fixator vs alveolar plating, was 1 (1.5%) and 7 (10.8%) respectively. This difference was found to be statistically significant with a p-value of 0.029. Conclusion: Osteosynthesis using 2.0 mm locking plates as external fixator had a lower rate of oronasal fistula than alveolar plating. Future investigations at numerous configurations are needed to determine which approach is best. such that a regular strategy will reduce infection, fistula development, and necrosis afterwardsReferences
Pollock RA. The search for the ideal fixation of the palatal fractures: innovative experience with a mini locking plate. Craniomaxillofac Trauma Reconstr 2008;1(1):15–24.
Kumaravelu C, Thirukonda GJ, Kannabiran P. A novel adjuvant to treat palatal fractures. J Oral Maxillofac Surg 2011;69(6):152–4.
Cienfuegos R, Sierra E, Ortiz B, Fernandez G. Treatment of palatal fractures by Osteosynthesis with 2.0-mm locking plates as external fixator. Craniomaxillofac Trauma Reconstr 2010;3(4):223–30.
Mehboob B, Khan M, Qiam F. Pattern and management of palatal bone fracture. Pak Oral Dent J 2014;34(1):21–4.
Wang Z, He Y, Liu Y, Huang D, Gu L, Wang D, et al. Treatment of sagittal maxillary fracture by an innovative method of reversing pre-activated maxillary expanders. Int J Clin Exp Med 2016;9(3):6279–86.
Ma D, Guo Y, Yao H, Chen J. Transpalatal screw traction: a simple technique for the management of sagittal fracture of maxilla and palate. Int J Oral Maxillofac Surg 2014;43(12):1465–7.
Moss WJ, Kedarisetty S, Jafari A, Schaerer DE, Husseman JW. A review of hard palate fracture repair technique. J Oral Maxillofac Surg 2015;74(2):328–36.
Rai A. 3 Dimentional plate in management of sagittal palatal fractures: A novel technique. J Maxillofac oral surg 2016;16(4):497–9.
Additional Files
Published
Issue
Section
License
Copyright (c) 2024 Ain-us-Saba, Muhammad Umar Farooq, Fouzia Aslam, Hamza Hassan Mirza, Abdul Manan Shahid, Muhammad Asad Javed
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
