Comparison of Surgical Approaches in Reducing Mandibular Angle Fracture

NCT05467618 | Completed

• 1 other identifier: sashah0001
• Study Type: interventional
• Target: 360
• Locations: 1 country
• Sites: 1

Brief Summary

This study compared the surgical approach to the lower jaw fractures, an approach from the face and an approach from inside the mouth were used and compared for the outcomes.

Conditions

Fractures, Bone; Mandibular Fractures

Outcome Measures

Primary Outcomes (2)

• Indication of post-surgical infections

  Redness, swelling, pain, bleeding, or any discharge

  Up to three weeks

• Limited jaw opening

  Mouth opening considered limited if the patient can only open mouth to a width of less than the width of his/her three fingers (index, middle, ring).

  Up to three weeks

Study Arms (2)

Intra-Oral Surgical approach

EXPERIMENTAL

The mandibular fracture was reduced using an intra-oral surgical approach.

Procedure: Maxillofacial surgery

Extra-Oral Surgical approach

EXPERIMENTAL

An External/Facial approach was used to reduce the mandibular bone fracture.

Procedure: Maxillofacial surgery

Interventions

Maxillofacial surgery PROCEDURE

An incision on the skin over the mandible versus incision on the gingivae inside the mouth

Extra-Oral Surgical approach; Intra-Oral Surgical approach

Eligibility Criteria

• Age: 16 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patient aged 16 to 60 years
• Both Genders.
• Patients undergoing surgery for mandibular angle fracture

You may not qualify if:

• Pathological fractures.
• Condylar and sub-condylar fractures.
• Edentulous patients.
• Fire arm injury (FAI).
• Fractures of the middle third of face.

Sponsors & Collaborators

• Ayub Teaching Hospital: lead
• Université Montpellier: collaborator

Study Sites (1)

Ayub Teaching Hospital

Abbottābād, Khyber Pakhtunkhwa, 22010, Pakistan

Location

Related Publications (12)

• 1. Abbas I, Ali K. Management of mandibular fractures a prospective study; Pak Oral Dent 2007;22:151-2.

  BACKGROUND

• 2. Muzzafar K. Management of maxillofacial trauma. AFID Dent J 2008;10:18-21.

  BACKGROUND

• 3. Nayyak MS, Ekanayake MBK. Assessment of maxillofacial injuries. Pakistan Oral Dent J 2007;21:12-8.

  BACKGROUND

• Abbas I, Ali K, Mirza YB. Spectrum of mandibular fractures at a tertiary care dental hospital in Lahore. J Ayub Med Coll Abbottabad. 2003 Apr-Jun;15(2):12-4.

  PMID: 14552240 BACKGROUND

• 5. Zaki MA, Islam T, Mamon S, Aleem A. Pattern of maxillofacial injuries received at Abassi Shaheed Hospital, KMDC, Karachi. Annual Abassi Shaheed Hosp. 2008;7:291-3.

  BACKGROUND

• Lawoyin DO, Lawoyin JO, Lawoyin TO. Fractures of the facial skeleton in Tabuk North West Armed Forces Hospital: a five year review. Afr J Med Med Sci. 1996 Dec;25(4):385-7.

  PMID: 9532313 BACKGROUND

• Edwards TJ, David DJ, Simpson DA, Abbott AA. Patterns of mandibular fractures in Adelaide, South Australia. Aust N Z J Surg. 1994 May;64(5):307-11. doi: 10.1111/j.1445-2197.1994.tb02216.x.

  PMID: 8179524 BACKGROUND

• 8. Patel MF. Fixation techniques & mandibular osteosynthesis. In: Langdon JD, Patel MF. Operative maxillofacial surgery. 1st ed London: Chapman & Hall, 2005;331-45.

  BACKGROUND

• Renton TF, Wiesenfeld D. Mandibular fracture osteosynthesis: a comparison of three techniques. Br J Oral Maxillofac Surg. 1996 Apr;34(2):166-73. doi: 10.1016/s0266-4356(96)90372-1.

  PMID: 8861293 BACKGROUND

• Moreno JC, Fernandez A, Ortiz JA, Montalvo JJ. Complication rates associated with different treatments for mandibular fractures. J Oral Maxillofac Surg. 2000 Mar;58(3):273-80; discussion 280-1. doi: 10.1016/s0278-2391(00)90051-x.

  PMID: 10716108 BACKGROUND

• 11. Risdon F: Ankylosis of Temporomandibular Joint. J Am Dent Assoc 2008; 21:1933.

  BACKGROUND

• 12. Ali S, Warraich A. Comparison of two surgical procedures in reduction of mandibular angle fracture. Pak oral Dent J. 2010;30(2):287-90.

  BACKGROUND

MeSH Terms

Conditions

Fractures, Bone; Mandibular Fractures

Interventions

Surgery, Oral

Condition Hierarchy (Ancestors)

Wounds and Injuries; Jaw Fractures; Maxillofacial Injuries; Facial Injuries; Craniocerebral Trauma; Trauma, Nervous System; Nervous System Diseases; Skull Fractures

Intervention Hierarchy (Ancestors)

Dentistry

Study Officials

• Alman Khan, BDS,FCPS

  Ayub Teaching Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Randomised controlled trial with non-probability consecutive sampling.

Study Record Dates

• First Submitted: July 18, 2022
• First Posted: July 20, 2022
• Study Start: March 1, 2017
• Primary Completion: August 31, 2017
• Study Completion: August 31, 2017
• Last Updated: July 20, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)