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A RANDOMIZED STUDY TO REVEAL THE VARIOUS TREATMENT METHODS FOR MIDFACIAL FRACTURES IN PUNJAB DENTAL HOSPITAL

Dr Saroosh Aamir Hashmi, Dr Hasina Batool, Dr Maira Fatma Abid

Objective: The aim of this study was to determine the anaotomical distribution of the mid-face fractures and different treatment modalities. Study design: A randomized study. Location and duration: In the Oral and Maxillofacial Surgery Department of Punjab Dental Hospital, Lahore for one year duration from July 2017 to June 2018. Methods: 90 consecutive patients with moderate facial fractures were treated in the Department of Oral and Maxillofacial Surgery. Clinical histories and radiographs of the patients were reviewed. We reviewed the data on the anatomical region and treatment modalities. Results: Zygomatic bone was the most affected (64.71%), maxilla (28.43%), nasal bone (3.92%) and nasoethmoidal fractures (2.94%). Le Fort I was most often broken. Maxillary fractures were mainly treated with suspension wires (31%), whereas the management method for zygomatic complex fractures (ZC) was Gillies approach (37.9%). The fixation of the miniplets was performed in 20.7% and 13.6% of maxillary fractures and ZC cases, respectively. Conclusion: Le Fort I was the most common fracture between maxillary fractures. The fractures of the middle face were treated with internal and open reduction with or without hard internal fixation. Therefore, the advantage and efficiency need more work than the cost of comparing the miniplates with conventional methods.

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