Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: A comparative study and review of literature
Identifieur interne : 000630 ( Pmc/Checkpoint ); précédent : 000629; suivant : 000631Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: A comparative study and review of literature
Auteurs : Ahtesham Ahmad Qureshi [Inde] ; Umesh K. Reddy [Inde] ; N. M. Warad [Inde] ; Sheeraz Badal [Inde] ; Amjad Ali Jamadar [Inde] ; Nilofar Qurishi [Inde]Source :
- Annals of Maxillofacial Surgery [ 2231-0746 ] ; 2016.
Abstract
Various techniques have been employed from time to time to achieve maxillomamdibular fixation. Although arch bars provide an effective and versatile means of maxillomandibular fixation, their use is not without shortcomings. However the introduction of intermaxillary fixation screws (IMF) has eliminated many of these issues of arch bars. The aim of the present study was to compare the advantages and disadvantages of intermaxillary fixation screws over the Erich arch bars in mandibular fractures.
Sixty dentulous patients who reported to Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College and Hospital, Bijapur with mandibular fractures and required intermaxillary fixation as a part of treatment plan followd by open reduction and internal fixation under GA were selected and randomly divided into 2 groups of 30 patients each that is Group A and Group B. Group A included patients who received intermaxillary fixation with Erich arch bars. Group B includes patients who received intermaxillary fixation with IMF Screws. The parameters compared in both the groups included, surgical time taken, gloves perforation, post-operative occlusion, IMF stability, oral hygiene, patient acceptance and comfort and non-vitality characteristics.
The average surgical time taken and gloves perforations were more in Group A,the patient acceptance and oral hygiene was better in Group B, there was not much statistically significant difference in postoperative occlusion and IMF stability in both groups. Accidental root perforation was the only limitation of IMF screws.
Intermaxillary fixation with IMF screws is more efficacious compared to Erich arch bars in the treatment of mandibular fractures.
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DOI: 10.4103/2231-0746.186129
PubMed: 27563602
PubMed Central: 4979336
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Reddy</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Oral and Maxillofacial Surgery, Oxford Dental College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Oxford Dental College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Warad, N M" sort="Warad, N M" uniqKey="Warad N" first="N. M." last="Warad">N. M. Warad</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College, Bijapur, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College, Bijapur, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Badal, Sheeraz" sort="Badal, Sheeraz" uniqKey="Badal S" first="Sheeraz" last="Badal">Sheeraz Badal</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author><author><name sortKey="Jamadar, Amjad Ali" sort="Jamadar, Amjad Ali" uniqKey="Jamadar A" first="Amjad Ali" last="Jamadar">Amjad Ali Jamadar</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Orthopedics, MIMSR Medical College, Latur, Maharashtra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Orthopedics, MIMSR Medical College, Latur, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author><author><name sortKey="Qurishi, Nilofar" sort="Qurishi, Nilofar" uniqKey="Qurishi N" first="Nilofar" last="Qurishi">Nilofar Qurishi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27563602</idno><idno type="pmc">4979336</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979336</idno><idno type="RBID">PMC:4979336</idno><idno type="doi">10.4103/2231-0746.186129</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002828</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002828</idno><idno type="wicri:Area/Pmc/Curation">002828</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002828</idno><idno type="wicri:Area/Pmc/Checkpoint">000630</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000630</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: A comparative study and review of literature</title><author><name sortKey="Qureshi, Ahtesham Ahmad" sort="Qureshi, Ahtesham Ahmad" uniqKey="Qureshi A" first="Ahtesham Ahmad" last="Qureshi">Ahtesham Ahmad Qureshi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author><author><name sortKey="Reddy, Umesh K" sort="Reddy, Umesh K" uniqKey="Reddy U" first="Umesh K." last="Reddy">Umesh K. Reddy</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Oral and Maxillofacial Surgery, Oxford Dental College, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Oxford Dental College, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Warad, N M" sort="Warad, N M" uniqKey="Warad N" first="N. M." last="Warad">N. M. Warad</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College, Bijapur, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College, Bijapur, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Badal, Sheeraz" sort="Badal, Sheeraz" uniqKey="Badal S" first="Sheeraz" last="Badal">Sheeraz Badal</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author><author><name sortKey="Jamadar, Amjad Ali" sort="Jamadar, Amjad Ali" uniqKey="Jamadar A" first="Amjad Ali" last="Jamadar">Amjad Ali Jamadar</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Orthopedics, MIMSR Medical College, Latur, Maharashtra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Orthopedics, MIMSR Medical College, Latur, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author><author><name sortKey="Qurishi, Nilofar" sort="Qurishi, Nilofar" uniqKey="Qurishi N" first="Nilofar" last="Qurishi">Nilofar Qurishi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Maxillofacial Surgery</title><idno type="ISSN">2231-0746</idno><idno type="eISSN">2249-3816</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Objective:</title><p>Various techniques have been employed from time to time to achieve maxillomamdibular fixation. Although arch bars provide an effective and versatile means of maxillomandibular fixation, their use is not without shortcomings. However the introduction of intermaxillary fixation screws (IMF) has eliminated many of these issues of arch bars. The aim of the present study was to compare the advantages and disadvantages of intermaxillary fixation screws over the Erich arch bars in mandibular fractures.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Sixty dentulous patients who reported to Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College and Hospital, Bijapur with mandibular fractures and required intermaxillary fixation as a part of treatment plan followd by open reduction and internal fixation under GA were selected and randomly divided into 2 groups of 30 patients each that is Group A and Group B. Group A included patients who received intermaxillary fixation with Erich arch bars. Group B includes patients who received intermaxillary fixation with IMF Screws. The parameters compared in both the groups included, surgical time taken, gloves perforation, post-operative occlusion, IMF stability, oral hygiene, patient acceptance and comfort and non-vitality characteristics.</p></sec><sec id="st3"><title>Results:</title><p>The average surgical time taken and gloves perforations were more in Group A,the patient acceptance and oral hygiene was better in Group B, there was not much statistically significant difference in postoperative occlusion and IMF stability in both groups. Accidental root perforation was the only limitation of IMF screws.</p></sec><sec id="st4"><title>Conclusion:</title><p>Intermaxillary fixation with IMF screws is more efficacious compared to Erich arch bars in the treatment of mandibular fractures.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Coletti, Dp" uniqKey="Coletti D">DP Coletti</name></author><author><name sortKey="Salama, A" uniqKey="Salama A">A Salama</name></author><author><name sortKey="Caccamese, Jf" uniqKey="Caccamese J">JF Caccamese</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jones, Dc" uniqKey="Jones D">DC Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aldegheri, A" uniqKey="Aldegheri A">A Aldegheri</name></author><author><name sortKey="Blanc, Jl" uniqKey="Blanc J">JL Blanc</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fabbroni, G" uniqKey="Fabbroni G">G Fabbroni</name></author><author><name sortKey="Aabed, S" uniqKey="Aabed S">S Aabed</name></author><author><name sortKey="Mizen, K" uniqKey="Mizen K">K Mizen</name></author><author><name sortKey="Starr, Dg" uniqKey="Starr D">DG Starr</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mukerji, R" uniqKey="Mukerji R">R Mukerji</name></author><author><name sortKey="Mukerji, G" uniqKey="Mukerji G">G Mukerji</name></author><author><name sortKey="Mcgurk, M" uniqKey="Mcgurk M">M McGurk</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baurmash, H" uniqKey="Baurmash H">H Baurmash</name></author><author><name sortKey="Farr, D" uniqKey="Farr D">D Farr</name></author><author><name sortKey="Baurmash, M" uniqKey="Baurmash M">M Baurmash</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arthur, G" uniqKey="Arthur G">G Arthur</name></author><author><name sortKey="Berardo, N" uniqKey="Berardo N">N Berardo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roccia, F" uniqKey="Roccia F">F Roccia</name></author><author><name sortKey="Tavolaccini, A" uniqKey="Tavolaccini A">A Tavolaccini</name></author><author><name sortKey="Dell Acqua, A" uniqKey="Dell Acqua A">A Dell'Acqua</name></author><author><name sortKey="Fasolis, M" uniqKey="Fasolis M">M Fasolis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gordon, Kf" uniqKey="Gordon K">KF Gordon</name></author><author><name sortKey="Reed, Jm" uniqKey="Reed J">JM Reed</name></author><author><name sortKey="Anand, Vk" uniqKey="Anand V">VK Anand</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Borah, Gl" uniqKey="Borah G">GL Borah</name></author><author><name sortKey="Ashmead, D" uniqKey="Ashmead D">D Ashmead</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coburn, Dg" uniqKey="Coburn D">DG Coburn</name></author><author><name sortKey="Kennedy, Dw" uniqKey="Kennedy D">DW Kennedy</name></author><author><name sortKey="Hodder, Sc" uniqKey="Hodder S">SC Hodder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holmes, S" uniqKey="Holmes S">S Holmes</name></author><author><name sortKey="Hutchison, I" uniqKey="Hutchison I">I Hutchison</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Maxillofac Surg</journal-id><journal-id journal-id-type="iso-abbrev">Ann Maxillofac Surg</journal-id><journal-id journal-id-type="publisher-id">AMS</journal-id><journal-title-group><journal-title>Annals of Maxillofacial Surgery</journal-title></journal-title-group><issn pub-type="ppub">2231-0746</issn><issn pub-type="epub">2249-3816</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27563602</article-id><article-id pub-id-type="pmc">4979336</article-id><article-id pub-id-type="publisher-id">AMS-6-25</article-id><article-id pub-id-type="doi">10.4103/2231-0746.186129</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article - Comparative Study</subject></subj-group></article-categories><title-group><article-title>Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: A comparative study and review of literature</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Qureshi</surname><given-names>Ahtesham Ahmad</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Reddy</surname><given-names>Umesh K.</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>Warad</surname><given-names>N. M.</given-names></name><xref ref-type="aff" rid="aff3">2</xref></contrib><contrib contrib-type="author"><name><surname>Badal</surname><given-names>Sheeraz</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Jamadar</surname><given-names>Amjad Ali</given-names></name><xref ref-type="aff" rid="aff4">3</xref></contrib><contrib contrib-type="author"><name><surname>Qurishi</surname><given-names>Nilofar</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1">Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India</aff><aff id="aff2"><label>1</label>Department of Oral and Maxillofacial Surgery, Oxford Dental College, Bengaluru, Karnataka, India</aff><aff id="aff3"><label>2</label>Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College, Bijapur, Karnataka, India</aff><aff id="aff4"><label>3</label>Department of Orthopedics, MIMSR Medical College, Latur, Maharashtra, India</aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Ahtesham Ahmad Qureshi, Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India. E-mail: <email xlink:href="drahtesham007@yahoo.co.in">drahtesham007@yahoo.co.in</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jan-Jun</season><year>2016</year></pub-date><volume>6</volume><issue>1</issue><fpage>25</fpage><lpage>30</lpage><permissions><copyright-statement>Copyright: © Annals of Maxillofacial Surgery</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p></license></permissions><abstract><sec id="st1"><title>Objective:</title><p>Various techniques have been employed from time to time to achieve maxillomamdibular fixation. Although arch bars provide an effective and versatile means of maxillomandibular fixation, their use is not without shortcomings. However the introduction of intermaxillary fixation screws (IMF) has eliminated many of these issues of arch bars. The aim of the present study was to compare the advantages and disadvantages of intermaxillary fixation screws over the Erich arch bars in mandibular fractures.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Sixty dentulous patients who reported to Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College and Hospital, Bijapur with mandibular fractures and required intermaxillary fixation as a part of treatment plan followd by open reduction and internal fixation under GA were selected and randomly divided into 2 groups of 30 patients each that is Group A and Group B. Group A included patients who received intermaxillary fixation with Erich arch bars. Group B includes patients who received intermaxillary fixation with IMF Screws. The parameters compared in both the groups included, surgical time taken, gloves perforation, post-operative occlusion, IMF stability, oral hygiene, patient acceptance and comfort and non-vitality characteristics.</p></sec><sec id="st3"><title>Results:</title><p>The average surgical time taken and gloves perforations were more in Group A,the patient acceptance and oral hygiene was better in Group B, there was not much statistically significant difference in postoperative occlusion and IMF stability in both groups. Accidental root perforation was the only limitation of IMF screws.</p></sec><sec id="st4"><title>Conclusion:</title><p>Intermaxillary fixation with IMF screws is more efficacious compared to Erich arch bars in the treatment of mandibular fractures.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>Erich arch bars</kwd><kwd>intermaxillary fixation screws</kwd><kwd>mandibular fractures</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Qureshi, Ahtesham Ahmad" sort="Qureshi, Ahtesham Ahmad" uniqKey="Qureshi A" first="Ahtesham Ahmad" last="Qureshi">Ahtesham Ahmad Qureshi</name></noRegion><name sortKey="Badal, Sheeraz" sort="Badal, Sheeraz" uniqKey="Badal S" first="Sheeraz" last="Badal">Sheeraz Badal</name><name sortKey="Jamadar, Amjad Ali" sort="Jamadar, Amjad Ali" uniqKey="Jamadar A" first="Amjad Ali" last="Jamadar">Amjad Ali Jamadar</name><name sortKey="Qurishi, Nilofar" sort="Qurishi, Nilofar" uniqKey="Qurishi N" first="Nilofar" last="Qurishi">Nilofar Qurishi</name><name sortKey="Reddy, Umesh K" sort="Reddy, Umesh K" uniqKey="Reddy U" first="Umesh K." last="Reddy">Umesh K. Reddy</name><name sortKey="Warad, N M" sort="Warad, N M" uniqKey="Warad N" first="N. M." last="Warad">N. M. Warad</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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