El-Sherif Hagar M, Ali Sherif, Talaat Mostafa, Mubarak Fahmy
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt.
Nasser Institute Hospital for Research and Treatment, Cairo, Egypt.
J Maxillofac Oral Surg. 2024 Feb;23(1):107-113. doi: 10.1007/s12663-022-01817-z. Epub 2022 Nov 16.
The aim of this study was to compare the stability and clinical outcomes between the two miniplates and sagittal split plate (SSOP) in angle fracture fixation. Thirty-eight patients with a mandibular angle fracture were selected and divided randomly into two groups. Intervention was treated with SSOP, and the control group was treated with conventional two miniplates. Clinical evaluation included occlusion, edema, nerve affection, wound dehiscence and mouth opening. Radiographic parameters included the measurement of inter-ramus distance, inter-mental distance and bone density. All clinical parameters were evaluated at one week, one month and three months intervals. Radiographic parameters were evaluated immediately postoperative, and after three months. Results showed that SSOP had less postoperative complications (10.50%) than the two miniplates (31.60%). It can be concluded that both methods offered high performance in management of mandibular angle fractures. However, SSOP group had a significantly shorter operating time, increased bone density and less edema. : NCT03839368.
本研究的目的是比较两种微型钢板与矢状劈开钢板（SSOP）在治疗下颌角骨折时的稳定性和临床疗效。选取38例下颌角骨折患者，随机分为两组。干预组采用SSOP治疗，对照组采用传统的两块微型钢板治疗。临床评估包括咬合、水肿、神经损伤、伤口裂开和开口度。影像学参数包括下颌支间距、颏部间距和骨密度的测量。所有临床参数在术后1周、1个月和3个月时进行评估。影像学参数在术后即刻和术后3个月时进行评估。结果显示，SSOP术后并发症（10.50%）少于两块微型钢板（31.60%）。可以得出结论，两种方法在治疗下颌角骨折方面均表现良好。然而，SSOP组手术时间明显更短，骨密度增加，水肿更少。：NCT03839368
