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Article
Changes in Body Weight, Serum (Sodium, Potas-sium) and Serum Albumin after Intermaxillary Fixation in Traumatized and Obese Patients (Comparative Study)

Authors: Wael Sheet --- Mohmmed K. Hassouni
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2012 Volume: 12 Issue: 19 Pages: 52-56
Publisher: Mosul University جامعة الموصل

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Abstract

Aims of the study: to evaluate the effects of intermaxillary fixation (IMF) on body weight, serum electrolytes ( Na+ and K+ ) and serum Albumin in traumatized and obese patients and to compare the changes between these two groups. Materials and Methods: A non randomized prospective study was done. The anthropometric measurement included 4 sites of skin fold thickness (triceps, biceps, subsca-pular and suprailiac skin folds), upper arm circumference, body mass index and laboratory investiga-tions to assess serum(Na+ and K+) levels and serum albumin level. The patients were divided in to 2 groups, the first group included 25 traumatized patients and the second group included 7 volunteer ob-ese patients and IMF was placed for those patients as one of the treatment lines for their body weight reduction and were considered as the control group. The parameters were recorded for each patient in the 2 groups preoperatively, one week, three weeks and six weeks postoperatively. Paired and un paired T tests were used in the statistical analysis, a P value < 0.05 was considered highly significant. Results: The changes of the anthropometric measurements, body mass index, serum K+ and serum albumin were statistically highly significant in traumatized patients with body weight loss ranging be-tween (5-8) Kg in this group. The changes of the anthropometric measurements and body mass index in the obese patients group were also statistically highly significant with a loss of (5-6) Kg in body weight in this group. The changes of anthropometric measurements and body mass index were statisti-cally highly significant in traumatized patients than in obese patients, while the changes in serum (Na+ and K+ ) and serum Albumin level were statistically not significant between the two groups. Conclu-sion: IMF compromises the nutritional status of the patients leading to loss of water, fat and protein in both traumatized and obese patients but the effect more pronounced in traumatized patient due to the metabolic and hormonal response to trauma together with the limited oral intake.


Article
The Use of Single Versus Multiple Doses Cefotaxime as a Prophylactic Antibiotic in Maxillofacial Fractures

Authors: Atalla F Rejab --- Mohmmed K Hassouni
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2012 Volume: 12 Issue: 19 Pages: 96-101
Publisher: Mosul University جامعة الموصل

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Abstract

Aim: The study aims to test the efficacy of using a single dose of cefotaxime antibiotic intravenously compared to the same drug when used for five days in the prevention of surgical site infection follow-ing maxillofacial fracture operations. Materials and Methods: The study group consisted of 78 pa-tients of different social and educational levels who have sustained maxillofacial fractures. All patients were planned to undergo operative procedures under general anesthesia to treat their fractures. Patients were randomized preoperatively into two groups ( Group A and Group B). Each patient in group A received a single dose of cefotaxime sodium (claforan) 40mg/kg body weight given intravenously at the induction of general anesthesia. No further dose of any antibiotic was given subsequently. Each patient in group B received cefotaxime sodium intravenously 20mg/kg twice daily for five days, start-ing the first dose of cefotaxime sodium at the induction of general anesthesia. During hospitalization postoperatively, patients were examined for signs and symptoms of surgical site infection. After dis-charge, the patients were recalled to the clinic for post-operative examination at 1, 2 , 3 and 4 weeks. Results: Only one patient out of 43 patients in the first group showed signs and symptoms of infection which was confirmed by culture and sensitivity test. Two cases of postoperative infection out of 35 patients developed infection in the second group. Conclusions: Using a single dose of cefotaxime was found to be comparable or even better than the use of the same drug for five days as a prophylactic antibiotic.


Article
Evaluation of Naproxen and Ibuprofen efficacy on post maxillomandibular fixation trismus

Authors: Mohmmed K Hassouni --- Bara S Minwah
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2011 Volume: 11 Issue: 18 Pages: 376-380
Publisher: Mosul University جامعة الموصل

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Abstract

Aims of the study: The study aims to evaluate the effect of naproxen and ibuprofen on post maxillo-mandibular fixation (MMF) limited mouth opening. Materials and Methods: The study was per-formed at AL-Jumhoori Teaching Hospital in Mosul City on 30 patients with mandibular fracture and or maxilla who were treated with MMF. The medicaments were allocated to 30 patients using a double blind randomization study who were divided into three groups .Group 1(10 patients) received Ibu-profen. Group 2(10 patients) received Naproxen and Group 3 (10 patients) received placebo . Immedi-ately after MMF release, the maximum mouth opening was measured as the inter-incisal distance be-tween the right upper central incisor and the right lower central incisor. After one hour ,the inter incisal distance was measured again and recorded .The data were analyzed using paired T-test and Duncan multiple analysis. Results: Both Naproxen and Ibuprofen have a statistically significant effect on the improvement of post-MMF limited mouth opening compared to placebo . At the same time there was no significant difference between the effect of Naproxen and that of Ibuprofen on the improvement of post MMF-limited mouth opening .The study also showed that there is inverse correlation between the MMF period and the maximum mouth opening immediately after MMF release. Conclusions: There is no significant difference between the effect of naproxen and that of ibuprofen on the improvement of limited mouth opening after MMF release. The available and cheaper drugs can be prescribed.

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