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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.


Article
Etiological spectrum, injury characteristics and treatment outcome of facial fractures: a clinical study of 92 cases

Author: Yahya A. Ali يحيى علي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2011 Volume: 23 Issue: special issue Pages: 129-133
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Maxillofacial injuries pose a therapeutic challenges to trauma, maxillofacial and plastic surgeonspracticing in developing countries. This study was carried out to determine the etiology, injury characteristics andmanagement outcome of maxillofacial injuries at Maysan general hospital in Maysan, southern of Iraq fromNovember 2008 to April 2010.Patients and methods: The data collected included age, gender, etiology, anatomic site of the fracture andtreatment outcome. A total of 134 facial fractures were found in 92 patients,Results: most fractures occurred in adults with age ranging from 21 to 30 years. Men were more affected thanwomen, with a male-female ratio of 4.1:1. Road traffic accidents (RTAs) were the major cause of trauma, followed byinterpersonal violence and gunshots and missiles. When the relation between the gender and the etiology of facialfractures was analyzed, a significant relation was noted between these variables. There was also a relation betweenthe patients’ age and the site of the fractures. The mandible was found to be the most commonly fractured bone inthe facial skeleton, followed by the zygomatic complex. Surgical or non-surgical approach was chosen according tocharacters of each case. There were significant differences between the kind of treatment applied and the site ofthe fracture. Surgical site infection and malocclusion were the most prevalent complications.Conclusion: Road traffic accidents remain the major etiological factor of maxillofacial injuries in our setting. Measureson prevention of road traffic accidents should be strongly emphasized in order to reduce the occurrence of theseinjuries


Article
Treatment modality outcomes of fracture mandible in child and adult patients.
مخرجات طرق علاج كسر عظم الفك الأسفل عندا لمرضى الأطفال و الكبار

Author: Suha mohammad sami
Journal: journal of kerbala university مجلة جامعة كربلاء ISSN: 18130410 Year: 2015 Volume: 13 Issue: 3 Pages: 245-258
Publisher: Kerbala University جامعة كربلاء

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Abstract

The pediatric mandible fracture is a rare occurrence when compared with the number of mandible fractures that occur within the adult population.Aims. The purpose of this study was to study the treatment outcomes of fracture mandible in child and adult patients. Patients and methods One hundred forty three patients who sustained mandibular fractures were included in this study one hundred tow (71.33%) were adult patients (sixty five were male and thirty seven patients were female) The general procedure for treating a fractured mandible is first to immobilize the jaw and set the break - "reduction." Often, a surgeon can set the bone simply by manually repositioning it "closed reduction" because it can be done through the skin and does not involve major surgery. Once the bone is set, the jaw must be stabilized and kept stationary for a period of time, to allow the broken segments to grow back together. "fixation," may involve wiring the jaw shut for two to six weeks, Results . one hundred two (71.33%) were adult patients (sixty five were male and thirty seven patients were female) average age of patients was between 16 -75 years and forty one (28.67%) patients were child age between 3- 12 years ( twenty six child were male and fifteen were female). Conclusion. Twenty five patients ( 17.48%) were presented with complication post operatively from total number one hundred forty three, other reported that complications occurred in 19.8% of the patients.

كسر عظم الفك الأسفل عند المرضى الأطفال قليل الحدوث مقارنة مع إعداد كسر عظم الفك الأسفل التي تحدث لفئة الكبار, الهدف من الدراسة هو معرفة نتائج العلاج لكسر الفك الأسفل عند المرضى الأطفال و الكبار.المرضى و طرق البحث,مائة و ثلاث و أربعون ممن يشكون كسر عظم الفك الأسفل,مائة و مريضين(%33. 71) مرضى كبار ( خمسة و ستون كانوا ذكور و سبعة و ثلاثون مرضى إناث. الطريقة العامة في العلاج هي أولا عدم السما ح بحركة عظم الفك و إرجاع الكسر إلى مكانة وبعض الأطباء يعمله ببساطة و يسمى الإرجاع المغلق بسبب إمكانية عملة من خلال الجلد الخطوة الثانية عملية التثبيت لفترة من الوقت للسماح للعظم المكسور للنمو و التثبيت يكون بواسطة الربط بالوا ير لمدة من أسبوعان إلى ستة أسابيع.النتائج أظهرت إن أعمار المرضى كان يتراوح بين16 -75 عام الكبار اما المرضى الأطفال فيتراوح أعمارهم بين 3- 12 سنة ستة و عشرون ذكرا و خمسة عشر أنثى. . خلاصة الدراسة بينت الدراسة ان خمسة و عشرون مريضا كان علاجهم مقترن بمضاعفات من مجموع مائة و ثلاث و أربعون . 19.8% مقارنة مع دراسات منشورة ( 17.48%)

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