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首页> 外文期刊>National Journal of Maxillofacial Surgery >Erich arch bar versus hanger plate technique for intermaxillary fixation in fracture mandible: A prospective comparative study
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Erich arch bar versus hanger plate technique for intermaxillary fixation in fracture mandible: A prospective comparative study

机译：Erich弓杆与吊板技术治疗下颌骨颌间固定的前瞻性比较研究

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Introduction: Various methods have been described for intermaxillary fixation (IMF) for treatment of faciomaxillary injuries. Many studies have been described to evaluate the efficacy of different methods. Hanger plate method has not been commonly used. The aim of the present study was to compare the advantages and disadvantages of this method over Erich arch bar in mandibular fracture. Materials and Methods: Sixty patients of only mandibular fracture presenting to trauma center requiring open reduction and internal fixation under general anesthesia were randomly allocated to Group A and Group B comprising thirty patients in each. Group A included patients who received IMF with Erich arch bar. Group B included patients who received IMF with hanger plate method. The two groups were compared for time duration of intermaxillary procedure, total duration of surgery, oral hygiene score, postoperative occlusion, and complications. Results: The average time of intermaxillary procedure, total duration of surgery, and wire prick injuries were more in Group A. Oral hygiene score was significantly better in Group B. Postoperative occlusion was comparable between the two groups. There was screw loosening in four patients in Group B, but none had tooth root injury. The cost of material for IMF was more in Group B. Conclusion: IMF with hanger plate method is more safe and efficacious compared to Erich arch bar in the treatment of mandibular fractures.
机译：简介：已经描述了各种方法用于颌间固定（IMF）来治疗颌面部损伤。已经描述了许多研究来评估不同方法的功效。衣架板方法尚未普遍使用。本研究的目的是比较下颌骨骨折中该方法相对于Erich弓形棒的优缺点。材料和方法：60例仅出现下颌骨骨折的患者在创伤下中心需要在全麻下进行切开复位和内固定，将其随机分为A组和B组，每组30例。 A组包括接受IMF和Erich arch bar治疗的患者。 B组包括接受IMF吊板法治疗的患者。比较两组的颌间手术时间，手术总时间，口腔卫生评分，术后闭塞和并发症。结果：A组的平均颌间手术时间，手术总时间和刺伤均较长。B组的口腔卫生评分明显更好。两组的术后咬合相当。 B组中有4例患者发生了螺钉松动，但均没有牙根损伤。 B组中IMF的材料成本更高。结论：与Erich弓形筋相比，采用吊板法的IMF更安全，更有效。

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