Postoperative edema in maxillofacial surgery

Wohlgemuth, Paul R.; O'brien, Gerald R.

doi:10.1016/0002-9610(57)90575-5

Cited by 5 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This has been established by numerous studies which demonstrate a positive correlation between the postoperative patient discomfort triad and intraoperative tissue manipulation. 21 , 27 Hence modification in surgical techniques or flap designs have been attempted to minimise tissue dissection or manipulation. This study also demonstrates that the swelling was found to be considerably reduced in the study group, attributable to (1) the lesser tissue dissection needed in comparison to vestibular mucosa, (2) involvement of keratinised mucosa for placing incision that does not favour accumulation of inflammatory oedema underneath, (3) better approximation of the flap which eliminates dead space, and finally (4) the vertical release incision that facilitates drainage of any inflammatory oedema or hematoma.…”

Section: Discussionmentioning

confidence: 99%

“…Addressing the factors which initiate the inflammatory process would be a more definitive measure. This has been established by numerous studies which demonstrate a positive correlation between the postoperative patient discomfort triad and intraoperative tissue manipulation 21, 27. Hence modification in surgical techniques or flap designs have been attempted to minimise tissue dissection or manipulation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of two incisions for open reduction and internal fixation of mandibular body fractures: A randomised controlled clinical trial evaluating the surgical outcome

Balasubramanian

Panneerselvam

Gopi

et al. 2019

Chinese Journal of Traumatology

View full text Add to dashboard Cite

Purpose The purpose of the study is to compare the surgical access and post-operative outcome of two intra-oral incisions used for approaching a mandibular body fracture. Methods This clinical trial involved 60 patients with mandibular body fractures who were randomly allocated to control and study groups. The fractures were approached using the routine vestibular incision in the control group and crevicular incision with vertical release in the study group. The effects of incision design on the post-surgical outcome variables like swelling, trismus, paresthesia, wound healing and gingival recession were statistically analysed with non-parametric tests by using SPSS 22.0 software. Comparison of continuous variables between the groups and time points was done using Mann Whitney test and Friedman test respectively. Chi-square test was used to compare proportions between groups. Dunn's test with Bonferroni correction was used for pair wise comparisons. Results The study group demonstrated favourable surgical outcome in the immediate postoperative phase as compared to the control group. The difference in mouth opening, swelling and neurosensory impairment between the two groups was found to be statistically significant ( p < 0.05). Conclusion Crevicular incision was found to be an ideal alternative to vestibular incision in achieving surgical access and fixation of mandibular body fractures with reduction in postoperative patient discomfort and better surgical outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%