Relation between the Location of the Mandibular Fracture and the Incidence of Post ORIF Malocclusion in H. Adam Malik Central General Hospital Medan, Indonesia

Manalu, Eben E.; Buchari, Frank Bietra; Tarigan, Utama Abdi

doi:10.18535/ijmsci/v5i4.08

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…The bivariate analysis aims to determine the relationship between age, gender, fracture location, fracture type, involvement of other facial bone fractures, length of the operation time, a combination of internal fixation, and type of internal fixation on the incidence of malocclusion presented in Table 5.2. (Manalu et al, 2018), who found that the mean age of subjects in the study with mandibular fractures was 26.14 years. A study (Subyakto et al, 2021)stated that the highest incidence of mandibular fracture was in patients aged 20-60, with as many as 215 cases (62.14%).…”

Section: Resultsmentioning

confidence: 94%

“…The study's results at the Arifin Achmad Hospital in Riau Province also stated that 80.10% of mandibular fracture patients were male from January 2011 to December 2013 (Mutia, 2015). Research at H. Adam Malik Hospital Medan stated that 90.6% of mandibular fracture patients from August 2016 to March 2017 were male (Manalu et al, 2018). Not only in Indonesia, but research conducted in India also stated that men, namely 78.6% dominated the incidence of mandibular fractures (Chaurasia and Katheriya, 2018) The high incidence of mandibular fractures in men is believed to be due to the nature of men who are more aggressive than women, so fractures occur more often, such as fractures due to assault, aggressive driving, or extreme sports.…”

Section: Resultsmentioning

confidence: 99%

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Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Pramana¹,

Adnyana²,

Niryana³

et al. 2022

ijhs

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Open reduction and internal fixation is the gold standard for managing mandibular fractures with the primary goal of restoring premorbid occlusion status. Malocclusion is one of the most common and functionally significant postoperative complications of mandibular fracture. This study aims to determine the factors that influence the occurrence of malocclusion in patients with mandibular fractures three months after open reduction and internal fixation surgery at Prof. Dr. I GNG Ngoerah Hospital Denpasar. This study was an analytic observational study with a retrospective cohort design. The result is the age️of 40 years, mandibular fracture sites in more than one region, a complex type of mandibular fracture, involvement of other facial bones fracture, waiting time for surgery > 7 days, and internal fixation with wire are risk factors for malocclusion within three months postoperatively. Gender was not statistically associated with the incidence of malocclusion post-operation (p-value 0.705). The combination of internal fixation with maxillo-mandibular fixation (MMF) was a preventive factor for postoperative malocclusion (RR 0.4 (CI: 0.23-0.99)). The results of the multivariate analysis showed that the number of fracture locations in more than one region had the highest effect on the occurrence of postoperative malocclusion by 131.7 times.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Pramana¹,

Adnyana²,

Niryana³

et al. 2022

ijhs

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show abstract

“…9 Complications after surgical intervention are due to many reasons, but the fracture and soft tissue loss pattern also complicate the process. 10 Other risk factors contributing include comorbid, pre-injury oral hygiene, and substance use. 3 Our study was conducted to see early versus delayed open reduction and internal fixation effects in patients with mandibular fractures.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Post-Operative Results of Early Versus Delayed Open Reduction and Internal Fixation of Isolated Mandibular Fractures

Hassan

Shafqat²,

Babar³

et al. 2022

PAFMJ

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Objective: To evaluate the impact of treatment time of open reduction internal fixation of mandibular fractures in post-operative complications. Study Design: Quasi-experimental study. Place and Duration of Study: Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Jun 2019. Methodology: A hundred and four patients with isolated mandibular fractures diagnosed clinically and radiologically were included in the study. Group-I was the early Group consisting of cases reported under 72 hours, and Group-II was the delayed Group consisting of patients after 72 hours and within fourteen days. Treatment outcomes were assessed and compared for all patients based on clinical parameters in the post-operative period during follow-up. Results: One hundred and four patients with mandibular fractures were treated with open reduction internal fixation. On a periodic follow-up of 6 months, all patients were evaluated for malocclusion, surgical site infection, hardware exposure, and non-union complications. Group-I showed six patients (11.70%) with malocclusion, whereas three patients (6.10%) in Group-II had malocclusion (p-value=0.295). Surgical site infection was present in 2(3.84%) patients in Group-I and 3(5.76%) patients in Group-II (p-value=0.647). There was no case of non-union and three patients (5.76%) of hardware exposure in Group-I and two patients (3.84%) in Group-II (p-value=0.647). No statistically significant increase in post-operative complications in malocclusion, surgical site infection, hardware exposure, and non-union was found in Group-II with comparison Group-I. Conclusion: Delay in the surgical intervention of mandible fractures does not lead to increased post-operative complications.

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“…Jika terjadi obstruksi hebat saluran napas, maka harus segera dilakukan trakeostomi. 2 Trakeostomi adalah prosedur umum yang biasa dilakukan pada pasien dengan kondisi sakit kritis yang membutuhkan ventilasi mekanis berkepanjangan untuk kegagalan pernapasan akut dan masalah jalan napas. Trakeostomi adalah pembukaan trakea dengan perlekatan pada kulit, dengan mengeluarkan trakea ke arah kulit leher dan menghasilkan fistula/lubang yang lebih permanen.…”

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Analisis Asuhan Keperawatan pada Pasien Terpasang Canul Trakeostomi dengan Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif dengan Intervensi Fisioterapi Dada di Ruang Mawar RSD dr. Soebandi Jember: Studi Kasus

Afidah,

Murtaqib,

Suheriyono

2023

JKKK

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Background: Maxillofacial fracture is a fracture that refers to the facial skeletal, dentoalveolar bone and related parts within the head and neck area due to external trauma. Severe fractures in the facial bones hinder client’s airway. Tracheostomy is one of the procedures for persistent airway obstruction.Objective: To analyze nursing care for clients with tracheostomy for indications of maxillofacial fracture with nursing problems in ineffective airway clearance using chest clapping physiotherapy interventions in the Mawar Room, RSD dr. Soebandi Jember.Case report: The client was admitted to the Hospital due to motorcycle accident. During the assessment the client complained of coughing, tightness, and sleeplessness. After a canul tracheostomy was attached to the client, there were several symptoms, ie.: the client coughed quite frequently, unable to cough effectively, there was a dry ronchi, had difficulty in speaking, and the client's breathing pattern changed. In conclusion, the main nursing problem was ineffective airway clearance.Outcome: The results of the analysis after chest physiotherapy 3 times for 3 days showed the expected result of chest physiotherapy action, which was the sputum was removed and cleared from the airway. Therefore, oxygen diffusion was optimal, the client's oxygen saturation increased within the normal range, coughing decreased, and insomnia complaints were reduced. Conclusion: Chest physiotherapy can help remove the client's sputum, thus reduces sputum and ronchi sound, tightness marked with respiration rate (RR) within the normal range, and coughing in clients with nursing problem ineffective airway clearance attached canul tracheostomy.ABSTRAKLatar belakang: Fraktur maksilofasial merupakan fraktur yang mengacu pada skeletal wajah, tulang dentoalveolar dan bagian-bagian yang terkait dalam daerah kepala dan leher karena trauma eksternal. Fraktur pada tulang wajah yang parah menyebabkan pasien tidak dapat mempertahankan jalan napasnya. Trakeostomi merupakan salah satu prosedur untuk obstruksi jalan napas persisten.Tujuan: Untuk menganalisis asuhan keperawatan pada pasien yang terpasang trakeostomi atas indikasi fraktur maksilofasial dengan masalah keperawatan bersihan jalan napas tidak efektif menggunakan intervensi fisioterapi dada clapping di Ruang Mawar RSD dr. Soebandi Jember.Laporan kasus: Pasien masuk ke Rumah Sakit karena kecelakaan sepeda motor. Saat dilakukan pengkajian, pasien mengeluh batuk, sesak napas, dan tidak bisa tidur. Terdapat beberapa gejala pada pasien setelah terpasang canul trakeostomi, antara lain batuk cukup sering, tidak mampu melakukan batuk efektif, terdapat ronchi kering, sulit berbicara, dan pola napas pasien berubah, sehingga memiliki masalah keperawatan utama bersihan jalan napas tidak efektif. Hasil: Hasil analisis setelah dilakukan fisioterapi dada 3 kali selama 3 hari, menunjukkan pencapaian tindakan fisioterapi dada, yaitu dapat mengeluarkan dan membersihkan sputum dari saluran napas, sehingga difusi oksigen optimal, saturasi oksigen pasien meningkat dalam rentang normal, batuk berkurang, dan keluhan susah tidur berkurang. Simpulan: Fisioterapi dada dapat membantu mengeluarkan sputum pasien, sehingga sputum dan suara ronchi dapat berkurang, sesak napas berkurang ditandai dengan respiration rate (RR) dalam rentang normal, dan batuk dapat berkurang pada pasien dengan masalah keperawatan bersihan jalan napas tidak efektif yang terpasang canul trakeostomi.

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Relation between the Location of the Mandibular Fracture and the Incidence of Post ORIF Malocclusion in H. Adam Malik Central General Hospital Medan, Indonesia

Cited by 3 publications

References 2 publications

Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

Comparison of Post-Operative Results of Early Versus Delayed Open Reduction and Internal Fixation of Isolated Mandibular Fractures

Analisis Asuhan Keperawatan pada Pasien Terpasang Canul Trakeostomi dengan Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif dengan Intervensi Fisioterapi Dada di Ruang Mawar RSD dr. Soebandi Jember: Studi Kasus

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