Original Article
Volume 2024, 8 pages.
Evaluation of Intraoral Fixation versus Extraoral Fixation in Segmental Resection of Mandible - A Comparative Study
Manishaa V1
1. Consultant, Oral & Maxillofacial Surgeon, Chennai
Address for Correspondence:
Dr. Manishaa V
Consultant, Oral and Maxillofacial Surgeon,
Chennai
Email – manishaa.venkatesh@gmail.com
Abstract
Background: Mandibular segmental resection for benign pathologies results in functional and aesthetic deficits requiring
reconstruction with titanium plates. Fixation can be achieved through intraoral or extraoral approaches, though
consensus on the superior technique remains unclear.
Aim: To compare intraoral fixation using right-angled instruments with conventional extraoral fixation of mandibular reconstruction plates.
Materials and Methods: Twelve patients undergoing segmental mandibular resection were randomly allocated into two groups: intraoral fixation (n=6) and extraoral fixation (n=6). All reconstructions utilized a 2.5-mm titanium reconstruction plate. Postoperative swelling, mandibular symmetry, and complications were evaluated at baseline, 2 weeks, 1 month, and 6 months. Statistical analysis was performed with significance set at p<0.05. Results: Baseline parameters were comparable. Extraoral fixation demonstrated significantly greater reduction in postoperative swelling and superior mandibular symmetry (p<0.05). Complication rates were comparable between groups.
Conclusion: Extraoral fixation provides better postoperative swelling reduction and symmetry, while intraoral fixation offers comparable safety with the advantage of avoiding external scarring.
Keywords: Mandibular segmental resection, Reconstruction plate, Intraoral approach, Extraoral approach,
Mandibular reconstruction
Financial support and sponsorship
Nil
Conflicts of interest
There are no conflicts of interest.
How to Cite this article :
Manishaa V . Evaluation of Intraoral Fixation versus Extraoral Fixation in Segmental Resection of Mandible
- A Comparative Study Int J Cranio Maxillofac Surg Rehab Volume 2024; 3(1): 6-13. Doi: 10.56501/IntJCranioMaxillofacSurgRehabil.v3.il.ijcms0002
