Evlauation of Fixation Techniques in Naso-orbito-ethmoidal Fractures: A Comparative Study

Comparing fixation procedures for managing naso-orbito-ethmoidal (NOE) fractures. Group A (plate and screw fixation), Group B (Kirschner wire (K-wire) fixation), Group C (absorbable plate and screw fixation), and Group D (No fixation) were formed from 120 NOE fracture patients. The facial injury sev...

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Bibliographic Details
Published in:Journal of pharmacy & bioallied science 2024-07, Vol.16 (Suppl 3), p.S2749-S2751
Main Authors: Singh, Shiwangi, Taide, Ankit A, Kaur, Jasmine, Panda, Sanjukta, Srilakshmi, Donka, Nelson, Anish, Baig, Fawaz A H
Format: Article
Language:English
Subjects:
absorbable plate
Bone implants
Clinical trials
fixation techniques
Fractures
kirschner wire
naso-orbito-ethmoidal fractures
Original Research
plate and screw
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Summary:Comparing fixation procedures for managing naso-orbito-ethmoidal (NOE) fractures. Group A (plate and screw fixation), Group B (Kirschner wire (K-wire) fixation), Group C (absorbable plate and screw fixation), and Group D (No fixation) were formed from 120 NOE fracture patients. The facial injury severity scale, visual analogue scale, CT scans, and clinical examination examined functional and cosmetic outcomes, complications, and postoperative stability. The study found that plate and screw fixation (Group A) had the highest stability and aesthetic results, followed by absorbable plate and screw fixation (Group C). Conservative management (Group D) had the worst outcomes, while K-wire fixation (Group B) had good results but more complications. Results showed substantial differences in functional, aesthetic, complications, and postoperative stability between groups ( < 0.05). Plate and screw fixation is the most successful and dependable approach for treating NOE fractures, with superior functional and aesthetic outcomes, reduced complications, and higher postoperative stability than K-wire fixation, absorbable plate and screw fixation, and conservative care. Absorbable plate and screw fixation may function instead of metal. Conservative care should be rare. Larger multicenter randomized controlled trials should corroborate these findings.
ISSN:0976-4879
0975-7406
DOI:10.4103/jpbs.jpbs_402_24