Evaluation of postoperative complications following management of mandibular fractures with open reduction & internal fixation under regional anaesthesia: A retrospective study

Kavita Wadde; Asha Chowdhar; Monali Ghodake; Sandip Rathod

doi:10.53730/ijhs.v6nS1.5163

Authors

Kavita Wadde Associate Professor; Department of Oral and Maxillofacial Surgery, Government Dental College And Hospital, P. D’Mello Road, Fort, Mumbai, India 400001
Asha Chowdhar
ashadonde93@gmail.com
Post Graduate Student; Department of Oral and Maxillofacial Surgery Government Dental College and Hospital, P.D’Mello Road, Fort, Mumbai, India 40001
Monali Ghodake Assistant Professor; Department of Oral and Maxillofacial Surgery Government Dental College and Hospital, P.D’Mello Road, Fort, Mumbai, India 40001
Sandip Rathod Post Graduate Student; Department of Oral and Maxillofacial Surgery Government Dental College and Hospital, P.D’Mello Road, Fort, Mumbai, India 40001

Keywords:

Complications, Local Anaesthesia, Mandibular Fractures, Open reduction internal fixation, Paraesthesia

Abstract

Aim: To assess the rate of postoperative complications and its association with respect to aetiology, gender, age, time lapse between injury and commencement of treatment, history of substance abuse, number and location of the fractures in mandibular fracture patients treated with open reduction and internal fixation (ORIF) under regional anaesthesia. Materials and method: All patients fulfilling the selection criteria with mandible fracture reporting to our institution, from March 2017 to August 2021, were included in the study and were divided into three groups based on anatomic site involved. Patient’s records were analysed for deriving complications that occurred during the postoperative period of ORIF andassociation with different variables. The values were subjected to Chi-square tests. Results: Out of 160 study population, patients with combined Para symphysis involving angle (Group C) were reported with the highest number of complications such as minor occlusal discrepancies (20.4%), surgical site infection (4.1%), wound dehiscence and paraesthesia (4.1%) as compared to fractures involving symphysis & para symphysis region (Group A and Group B respectively). Conclusion: The most common postoperative complication in this study was surgical site infection which can be managed effectively with local wound care, antibiotics and can be prevented with aseptic technique.

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