Quality of life patients after treatment of mandibular fractures with ORIF in oral surgery departement of Dr. Sardjito general hospital

Edmond Apriza; Rahardjo Rahardjo; Cahya Yustisia Hasan

doi:10.22146/majkedgiind.41145

Quality of life patients after treatment of mandibular fractures with ORIF in oral surgery departement of Dr. Sardjito general hospital

https://doi.org/10.22146/majkedgiind.41145

Edmond Apriza^(1*), Rahardjo Rahardjo⁽²⁾, Cahya Yustisia Hasan⁽³⁾

(1) RSUD Embung Fatimah Batam, Kepulauan Riau Oral and Maxillofacial Surgery Specialty Program, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(2) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(3) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract

Management of mandibular fracture using open reduction Internal fixation (ORIF) method is one of the ideal treatments for single and multiple mandibular fractures. The aim of this study was to determine the quality of life of patients after the treatment of mandibular fractures with ORIF using miniplate in single and multiple mandibular fractures. This research used case-control by recalling 43 research subjects in the oral surgery department Dr Sardjito general hospital between 2013 and 2017, that consisted of patients suffering from 23 single fractures and 20 multiple mandibular fractures. Each fracture would be examined clinically and subjectively. Clinical examination parameters were conducted using the mandibular mobility index (MMI) consisting of mouth opening assessment, left and right lateral mandibular excursion, and mandibular protrusive movement. Subjective parameters were performed based on general oral health asseesment index (GOHAI) questionnaire to assess physiological aspects, psychosocial aspects, and pain. The results of the chi-square test statistic study showed that the quality of life of a patient with a single mandibular fracture was better than that of multiple mandibular fractures based on MMI and GOHAI examinations. It was concluded that patients with a single mandibular fracture had a younger age, longer time adaptation and have a better quality of life.

Keywords

GOHAI; Mandibular Fracture; MMI; ORIF; quality of life

Full Text:

PDF

References

1. Zaleckas L, Drobnys P, Rimkuvienė J. Incidence and etiology of mandibular fractures
treated in Vilnius University hospital Žalgiris clinic, LIthuania: a review of 1 508 cases. Acta Medica Lituanica. 2013; 20(1): 53-60.

2. Rashid A, Eyeson J, Haider D, Gijn DV, Fan K. Incidence and patterns of mandibular fractures during a 5-year period in a London teaching hospital. Br J Oral Maxillofac Surg. 2013; 51(8): 794-798. doi: 10.1016/j.bjoms.2013.04.007

3. Spiessl B. InternaI fixation of the mandibie a manual of AO/ASIF principles. New York London Paris Tokyo: Springer-Verlag Berlin Heidelberg; 1990. 151-157.
doi: 10.1007/978-3-642-71034-6

4. Mwaniki DL, Guthua SW. Occurrence and characteristics of mandibular fractures in Nairobi, Kenya. British Journal of Oral and MaxilofociaI Surgery.1990; 28(3): 200-202. doi: 10.1016/0266-4356(90)90089-4

5. Ehrenfeld M, Manson PN, Prein J. Principles of internal fixation of the craniomaxillofacial skeleton trauma and orthognathic surgery. Switzerland, Clavadelerstrasse 8, CH-7270 Davos Platz: AO Foundation; 2012.

6. Balaji SM. Textbook of oral and maxillofacial surgery, Chapter 4. Fractures of the mandibles. New Delhi: Elsevier; 2013. 887-892.

7. Ajanović M, Lončarević AS, Kazazić LD, Bejtović B, Strujić S, Smajkić N. The prevalence of symptoms and signs of temporomandibular dysfunctions in patients with the posttraumatic stress disorder. Acta Stomatol Croatia. 2009; 43(3): 202-214.

8. Rana M, Gellrich NC, VonSee C, Weiskopf C, Gerressen M, Ghassemi A, Modabber A. 3d evaluation of postoperative swelling in treatment of bilateral mandibular fractures using 2 different cooling therapy methods: a randomized observer blind prospective study. J Craniomaxillofac Surg. 2013; 41(1): 17-23. doi: 10.1016/j.jcms.2012.04.002

9. Omeje KU, Adebola AR, Efunkoya AA, Osunded OD, Bamgbosee BO, Akhiwua BI,
Amole IO. Prospective study of the quality of life after treatment of mandibular fractures. Br J Oral Maxillofac Surg. 2015; 53(4): 342-346. doi: 10.1016/j.bjoms.2015.01.009

10. Atchison KA, Shetty V, Belin TR, Der- Martirosian C, Leathers R, Black E, Wang
J. Using patient self-report data to evaluate orofacial surgical outcomes. Community Dent Oral Epidemiol. 2006; 34(2): 93-102.
doi: 10.1111/j.1600-0528.2006.00260.x

11. Elgehani RA, Orafi MI. Incidence of mandibular fractures in eastern part of Libya. Med Oral Patol Oral Cir Bucal. 2009; 14(10): 529-532.
doi: 10.4317/medoral.14.e529

12. Sari CA. Prevalensi fraktur mandibula yang dirawat di RSUD dr. Saiful Anwar Malang Tahun 2005-2010 [skripsi]. Universitas Jember; 2011.

13. Lu C, Miclau T, Hu D, Hansen E, Tsui K, Puttlitz C, Marcucio RS. Cellular basis for age-related changes in fracture repair. J Orthop Res. 2005; 23(6): 1300-1307.
doi: 10.1016/j.orthres.2005.04.003.1100230610

14. Foulke BA, Kendal AR, Murray DW, Pandit H. Fracture healing in the elderly: a review. Maturitas. 2016; 92: 49-55. doi: 10.1016/j.maturitas.2016.07.014

15. Kilinc A, Ertaş U, Yalçin E, Saruhan, N. Retrospective Analysis Of Mandibular
Fractures Cases In Center Of The Eastern Anatolia Region Of Turkey. Cumhuriyet Dental Journal. 2017; 20(1): 40-44. doi: 10.7126/cumudj.306117

16. Lee S, McGrath C, Samman N. Impact of orthognathic surgery on qualityof life. J Oral Maxillofac Surg. 2008; 66(6): 1194-1199. doi: 10.1016/j.joms.2008.01.006

17. Yamamoto K, Murakami K, Sugiura T, Fujimoto M, Ohgi K, Kirita T. Factors affecting mandibular function after conservative treatment of condylar fractures. Asian Journal of Oral Maxillofacial Surgery. 2004; 16(3): 160-165.
doi: 10.1016/S0915-6992(04)80026-8

DOI: https://doi.org/10.22146/majkedgiind.41145