title: Quality of life in treatment of mandibular fractures using closed reduction and maxillomandibular fixation in comparison with open reduction and internal fixation--a randomized prospective study.
abstract: Treatment of mandibular fractures by open reduction and internal fixation (ORIF) is often assumed to be superior to treatment by close reduction and maxillomandibular fixation (MMF) because patients managed by ORIF seem to be rehabilitated earlier according to functional and social aspects. This assumption is often from surgeon's perspective, not taking into account patient's view point. This study highlights a comparative assessment between ORIF and MMF from the patients' perspective. Fifty six patients with mandibular fractures within the tooth bearing areas of the mandible were prospectively studied in a randomized controlled pattern for postoperative Quality of Life (QoL) after ORIF versus MMF. Both groups were analyzed preoperatively, at 1 day, 6 and 8 weeks regarding their QoL using the General Oral Health Assessment Index questionnaire (GOHAI). No significant statistical difference was found between the groups regarding overall QoL. Patients managed by MMF were more affected by psychosocial and physical domains whereas patients managed by ORIF were more affected by the pain domain. The results demonstrate that the treatment affects the psychosocial, physical and pain domain differentially. When both treatments are possible the patient's should be enlightened on the advantages and disadvantages of both treatment modalities to guide their choice of treatment.
authors: Oral and Maxillofacial Surgery Department, Aminu Kano Teaching Hospital, Kano, Nigeria.
authors: Kevin U
authors: KU
authors: Omeje
authors: Department of Craniomaxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Electronic address: rana.majeed@mh-hannover.de.
authors: Majeed
authors: M
authors: Rana
authors: Oral and Maxillofacial Surgery Department, Aminu Kano Teaching Hospital, Kano, Nigeria.
authors: Adetokunbo R
authors: AR
authors: Adebola
authors: Oral and Maxillofacial Surgery Department, Aminu Kano Teaching Hospital, Kano, Nigeria.
authors: Akinwale A
authors: AA
authors: Efunkoya
authors: Oral and Maxillofacial Surgery Department, Faculty of Dentistry, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
authors: Hector O
authors: HO
authors: Olasoji
authors: Oral and Maxillofacial Surgery Department, Faculty of Dentistry, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
authors: Nicolai
authors: N
authors: Purcz
authors: Department of Craniomaxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany.
authors: Nils-Claudius
authors: NC
authors: Gellrich
authors: Department of Personality Psychology and Psychological Assessment, Helmut-Schmidt-University/University of the German Federal Armed Forces Hamburg, Holstenhofweg 85, 22043 Hamburg, Germany.
authors: Madiha
authors: M
authors: Rana
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology; D001294:Attitude to Health; D001860:Bone Plates; D001863:Bone Screws; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003679:Deglutition / Q000502:physiology; D004435:Eating / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D019248:Jaw Fixation Techniques / Q000295:instrumentation / Q000523:psychology*; D008297:Male; D008337:Mandibular Fractures / Q000523:psychology* / Q000601:surgery / Q000628:therapy; D010149:Postoperative Pain / Q000523:psychology; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D012649:Self Concept; D013060:Speech / Q000502:physiology; D055815:Young Adult
keywords: Closed reduction; Mandibular fracture; Open reduction; Quality of life