Comparison Between Diathermy & Stainless Steel Scalpel in Vestibular Incision for Anterior Mandibular Fracture
Farkhunda Mazher, Sonam Nankani, Aftab Ahmed Soomro, Suneel Kumar Punjabi, Anita Kumari, Salman Shams
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ABSTRACT
Objective: To compare efficacy of
the diathermy versus stainless steel scalpel vestibular incision for anterior
mandibular fracture.
Methodology: Eighty patients having
age between 18 to 50 years, irrespective of gender and with mandibular
symphysis and parasymphyseal fractures were included and divided into two
groups. Group A (diathermy group) and group B (stainless steel scalpel group)
included 40 patients each. After selection of patient into either group, the
standard protocol of preparation and draping was done and all surgeries were
performed under the supervision of supervisor under general anesthesia. The duration of each operation, pain, edema and healing of
tissues was noted on the proforma.
Results: Male patients were 39
(97.5%) and 37 (92.5%) and female patients were 1 (2.5%) and 3 (7.5%) with mean
age of 31.5± 10.7 (18-50) years and34.6± 10.1 (18-50) years in group A (diathermy group) and group B (stainless steel scalpel) respectively. Mean
score of pain, edema and healing on Day 7 was significantly higher in Group B
as compared to Group A.
Conclusion: Diathermy method is
more effective in post-operative pain management, edema control (superioinferiorly
and mediolaterally) and healing of tissue as vestibular incision for anterior
mandibular fracture as compared to stainless steel scalpel method.
Keywords: Efficacy, Diathermy,
Scalpel, Vestibular incision, Anterior Mandibular fracture.
ABSTRACT
Objective: To compare efficacy of
the diathermy versus stainless steel scalpel vestibular incision for anterior
mandibular fracture.
Methodology: Eighty patients having
age between 18 to 50 years, irrespective of gender and with mandibular
symphysis and parasymphyseal fractures were included and divided into two
groups. Group A (diathermy group) and group B (stainless steel scalpel group)
included 40 patients each. After selection of patient into either group, the
standard protocol of preparation and draping was done and all surgeries were
performed under the supervision of supervisor under general anesthesia. The duration of each operation, pain, edema and healing of
tissues was noted on the proforma.
Results: Male patients were 39
(97.5%) and 37 (92.5%) and female patients were 1 (2.5%) and 3 (7.5%) with mean
age of 31.5± 10.7 (18-50) years and34.6± 10.1 (18-50) years in group A (diathermy group) and group B (stainless steel scalpel) respectively. Mean
score of pain, edema and healing on Day 7 was significantly higher in Group B
as compared to Group A.
Conclusion: Diathermy method is
more effective in post-operative pain management, edema control (superioinferiorly
and mediolaterally) and healing of tissue as vestibular incision for anterior
mandibular fracture as compared to stainless steel scalpel method.
Keywords: Efficacy, Diathermy,
Scalpel, Vestibular incision, Anterior Mandibular fracture.