I just had this done! I come out of hospital yesterday.. I got attacked by three men so not I have titanium plates and screws! Internal fixation is the work they did and it’s absolutely crazy how good the work is that they have done ( is it normal to be really swollen ) my face feels like it’s huge
Sir u said if there is symphysis fracture alongwith bicondylar fracture , symphysis will be treated by closed reduction . But why? Symphysis is minimally displaced due to periosteal envelope then closed reduction should be done???
They also scraped out infection and blood clot along the left side of my chin ( apparently where nerves are ) I have lost sensation in my bottom lip does this mean it will be like that forever ? It feels like pins and needles and is very uncomfortable. They prescribed me Ibruofen and paracetamol but during opp I had morphine. As I am on Bupermorphine medication I cannot have opioids as pain relief so what’s another strong painkiller that will help me ? Thanks Sir
As u describe the outline of open reduction and direct fixation in this video is it same applies to mandibular angle fracture like Exposure of fracture line Fracture reduction IMF Internal fixation Release IMF check the occlusion Suturing ??
Sir how to determine the displacement of the fractured fragments in case of bilateral fracture eg. unilateral mandibular angle fracture with opposite mandibular symphysis\parasymphysis fracture?
No sir,I mean how muscle attachment determine the direction of displacement? In this clinical case what will be the direction of muscle pull and according to that what will be the displacement of that fractured fragments?
in this case, ideally canine fracture should be treated with open reduction and rigid fixation along with imf for 4 weeks to treat condylar fracture. alternately, we can do closed reduction for both fractures
@@dhanudhanushree2055 you have to write all surgical approaches to expose the mandible like 1. intraoral approaches: lower labial or buccal vestibular approach, degloving incision, incision along the external oblique ridge 2. extraoral approaches: submental approach, submandibular approach retromandibular, preauricular and its modifications, postauricular approaches 3. existing lacerations 4. intraoral approach with transbuccal fixation
Genuinely, this is by far one of the best explanations I have heard. Thank you sir
I learn more through your channel compared to lecture classes
Best way of explaining topic
I just had this done! I come out of hospital yesterday.. I got attacked by three men so not I have titanium plates and screws! Internal fixation is the work they did and it’s absolutely crazy how good the work is that they have done
( is it normal to be really swollen ) my face feels like it’s huge
Thank u sir it is aa best vedio i have ever watched 😃😃
Many many thanks
You're really amazing thank you really
Amazingly described sir thank you . Kudos!
Thank you sir ....your channel is really helpful🙂🙂
Kya tareef karu aapki sir.. You are knight in shining armor for us..
Beautiful video Sir
Happy teacher's Day sir
Cannot imagine Oral surgery without you
Sir please consider making anatomy lecs also
thank you
Thankyou sir
Thank you sir
Great explanation sir
Excellent lecture
Thanku
Always clears the concepts...best teacher❤️
Sir can you have a comment on tongue fall immediate management in bilateral para symph fracture pls..
Thank you sir, Great explanations.
Perfection!
King of Oral Surgery 🙏
Thank you for this wonderful video sir!! One doubt sir, what do we place on the mandible to prevent hematoma? You mentioned something at the last.
dynaplast...plaster
@@msdentallectures7408 okay sir, thank you!
Do a vedio on wiring sirrr
Sir u said if there is symphysis fracture alongwith bicondylar fracture , symphysis will be treated by closed reduction . But why? Symphysis is minimally displaced due to periosteal envelope then closed reduction should be done???
when there are multiple fractures of mandible, atleast fractures in tooth bearing region should be fixed by open reduction...
They also scraped out infection and blood clot along the left side of my chin ( apparently where nerves are )
I have lost sensation in my bottom lip does this mean it will be like that forever ? It feels like pins and needles and is very uncomfortable.
They prescribed me Ibruofen and paracetamol but during opp I had morphine. As I am on Bupermorphine medication I cannot have opioids as pain relief so what’s another strong painkiller that will help me ? Thanks Sir
What is the spelling of the thing that should be placed on the mandible to prevent hematoma???
dynaplast
@@msdentallectures7408 thank you sir
Sir u beauty
As u describe the outline of open reduction and direct fixation in this video is it same applies to mandibular angle fracture like
Exposure of fracture line
Fracture reduction
IMF
Internal fixation
Release IMF check the occlusion
Suturing ??
not only angle, those are basic steps of any fracture management...
@@msdentallectures7408 thanks sir
I have right and left parasymphsis angle mandibular fracture how serious is this ?
U r superbb sir
tq
When a baby fall on his chin,which is the most fracture prone area?
Which artery causes Coleman sign sir?
It is not related to artery... It is due to blood from anterior mandible fracture diffusing through the breach in periosteum
Sir how to determine the displacement of the fractured fragments in case of bilateral fracture eg. unilateral mandibular angle fracture with opposite mandibular symphysis\parasymphysis fracture?
with the help of clinical examination and posteroanterior view of skull or other xray techniques like opg, ct scan
No sir,I mean how muscle attachment determine the direction of displacement? In this clinical case what will be the direction of muscle pull and according to that what will be the displacement of that fractured fragments?
I already discussed those things ...watch all the videos on mandibular fractures ...you can find in playlists
Can use cap splints in parasymphysis bilateral fracture ?
Not usually...
guard's man fracture isi ko bolte h kya sir?
bilateral condylar fractures along with symphysis fracture ...
Sir what is fire line in fracture ?
Sir.. Medical emergencies mida oka video cheyyandi sir.. Plz sir
ok....sure
Sir how we treat a fracture of left canine region and right condyler head fracture
in this case, ideally canine fracture should be treated with open reduction and rigid fixation along with imf for 4 weeks to treat condylar fracture. alternately, we can do closed reduction for both fractures
Sir is it sm management for body fracture ???? ..
ya almost....but only one plate is enough below the roots of teeth and above the inferior alveolar canal
And what about classification !!??
@@priyankerwhite6253 classification same...no special classification for body fractures
@@msdentallectures7408 okii sir. Thank u Soo much .😊
Sir if they ask write a mandibular management and add a note on surgical approaches sir wt we should write in long essay 💜🖤
mandibular ....what?
@@msdentallectures7408 about mandibular angle fractures and surgical approach of mandible💜🖤
@@dhanudhanushree2055 you have to write all surgical approaches to expose the mandible like
1. intraoral approaches: lower labial or buccal vestibular approach, degloving incision, incision along the external oblique ridge
2. extraoral approaches: submental approach, submandibular approach
retromandibular, preauricular and its modifications, postauricular approaches
3. existing lacerations
4. intraoral approach with transbuccal fixation
@@msdentallectures7408 thank u so much sir management of mandibular angle fracture about dat wt we should write 💜🖤
i made video on that...
Thank you sir
Thank you sir