PMID- 25052733 OWN - NLM STAT- MEDLINE DCOM- 20160303 LR - 20141209 IS - 1878-4119 (Electronic) IS - 1010-5182 (Linking) VI - 42 IP - 8 DP - 2014 Dec TI - 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. PG - 1821-6 LID - S1010-5182(14)00205-4 [pii] LID - 10.1016/j.jcms.2014.06.021 [doi] AB - 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. CI - Copyright (c) 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. FAU - Omeje, Kevin U AU - Omeje KU AD - Oral and Maxillofacial Surgery Department, Aminu Kano Teaching Hospital, Kano, Nigeria. FAU - Rana, Majeed AU - Rana M AD - Department of Craniomaxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Electronic address: rana.majeed@mh-hannover.de. FAU - Adebola, Adetokunbo R AU - Adebola AR AD - Oral and Maxillofacial Surgery Department, Aminu Kano Teaching Hospital, Kano, Nigeria. FAU - Efunkoya, Akinwale A AU - Efunkoya AA AD - Oral and Maxillofacial Surgery Department, Aminu Kano Teaching Hospital, Kano, Nigeria. FAU - Olasoji, Hector O AU - Olasoji HO AD - Oral and Maxillofacial Surgery Department, Faculty of Dentistry, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria. FAU - Purcz, Nicolai AU - Purcz N AD - Oral and Maxillofacial Surgery Department, Faculty of Dentistry, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria. FAU - Gellrich, Nils-Claudius AU - Gellrich NC AD - Department of Craniomaxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. FAU - Rana, Madiha AU - Rana M AD - Department of Personality Psychology and Psychological Assessment, Helmut-Schmidt-University/University of the German Federal Armed Forces Hamburg, Holstenhofweg 85, 22043 Hamburg, Germany. LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20140626 PL - Scotland TA - J Craniomaxillofac Surg JT - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JID - 8704309 SB - IM MH - Adult MH - Anxiety/psychology MH - Attitude to Health MH - Bone Plates MH - Bone Screws MH - Case-Control Studies MH - Cross-Sectional Studies MH - Deglutition/physiology MH - Eating/physiology MH - Female MH - Follow-Up Studies MH - Fracture Fixation, Internal/instrumentation/*psychology MH - Humans MH - Interpersonal Relations MH - Jaw Fixation Techniques/instrumentation/*psychology MH - Male MH - Mandibular Fractures/*psychology/surgery/therapy MH - Pain, Postoperative/psychology MH - Patient Satisfaction MH - Prospective Studies MH - *Quality of Life MH - Self Concept MH - Speech/physiology MH - Young Adult OTO - NOTNLM OT - Closed reduction OT - Mandibular fracture OT - Open reduction OT - Quality of life EDAT- 2014/07/24 06:00 MHDA- 2016/03/05 06:00 CRDT- 2014/07/24 06:00 PHST- 2014/01/24 00:00 [received] PHST- 2014/06/17 00:00 [revised] PHST- 2014/06/18 00:00 [accepted] PHST- 2014/07/24 06:00 [entrez] PHST- 2014/07/24 06:00 [pubmed] PHST- 2016/03/05 06:00 [medline] AID - S1010-5182(14)00205-4 [pii] AID - 10.1016/j.jcms.2014.06.021 [doi] PST - ppublish SO - J Craniomaxillofac Surg. 2014 Dec;42(8):1821-6. doi: 10.1016/j.jcms.2014.06.021. Epub 2014 Jun 26.