mallika reddy - Academia.edu (original) (raw)
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Papers by mallika reddy
Panamerican Journal of Trauma, Critical Care & Emergency Surgery, 2014
Background and objectives: Road traffic crashes are reported to be the leading cause of maxillofa... more Background and objectives: Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods: The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results: Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion: Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications.
Journal of Oral and Maxillofacial Surgery, 2013
Surgical access to the temporomandibular joint (TMJ) and zygomatic arch is a challenge even to th... more Surgical access to the temporomandibular joint (TMJ) and zygomatic arch is a challenge even to the experienced maxillofacial surgeon. The conventional subfascial approach to these structures carries the potential risk of transient paralysis of the frontalis and orbicularis oculi muscles. This article discusses the use of a deep subfascial approach to access the TMJ and zygomatic arch. This surgical technique provides a safe operating field without jeopardizing the branches of the facial nerve. A study was carried out on 12 patients, wherein 15 surgical exposures were made, to access the TMJ and zygomatic arch. A deep subfascial approach was used that preserved the structural and functional integrity of the temporal and zygomatic branches. Postoperatively, no functional deficit was noted in either the temporal or zygomatic branches of the facial nerve as ascertained by clinical examination. The deep subfascial approach preserves and protects the branches of the facial nerve. It relies on distinct anatomic planes that are easily identified during surgery; and hence, the technique becomes relatively simple and easy to use.
Panamerican Journal of Trauma, Critical Care & Emergency Surgery, 2014
Background and objectives: Road traffic crashes are reported to be the leading cause of maxillofa... more Background and objectives: Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods: The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results: Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion: Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications.
Journal of Oral and Maxillofacial Surgery, 2013
Surgical access to the temporomandibular joint (TMJ) and zygomatic arch is a challenge even to th... more Surgical access to the temporomandibular joint (TMJ) and zygomatic arch is a challenge even to the experienced maxillofacial surgeon. The conventional subfascial approach to these structures carries the potential risk of transient paralysis of the frontalis and orbicularis oculi muscles. This article discusses the use of a deep subfascial approach to access the TMJ and zygomatic arch. This surgical technique provides a safe operating field without jeopardizing the branches of the facial nerve. A study was carried out on 12 patients, wherein 15 surgical exposures were made, to access the TMJ and zygomatic arch. A deep subfascial approach was used that preserved the structural and functional integrity of the temporal and zygomatic branches. Postoperatively, no functional deficit was noted in either the temporal or zygomatic branches of the facial nerve as ascertained by clinical examination. The deep subfascial approach preserves and protects the branches of the facial nerve. It relies on distinct anatomic planes that are easily identified during surgery; and hence, the technique becomes relatively simple and easy to use.