Original Research Article
Year: 2020 | Month: March | Volume: 7 | Issue: 3 | Pages: 429-434
Triple Blind Randomised Control Trial of Two Different Treatment Analgesic Regimens Following Open Reduction and Internal Fixation of Mandibular Fractures
Sahana MS1, Nikhil N2, Gopalkrishnan K3
1Lecturer, Department of Oral and Maxillofacial Surgery, D A P M R V Dental College and Hospital, Bangalore
2Assistant Professor, 3Professor,
Department of Oral and Maxillofacial Surgery, SDM College of Dental Sciences and Hospital, Dharwad-Karnataka
Corresponding Author: Sahana MS
ABSTRACT
Aim: This study aims to compare two different analgesic drug regimens following open reduction and internal fixation of mandibular fractures and to study the efficacy of the two drug regimens in post operative pain control.
Material and method: This study was performed on 50 patients who were treated for mandibular fractures by open reduction and internal fixation under general anaesthesia at the Department of Oral and Maxillofacial surgery in SDM Craniofacial surgery and Research centre, Dharwad. The period of study was from November 2015 to July 2017. Subjects were divided into two groups i.e. Group 1 (received Piroxicam) and Group 2 (received Tramadol+Acetaminophen). The anaesthetist was in-charge and aware of the drugs prescribed to the patient post-operatively. The Operating surgeon, the observer and statistician were blinded.
Results: On the 1st and 2nd post operative days, reduction in pain was assessed by means of “Faces pain scale” a form of visual analog scale. When comparing pain reduction in both the groups, it was found to be more significant in patients belonging to Group 2 as compared to Group 1, i.e. a combination of Tramadol and Acetaminophen was found to be more efficacious.
Keywords: Mandibular fractures, Postoperative pain, Analgesics
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