- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06221527
Assessment of Healing Properties Using Hyaluronic Acid Topical Application in Parasymphyseal Fracture Fixation: A Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patients of both groups will be subjected to:
- Clinical assessment including case history including personal data,medical,surgical history and family history
- Radiographic assessment includes preoperative digital panomora to evaluate fracture and to conclude presence or absence of any foreign body or pathological pathosis.
- Signing the informed consent will be done after explaining surgical procedure. All the patients will be nasally intubated, scrubbed and draped in the standard manner, followed by intra-oral and extra-oral povidone-iodine (Betadine)swabbing.
Local anesthesia containing vasoconstrictor will be injected in the vestibule Incision at lower anteriors will be done in the mucosa in a curvilinear fashion 10-15mm away from the attached gingiva, the incision distal to the canine will be 5 mm from the attached gingival to be superior to the mental nerve.
Submucosal dissection will be done to expose the mentalis muscle, followed by mucoperiosteal flap elevation till inferior border exposing the fracture line.
The fracture segments will be reduced after curettage and removal of any debris.
MMF will be done to ensure proper occlusion. Two four-hole titanium miniplates will be placed on inferior border and another one on superior border.
For the intervention group: placement of hyaluronic acid paste will be carried over gel foam and placed between fractured segments before plate fixation.
For the control group: no hyaluronic acid paste will be applied during fixation only gel foam between fractures segments without any additives.
Suturing using 4-0 resorbable sutures will take place after MMF release in layers, anteriorly mentalis muscle will be closed first to prevent chin drooping followed by a continuous running closure of mucosa.
Elastic dressing will be applied over chin region supporting the soft tissues and preventing hematoma formation.
Post-operative care:
Avoid traumatization of the surgical site. All patients will be instructed to apply ice packs over submental area for 15 minutes per hour for 24 hours postoperatively.
All patients will be given postoperative medication as follows:
Anti-inflammatory drug diclofenac potassium (Cataflam50mg)2tabletsevery8hoursforaweek to relieve pain Antibiotic drug Amoxicillin/clavulanic acid tablets (Hibiotic 1gm)1gm every 12 hours for 7 days
-Benzethonium Chloride (Antiseptol mouthwash), starting from the day after the surgery 3 times daily for 10 days.
Instruct the patient not to touch or manipulate the surgical area. No consumption of tobacco for one week postoperatively.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with unilateral Para symphyseal fracture
- Systemically healthy patients (American Society of Anesthesiologists -ASA I and II)
- Age of the patient above 16 years to 60 years old
- Patient of both sexes
- Patients willing for the surgical procedure and follow up with an informed consent.
Exclusion Criteria:
- Bad oral hygiene
- smokers (>10cigarettes/day)
- Existence of a bone metabolic disease; currently taking drugs that might influence bone metabolism
- Radiotherapy or chemotherapy form malignancy
- Patients who refused to sign consent form
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: conventional group
fixation of parasymphyseal fracture using two four-hole titanium miniplates that will be placed on inferior border and another one on superior border.
|
fixation of parasymphyseal fracture using two four-hole titanium miniplates that will be placed on inferior border and another one on superior border
Other Names:
|
Active Comparator: study group
placement of hyaluronic acid will be carried over gel foam and placed between fractured segments before plate fixation. fixation of parasymphyseal fracture using two four-hole titanium miniplates that will be placed on inferior border and another one on superior border. |
fixation of parasymphyseal fracture using two four-hole titanium miniplates that will be placed on inferior border and another one on superior border
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient satisfaction(score)
Time Frame: at one week and three months intervals
|
Patient satisfaction survey through score
|
at one week and three months intervals
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Fracture gap distance(mm)
Time Frame: immediate postoperative and four months intervals
|
Radiographically(CBCT) through millimeter
|
immediate postoperative and four months intervals
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
BV\TV (Bone Volume Fraction ) (%)
Time Frame: immediate postoperative and four months intervals
|
Radiographically(CBCT) through percent (%)
|
immediate postoperative and four months intervals
|
Pain(VAS)
Time Frame: at one week and three months intervals
|
Questionnaire through VAS
|
at one week and three months intervals
|
Wound dehiscence(Binary)
Time Frame: at one week and three months intervals
|
Clinically through binary
|
at one week and three months intervals
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Omfs 3 3 16
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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