Is the Nation state finished Essay Example | Topics and Well Written Essays - 1000 words

Is the Nation state finished - Essay Example This implies that the concept of nation states came after establishment of nations from the efforts of nationalists who were seeking sovereignty. However, there are also theories suggesting that nation state concept came around as an effort to unify already existing states. Borrowing from both views it seems that concept of nation state was founded after establishment of states. For example, some nation states such as Germany and Italy arguably came into existence as a result of nationalists efforts through campaigns to unify the state. Earlier on both these states were divided into several states small states and the unification began on the basis of cultural movements and later on evolved thereby acquiring political significance. For example, there is the case of the Volkish movement in Germany that comprised mainly of German speaking people from different states which later gained political significance. This implies that there is some substantial truth in claiming that the concep t came after creation of states. Away from matters revolving around origin of the nation states, there are more pressing and imminent matters with regard to its future. There are concerns over the existence of nation states due to current influential factors such as globalization. Globalization is the unification and integration of states with an aim of sharing views, ideas, and products in the wake of modernization. Amid these increased interactions among states there are concerns over the effects of globalization to individual sovereignty of states. This is because globalization may seem to somewhat exploit some states hence undermining sovereignty (Kennett, 2008, p.3). For example, there are claims that in such relations between nation states with distinct economic levels, low economy states are prone to exploitation from the high economy states. Moreover, in the modern day there has been increased threats on the security of many nations especially with the

Word Essay Example | Topics and Well Written Essays - 500 words

Word - Essay Example The first imperative ethical issue facing him is the fact that he has setup a system that allows him to trace information such as emails sent among his fellow employees. This is a violation of communication privacy that is usually avoided in majority of work places. Additionally, Mr. Child’s has setup the system through passwords that gives him the absolute access to all the information. These passwords do not allow other employees to access imperative work information. Moreover, Mr. Child’s has been working overtime without the instructions of his employers. This is another instance where he violated work ethics that guides the general time period, which employee should perform their duties. Consequently, he was found guilty of creating a vulnerable system through Digital Subscriber Line that allows unauthorized persons to access the Company’s information from online sources. This is a violation of the ethics that guide the privacy of a company’s information. The ethical issue in the case study provided, involves poor management of information among the employees specifically caused by Child’s actions. It affects the company’s efficacy of modus operandi in regard to their access to information. Indeed this scenario involves decision making in order to eliminate undesirable modes of information management within the company. Consequently, the case is more than legal as it entails making decisions ascribed to work ethics within a department. The case study presents a scenario where there is poor inter-personal relationship between Mr. Child and other employees. There is also poor information management majorly due to violation of communication ethics. Mr. Child and his employer seem to be the cause of the problem thus they are important in determination of the final outcome. Another crucial way, which can facilitate decision making in this case is facilitating dialogue between Mr. Child and his Employers outside the court. This can be done by a

Importance of Maintaining Accurate Financial Statements Research Paper

Importance of Maintaining Accurate Financial Statements - Research Paper Example The paper will explore why accurate financial statements are important for outside business interests Customers Customers are external parties that deal with the company by purchasing its products and services and are therefore interested in the financial statement of a company that needs to be accurate. Customers would be interested in the accurate financial statement for them to be able to know how the company spends its funds and manages its debts. Accurate statement of financial position and statement of comprehensive income will show the customers how the company is performing in terms of the profits the company makes relative to the debts it incurs, or the amount the company spends on its marketing strategies in comparison with operations (Horngren, Harrison & Oliver, 2012). A customer would be interested in the financial statement for them to be able to gage whether the company is profitable and would continue as a going concern. If the financial statement reflects that the co mpany may go under receivership, the customer may get a good picture and strategies on where they will get their products in case the business collapses a\s reflected in the financial statement. ... Customers require that the companies they deal with handle themselves responsively toward the environment and giving back to the society through corporate social responsibility. Therefore, accurate financial statement should contain corporate social responsibility that customers have become increasingly looking for in the company. This is because through financial statement customers would be able to know whether their preferred companies measure the overheads, returns, and their impacts on corporate responsibility initiative (Williams & Williams, 2006). Customer is always interested in knowing the plans of the management. This can be known only through an accurate financial statement that contains the section of executive manager’s discussions and analysis of what had happen in the past and the future prospects. The management analysis is also considered as one way by which customers who does not understand other parts of the financial statement can gain some important inform ation pertaining to company’s plans. Shareholders The shareholders of a company would also be interested in an accurate financial statement so that they can be able to determine whether their investments are being utilized effectively. This would be reflected in the Statement of financial position. Through financial statement, shareholders would be able to know whether the company is profitable and is likely to pay dividends in the near future or not (Horngren, Harrison & Oliver, 2012). Creditors Creditors just like the customers use financial statements in a number of ways. They use the statement of financial position to know the company’s

Ethical Business Model Essay Example | Topics and Well Written Essays - 750 words

Ethical Business Model - Essay Example The import of this is that not only is business ethics model an indispensible aspect of organizational management, but it is also imperative of an organization to define and designate its model of business ethics. A Proposal on a Business-Based Ethics Model to Guide Decision Making In the Workplace According to Ashcroft, Dawson and Draper (2007), one of the best business-based ethics models that can be used to guide decision making in the workplace is the organizational or company culture. Organizational or company culture refers to the intangible business environment that leaders and executive managers as major decision makers dispense. In this model, these policy makers use the organization’s culture to perpetuate the mission, objectives and goals on how employees are to approach their work or duties, in the course of helping the organization attain its goals. In this regard, virtues that are to help further positive and stronger organizational culture are to be emphasized, with these virtues being trust, integrity, professional behavior, diligence, leadership and flexibility. It is imperative that the healthcare organization in this instance seek, determine and use the most appropriate way of inculcating these virtues upon the staff. On the part of the executive managers and leaders, there will be a need to weave these very virtues into the healthcare organization’s culture, so as to ensure that employees comprehend and adhere to ethical organizational or business principles (Weber, 2001). The task above can be achieved by employing different approaches. The company can for instance use organizational manuals and informal meetings to teach employees on organizational culture. The merit that consistently characterizes the use of intra-organizational manuals and meetings is the opportunity they give the management to explain the significance of ethical business behavior and to evaluate the gains that have been realized from the steps made. In lin e with this proposal is the need to open up workshops and training programs which will go a long way in helping the personnel understand the essence of business ethics. It is only through this understanding that the personnel can grasp the entire picture on the importance of incorporating organizational ethics into decision-making and work performance. Likewise, it is only when the personnel understand the import of business ethics that the restructuring of organizational can run smoothly, from an intrapersonal volition and without the risk of sabotage. The Anticipated Impact of Putting Company or Organizational Culture into Place to Be In a Healthcare Organization It is a fact that the proposed business ethics model is likely to bring with it, positive values in the organization. One of the most anticipated changes that the organizational/company ethics model will bring about is the shifting of the hospital or the healthcare organization’s from focusing on quantity and mere profit making, to being driven by the dictates of, and cause for patient-based care. This is because, globally, healthcare organizations place patient-satisfaction and the accordance of quality, ethical and patient-friendly care as the center-most point of concern and efforts. Organizational/ company ethics model comes in handy in ensuring that this remains a reality, given that organizational ethics demand the fusing of organizatio

Importance of Maintaining Accurate Financial Statements Research Paper

Importance of Maintaining Accurate Financial Statements - Research Paper Example The paper will explore why accurate financial statements are important for outside business interests Customers Customers are external parties that deal with the company by purchasing its products and services and are therefore interested in the financial statement of a company that needs to be accurate. Customers would be interested in the accurate financial statement for them to be able to know how the company spends its funds and manages its debts. Accurate statement of financial position and statement of comprehensive income will show the customers how the company is performing in terms of the profits the company makes relative to the debts it incurs, or the amount the company spends on its marketing strategies in comparison with operations (Horngren, Harrison & Oliver, 2012). A customer would be interested in the financial statement for them to be able to gage whether the company is profitable and would continue as a going concern. If the financial statement reflects that the co mpany may go under receivership, the customer may get a good picture and strategies on where they will get their products in case the business collapses a\s reflected in the financial statement. ... Customers require that the companies they deal with handle themselves responsively toward the environment and giving back to the society through corporate social responsibility. Therefore, accurate financial statement should contain corporate social responsibility that customers have become increasingly looking for in the company. This is because through financial statement customers would be able to know whether their preferred companies measure the overheads, returns, and their impacts on corporate responsibility initiative (Williams & Williams, 2006). Customer is always interested in knowing the plans of the management. This can be known only through an accurate financial statement that contains the section of executive manager’s discussions and analysis of what had happen in the past and the future prospects. The management analysis is also considered as one way by which customers who does not understand other parts of the financial statement can gain some important inform ation pertaining to company’s plans. Shareholders The shareholders of a company would also be interested in an accurate financial statement so that they can be able to determine whether their investments are being utilized effectively. This would be reflected in the Statement of financial position. Through financial statement, shareholders would be able to know whether the company is profitable and is likely to pay dividends in the near future or not (Horngren, Harrison & Oliver, 2012). Creditors Creditors just like the customers use financial statements in a number of ways. They use the statement of financial position to know the company’s

Academic Degree and College Essay Example for Free

Academic Degree and College Essay Is college really worth it? A question many students start to ask as the college cost increases and jobs are tougher to get. When considering college you have to reflect more about what you want out of it rather than what you have to do to complete it. Although getting accepted into a good college is a great start, getting a college degree may appear intimidating in terms of the educational responsibility, tuition, fees, and time commitments involved. However, there are many other ways in which a college degree can be a useful investment; with enhancing the value of your life in several ways. In the future, the education received from college will be very helpful to people in several ways. College is becoming a major decision with adults in America today because people are questioning whether or not if college is actually worth it. People are not doing their research on how a college degree is more beneficial than if you did not earn one. Numerous studies have revealed that a college education can lead to long-term financial returns and increase a student’s success in the future. According to Deanna Mascle â€Å"Individuals with bachelor degrees earn about 60 percent more than those with just a high school diploma, who in turn earn about 40 percent more than high school dropouts†( 2012). Receiving a college degree and bringing what you learned to the real world will benefit you in your pursuit for financial success. If you do not have a mindset that you are going to put your full potential in college. Cooper, argues that there is no reason to waste your time and money. In our society now a college education is no longer a choice or privilege, but rather a necessity or requirement. We are basically raised and accustomed to believe that one needs a higher education in order to succeed in life. The major reason why people go to college is not because they want to, but because they essentially have to. In the article â€Å"College is still worth it†, Anthony Carnevale states, that businesses pay more money to workers with degrees than to those without because employers believe that postsecondary educated workers are more valuable (Carnevale 8). Even though society has began to change that it’s basically a necessity to have a college degree to get a good job its well worth the money in the end. There are a numerous amount of waiters/waitresses, bartenders, plumbers, and so on who have college degrees and are working in jobs that dont require advanced degrees. A cashier, for example, earns $19,000 on average, but with a college degree, earns $29,000 on average. Similarly, plumbers without a degree earn $37,000 on average, but earn $52,000 with a college degree. Nearly all high school seniors are pressured by their guidance counselors and parents to go to college because it is the right thing to do. In Caroline Bird’s essay College is a Waste of Time and Money, she states that students go to college because â€Å"Their mothers wanted them to go. (481) The undergraduate may have different dreams about what he or she desires to do in life, but because they believe that these mentors make out what is best for them, they almost certainly end up doing something that they do not want to do, resulting in being unhappy with their life. Bird makes some good points in her essay, but if children did not get pressured they would have no idea about college, and probably would not even think about going. Bird argues that college is a waste of money because youngsters do not know what they want. No one wants parents, teachers or counselors telling high school students to aim low and skip college. College is expensive we all have established that, but it doesnt have to be. If you have to take out, or plan on taking out more than $50,000 to go to college, you should consider searching for other colleges that will be able to fit your budget. According to Cooper, he has finished college and has a great job. He goes on to talk about how if he never decided to go to college and pay the high tuition that goes along with it. The Public Policy Institute of California concurs and predicts that â€Å"41 percent of jobs in 2025 will require a college degree. † If these counselors and parents did not push these students into looking, and going to college, then the question is who would? Even when applying for a job that will not use your exact degree, just having that degree gives you an advantage over the other applicants who do not possess a degree. The majority of the employers of the company are looking for students with a college degree since employers are looking for students who have the skill to learn new things which is essential in order to work in the corporate world. The degree reassures the employers that a student with a degree can be engaged since completing a degree, that means that he/she can handle the work environment, and also has the skill to settle in to constant change. A degree is said to be more significant than the degree type as such, so as long has one has the ability to learn, then they will have a more prone  chance of getting employed. The majority of college students would feel that college is a waste of money because they do not learn what they want to. Instead they have to take classes that have nothing to do with what they are majoring in, and are only taking these classes to complete the educational requirement to start their actual major. With the increasing costs of college tuition, as well as essentials such as books a college education becomes a burden somewhat more than an investment. Tuition costs continue to rise, and for a lot of struggling Americans, getting an education now means years and years of monthly debt payments. Alexander Thomas Public, two-year college tuition has gone up 7. 3 percent since last year and will no doubt continue to rise (2012). Thomas says â€Å"there are definitely ways to reduce the cost of college, and educating yourself on the federal student loan process in general is extremely useful in the long run†(2012). Although college is expensive, if it is approached the right way, students can get the education they need and desire without getting buried in tons of debt. Americans just need to be smart and do their research when it comes to paying for college. The main reason for attending college is to get a well-paying career, while being happy with that career choice. College prepares you with educational understanding in order to accomplish something in the future. According to Dale Coye the New American College, higher education is necessary for you future. He states that â€Å"In spatial terms, teaching and learning may begin in a classroom, but course work also spills over into the life of the campus and the community. Students engage in experiential learning and co-curricular activities that take abstract ideas and anchor them in real-life problems† (Coye 20). Time and commitment are very important in succeeding with getting a college degree. According to Cooper, if you are planning to have children you should wait until you finish college, as it is a big commitment and time consuming even without children. Parenting students tend to complete four-year degrees at rates far slower than other college students. â€Å"More than half (59 percent) of parents attending college earn less than $10,000 a year† (Sorensen 30). Parents cannot afford to support their children without getting some sort of education. Copper, explains that he probably would not have finished school if he decided to have kids before he graduated. The opposition to get a decent job is increasing; it is near to impossible to achieve a high paying job without at least a bachelors degree. Numerous amounts of jobs that only used to want their employees to have a high school diploma now need some type of college education. College is worth the money, nevertheless, is because it is one of the rare associations that frequently holds people of different cultural and racial backgrounds. This allows one to advance their social and communicative skills because they are exposed to unaccustomed cultures. College helps you to become a responsible adult because for the first time most people are nearly on their own. College helps students get ready for major linked skills. Thus, college helps in achieving skills linked to the business one looks to get into. It helps a student in figuring out how to do their job. It is entirely different from high school; you have to manage your private time and financial state as well. Proceeding with college teaches individuals how to handle their lives. Most college students are managing their college life between studying for their exams and earning money through low paying jobs to maintain their college tuition. In addition to this, they are enjoying the benefits of a good social life, parties and lots of friends. The experience one has in college really helps teenagers turn into adults. Going away to college you have to face situations like having to pay bills, time has to be managed well, and cutoff dates have to be met, just like the real world. College is just not about obtaining a good job, but about gaining knowledge. Sometimes it is good to be an intelligent person instead of being someone who just makes a lot of money. There are quite a few reasons why college is worth it in the end, the tuition and college costs are expensive in the beginning, but it pays off once you are earning the money in the future. Researching colleges and finding out the best option for you will only benefit yourself in the end, making wise choices and deciding if starting a family with your finances without a college education will be worth it in the long run, and doing research for yourself to see what will better benefit you and your family by getting some sort of college education. An education gives people an understanding of what they can do for themselves and how they can make needed changes in their lives. Simply just giving away money would not teach the skills or values that come with receiving an education. This is the value of education: that it makes lasting changes in the lives of those who seek it. Works Cited Bird, Caroline. College is a waste of time and money. The Case Against College (1975): n. pag. Print. Carnevale, Anthony. College is Still Worth it. Inside Higher ED 14 Jan. 2011: 8-10. Print. Cooper, Edward, Veterinarian. Personal Interview. 27 Oct, 2012. Coye, Dale. Ernest Boyer and the New American College. Connecting with the Disconnects 29. 3 (1997): 20. Print. Mascle, Deanna. A College Degree in nearly a necessity. Thinking about college? We can help! : n. pag. College Tidbits. Web. 29 Nov. 2012. http://www. collegetidbits. com/prep4college/A-College-Degree-is-Nearly-a-Necessity. html. Sorensen, Kia. Unmarried Parents in College. Fragile Families 20. 2 (2010): 28-50. Print. Tutiion Breakdown: Is college worth it? HLNtv. com Turner Broadcasting System Inc, 16 Aug. 2012. Web. 19 Nov. 2012.

Miniplates for Osteosynthesis of Middle Facial Fractures

Miniplates for Osteosynthesis of Middle Facial Fractures INTRODUCTION Numerous biomechanical studies illustrate the stability of the rigid fixation for mandibular fractures4-6. However, little research has focused on the maxilla, despite the fact that Le Fort fractures and osteotomies are common clinical presentations. For the treatment of Le Fort maxillary fractures, the primary aims include the restoration of correct midfacial vertical height and anterior projection and restoration of occlusion. Nonetheless, the removal rate of the miniplates and screws were approximately 50% in orthognathic surgery (Le Fort I osteotomy), due predominantly to infection or wound dehiscence7. The other problem is that patients sometimes complain of weak clenching after the operation, therefore questions regarding minimum number of plates and stability following fixation have risen in recent times. Miniplate osteosynthesis, developed by Champy in 19751, is todays standard for the treatment of facial fracture. More recently resorbable plates2 and screws and 3-dimensional miniplating system3, have been introduced for fixation of facial fractures. Many studies have proved the efficacy of three dimensional plating systems in mandible fractures but very little research have been carried out on midface fractures. We studied the efficacy of three dimensional plates in midface fractures and found them efficacious enough to stabilize the bone fragments during osteosynthesis. Three dimensional miniplating system was introduced by Farmand (1992)3. The basic concept of three-dimensional fixation is that a geometrically closed quadrangular plate secured with bone screws creates stability in three dimensions. The three dimensional plates are positioned perpendicular to the fracture line. The screws adapt each part of the plate separately without any tension to the bone. The cross linking provides the stability to the system. Three dimensional miniplates are easy to adjust, requires minimal tissue dissection thus least disturbing the blood supply and because of its design fixation points remain in the vicinity of fracture line. Its low profile design and space between plate holes permits excellent revascularization. The biomechanical and technical advantages of three dimensional miniplate systems over two dimensional miniplate system promoted the current study to evaluate the efficacy of the 3-D titanium miniplates as a viable treatment modality in the osteosynthesis of middle third facial fractures. MATERIAL AND METHOD Subjects for the present study were selected amongst the patients, attending the outpatients department and emergency services of Department of Oral Maxillofacial Surgery, Kothiwal dental college and research centre,Moradabad. Study comprised of thirty patients, with isolated lefort I fracture,20 patients had bilateral fracture and 10 patients had unilateral lefort I fracture . All patients were taken up randomly irrespective of age, sex caste and creed. Patients were diagnosed on the basis of clinical examination and radiographic interpretation. Preoperative evaluation included careful examination of the soft tissues and underlying skeleton. A thorough physical examination was carried out to exclude any other injuries. All selected patients were informed about the experimental nature of the study and the possible complications were explained. Their co-operation was solicited and informed consent was obtained. The patient received prophylactic antibiotic coverage and analgesics at the time of initial presentation. INVESTIGATIONS Radiographs: The following radiographs were used to confirm clinical diagnosis and to assess the exact location of fracture and degree of displacement Occipitomental view and submentovertex view for midface PA – Mandible view OPG view (Orthopantomogram) CT scan as needed Other investigations Routine Blood investigation Urine analysis Urine analysis TREATMENT PLANNING All patients were admitted to the hospital prior surgery. Erich’s arch bar were placed on upper and lower standing teeth to stabilize the fracture segment and to achieve occlusion before plating. ARMAMENTRIUM Basic instrument set for maxillofacial surgery Instrument used for intermaxillary fixation 3-DIMENSIONAL TITANIUM MINIPLATE 1.7 MM SYSTEM PLATES DESIGN: 4 different designs of three-dimensional titanium miniplates were included. 2ц¦2 holed square plate 2 x 2 holed rectangular plates 3 x 2 holed continuous rectangle or double rectangle 42 holed –continuous rectangle plate All the plates had 1.7 mm diameter holes. PROFILE HEIGHT 0.6 mm (low profile plates) SCREWS Non compression, self-tapping, monocortical screws with round head. Diameter : 1.7 mm Length : 5mm, 7mm and 9 mm DRILL BIT: Diameter: 1.2 mm CONVENTIOANAL TITANIUM MINIPLATE 1.7 MM SYSTEM 1ц¦2 holed – straight plate PROFILE HEIGHT 1.0mm SCREWS Non compression, self-tapping, monocortical screws with round head. Diameter : 1.7 mm Length : 5mm, 7mm and 9 mm DRILL BIT: Diameter: 1.2 mm ACCESSORIES Screwdrivers Bone plate holding forceps Bone plate bending forceps Plate cutting pliers OPERATIVE TECHNIQUE FOR THREE DIMENSIONAL MINIPLATES Patients were operated either under general anesthesia (Naso-tracheal intubations) or local anesthesia. Strict asepsis was followed. In this study, the fracture sites were exposed through standard intraoral vestibular incision.(Fig.1), Following reduction of the fragments and temporary maxillomandibular fixation, a suitable 3D plate was selected and bent with a plate bending pliers to conform the proper adaptation of plates to bone surface. The three dimensional titanium miniplates were then positioned in such a way that the horizontal cross-bars were perpendicular to the fracture line and the vertical ones were parallel to it (Fig.2). Holding the plate perpendicular to the reduced fracture, drilling was performed through the hole in the plate strictly perpendicular to the bone surface. The drilling was performed at slow-speed along with copious saline irrigation to prevent damage to the bone by heat. To avoid injury to the dental roots the superior holes were drilled strictly monocortically, and directed into the space between the roots. Later screws of suitable length were selected for fixation of the plate. In each case the upper screws were tightened first, followed by the lower ones. For screw tightening the rotations were executed using the screw-holding screw driver. Maxillomandibular fixation was released and occlusion was checked by moving the lower jaw. The site was closed using 3-0 silk suture material. No maxillomandibular fixation was required in any of the patient. OPERATIVE TECHNIQUE FOR THREE DIMENSIONAL MINIPLATES Operative technique for conventional plate was similar to the one used for three dimensional miniplate.Intraoral vestibular incision was used in all the patients and after fracture reduction either conventional 2 dimensional L shaped plate was fixed at zygomaticomaxillary buttress region and 2 hole with gap miniplate was placed over nasomaxillary buttress region. POSTOPERATIVE MANAGEMENT Postoperative course of medication consisted of injection ceftriaxone 1gm 12 hourly (i.v.), injection metrogyl 100ml 8 hourly (i.v.) and analgesic and multivitamin preparation continued till 5th postoperative day. All patients were put on liquid diet for first 2 weeks. All patients were encouraged to maintained good oral hygiene. Sutures were removed on the 7th postoperative day. All patients were followed up at regular interval that is at 1st week, 3rd week, 6th week and 3 month postoperatively regarding restoration of function, stability of system used and any complication. Assessment of the patients was done under following parameters: Pain Visual Analogue Scale (VAS) (0-10) Swelling present/absent. Occlusion intact/deranged Mobility of fracture segment-present/Absent Infection/wound dehiscence -present/Absent Hardware failure present/Absent STATISTICAL ANALYSIS The following statistical tools were employed for the present study: Mean, Standard Deviation, Student’t’ test, Paired‘t’ test and Chi-square test RESULTS We obtained following results in our study Patients in the 31-40 years of age were the predominant age group presenting with midface fractures (50%). Males were most commonly affected with Lefort I fracture (92.84%). The most common cause of midface fracture was found to be road traffic accident (92.8%). There is significant decrease in pain at 3 WK, 6 WK and 3rd Months from the Baseline (1WK) for both the groups Swelling was present in 15 patients (50%). It decreased significantly at 3W, 6WK, 3 MONTHS, from baseline (1WK)(fig.3) There is significant improvement (75%) in post traumatic Parasthesia of infraorbital nerve following fixation with 3-D plating system.(Fig.4) Occlusion was achieved in all the patients after surgery No sign of infection and hardware failure was present in any patient. DISCUSSION Le Fort I maxillary fractures are among the injuries encountered most frequently in patients who suffer facial trauma and it is common in orthognathic surgery. Fixation of maxillary Le Fort I fractures(/osteotomy) by RIF of the facial skeleton has become an accepted, and even expected, form of treatment. When the teeth of the maxilla and mandible are clenched, anatomic support for the midface is provided through a series of buttresses or struts that distribute masticatory forces from the teeth to skull base.19-21 The vertical struts of the midface are clinically the most important in management of Le Fort I maxillary fractures. The 3 principal vertical buttresses of the maxilla are the nasomaxillary (medial) buttress, zygomaticomaxillary (lateral) buttress, and the pterygomaxillary (posterior) buttress.4 The internal fixation of Le Fort I fractures should use miniplates and screws and be fixed at anterior and lateral buttresses for the ideal internal fixation, whereas the posterior buttress should be without fixation due to the surgical difficulty of the operative approach.4 Surgical treatment of Le Fort I fracture according to the â€Å"ideal internal fixation† produces satisfactory results, but patients sometimes complain of weak clenching after the operation. Very few comparisons of the different maxilla fixation modalities and their behavior have been reported currently. In clinical Le Fort I fracture treatment, restoration of the correct midfacial vertical height and anterior projection and restoration of occlusion are critical. Therefore, questions have arisen regarding the stability and number of plates required of adequate fixation of lefort fractures. The fixation of 2 miniplates on each side as suggested by AO/ASIF, provides adequate stability and conventionally it has been the standard treatment for lefort fractures , Farmand8 in 1992 developed new titanium miniplate system that takes advantage of biogeometry to provide stable fixation and he called it as three dimensional plating system. A geometrically closed quadrangular plates secured with bone screws creates stability in three dimensions. .These plates have low profile design, excellent biocompatibility, and minimal rebound after bending. The present study was carried on patient’s age group 10- 50 years with the mean being 33.14 years. The maximum number of patients were in a age group between 31- 50 years (nearly 50%).This is in accordance with the study of Khateeb T,Abdulla FM(2007)9. There was predominance of males in this study, male is to female ratio being 13:1,and percentage of male patients being 92%. .Motamedi MH (2003)10 observed in a retrospective study on 237 patients, percentage of male patients being 89% and that of female patients being 11%, our study is in accordance with this study. In this study road traffic accident (92%) were found to be the major etiological factor for the fracture of the middle third of the facial skeleton .These findings coincides with the findings of, Iida S, Kogo M 11 who reported road traffic accident to be the most common cause of injury in a retrospective analysis of 1502 patients with facial fractures. In the present study it was observed that among the maxillary fractures, Lefort II fractures( approx78%) were most common, this finding is in accordance with the study Motagemi MH (2003)10 which reported the incidence of Lefort II fractures to be 54.6% among all maxillary fractures in a five year retrospective study on 237 patients . In the present study, post traumatic parasthesia of the infraorbital nerve was present was present in 4 cases (57.14%) (out of the 7 patients with zygomatic complex fractures) which was clinically inferred as compression of nerve by fracture fragments .Anesthesia was relieved in 3(75%) out of 4 patients in a three month follow up period which found to be due to infra orbital nerve relieved from compression by means of reduction of fractured segments in to its correct position. c. Demen et al (1988)12 reported the presence of sensory disturbances of infraorbital nerve in 219 cases (80.2%) out of 273 patients The influence of treatment approach on the recovery of the injured infraorbital nerve is controversial in the literature .Several authors reported that frequency of persistent sensory disturbance is independent of the method of reduction and fixation of fracture. Deman and box (1993)12 state that reduction and fixation are important factors in recovery from sensory disturbances of infraorbital nerve. Taicher (1993)13, observed that there is higher recovery rate of infraorbital nerve with miniplate osteosynthesis than with other method of treatment .We report a (75%) recovery rate of in our study, Our results support these findings .This significantly high recovery rate with 3 D plate can be explained by the fact that fixation with 3 D plate provides better stability to the complex in all the three dimensions of movement? However there is no study in the literature on the recovery of infraorbital nerve after fixation with 3-D plates. In the present study occlusion was achieved in all the patients after surgery. Conventional treatment with maxillomandibular fixation is associated with its well known limitations and disadvantages. Klotch DW(1987)14 studied internal fixation versus conventional therapy in midface fractures and found that a more stable occlusion is achieved with internal fixation .S Anand, Thangavelu (2004)15studied the use of three dimensional plate fixation of fractures and osteotomies and stated that satisfactory occlusion was achieved in all the patients after internal fixation with 3- plates and no patient required any maxillomandibular fixation. Claude Guimond(2005)16 studied the use of 3-D plate for fixation of mandibular factures and reported similar findings in their study. As three dimensional plates provide stability in three dimensions of movement the need for maxillomandibular fixation is greatly diminished or moreover eliminated. Our study is in accordance with these studies. No patient reported for any type of postoperative infection, wound dehiscence during the period of three month follow up. Lia G (1997)17 reported the similar results in his study .He found no post operative complications in 30 treated cases of 3 D titanium bone plating. S Anand, Thangavelu (2004)15 studied the role of 3-dimensional plating system and did not reported any infection in their study .Claude Guimond(2005)16studied the use of 3-D plating in mandibular fractures and reported a significantly low rate of infection as compared with other systems. Farmand(1995)3 studied the use of 3-D plates in fixation of fracture and osteotmies and reported an significantly low rate of post operative infection with 3-D plates. No infection in our cases could be attributed to the preoperative antibiotic therapy in all patients,and proper sterilization technique. In none of the patients plates need to be removed exhibiting there excellent biocompatibility in this short period of study. Farmand(1992)18, in their respective studies on the use of three dimensional plates in oral and maxillofacial region did not report any hardware failure with the use of these plates ,our study is in accordance with these studies. Thus as a result of clinical experience it can be inferred that the use of 3 D plates and screw system in the management of midfacial fractures give good results in term of function ,esthetic and acceptability. However, owing to fewer numbers of cases, no definitive conclusions can be drawn, for this; studies with larger sample size and long term follow up are recommended.