Document Detail


Functional and radiological results of open and closed treatment of intracapsular (diacapitular) condylar fractures of the mandible.
MedLine Citation:
PMID:  16053886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The study was performed to evaluate and compare the results of open and closed treatments of diacapitular fractures of the mandible. Following open reduction and internal fixation (ORIF) 14 patients with 15 displaced condylar fractures, which had caused a shortening of the mandibular ramus, were examined clinically (Helkimo index), radiologically (Orthopantomogram, Clementschitsch [reversed Towne's] view, Submentovertex view) and axiographically (CARDIAX). These findings were compared to a group of 29 patients with 34 similar condylar fractures which had been treated using closed techniques. Following ORIF patients showed better radiological results with regard to the mandibular ramus height, resorption and pathological changes to the condyle, compared to the patient group after closed functional treatment. In both groups some signs of dysfunction persisted, although there were slightly better results in the ORIF group. In 30% of the closed treatment group, lateral deviation during mouth opening, crepitus and occlusal disturbances were noted. No cases of occlusal disturbance were observed in the ORIF group. The axiographic examinations revealed a significant limitation of movement of the fractured condyle in both groups. However, after open treatment, the temporomandibular joint displayed significantly less irregularities in the condylar paths. In cases of complex reconstruction of the mandibular condyle, ORIF appears to improve the function of fractured condyles, when combined with a postoperative therapeutic exercise regime.
Authors:
M Hlawitschka; R Loukota; U Eckelt
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  34     ISSN:  0901-5027     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-01     Completed Date:  2005-09-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  597-604     Citation Subset:  D; IM    
Affiliation:
Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie der Medizinischen Fakultät, Carl Gustav Carus der Technischen Universität Dresden, D-01307 Dresden, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Dental Occlusion
Dislocations / etiology
Female
Fracture Fixation / methods*
Humans
Jaw Fixation Techniques*
Jaw Relation Record
Joint Capsule / injuries
Male
Mandibular Condyle / injuries*,  radiography,  surgery*
Mandibular Fractures / complications,  radiography,  therapy*
Middle Aged
Radiography, Panoramic
Range of Motion, Articular
Retrospective Studies
Temporomandibular Joint / injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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