Document Detail


Open versus closed treatment of fractures of the mandibular condylar process-a prospective randomized multi-centre study.
MedLine Citation:
PMID:  16781159     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of this international prospective randomized multi-centre study was to compare operative and conservative treatment of displaced condylar fractures of the mandible. METHODS AND PATIENTS: Out of a total of 88 randomized patients from 7 centres, 66 patients with 79 fractures of the mandibular condylar process completed the study and were evaluated. All fractures were displaced, being either angulated between 10 degrees and 45 degrees or the ascending ramus was shortened by more than 2mm. The follow-up examinations 6 weeks and 6 months following treatment included evaluation of radiographic measurements, clinical, functional and subjective parameters including visual analogue scale for pain and the Mandibular Function Impairment Questionnaire index for dysfunction. RESULTS: Correct anatomical position of the fragments was achieved significantly more often in the operative group in contrast to the closed treatment group. Regarding mouth opening/lateral excursion/protrusion, significant (p=0.01) differences were observed between both groups (open 47/16/7mm versus closed 41/13/5mm). The visual analogue scoring revealed significant (p=0.03) differences with less pain in the operative treatment group (2.9 open versus 13.5 closed). The Mandibular Function Impairment Questionnaire index recorded a significant (p=0.001) difference with less pain and discomfort in the open treatment group (10.5 versus 2.4 points). CONCLUSION: Both treatment options for condylar fractures of the mandible yielded acceptable results. However, operative treatment, irrespective of the method of internal fixation used, was superior in all objective and subjective functional parameters.
Authors:
Uwe Eckelt; Matthias Schneider; Francois Erasmus; Klaus Louis Gerlach; Eberhard Kuhlisch; Richard Loukota; Michael Rasse; Johannes Schubert; Hendrik Terheyden
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial     Date:  2006-06-15
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  34     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-03     Completed Date:  2006-09-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  306-14     Citation Subset:  D; IM    
Affiliation:
Department of Oral- and Maxillofacial Surgery, Technical University Dresden, Germany. Uwe.Eckelt@uniklinikum-dresden.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Male
Mandibular Condyle / injuries*,  radiography,  surgery
Mandibular Fractures / radiography,  surgery,  therapy*
Pain Measurement
Prospective Studies
Questionnaires
Treatment Outcome

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


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