Document Detail


Results of reoperation after failed modified condylotomy.
MedLine Citation:
PMID:  9371115     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This retrospective study reports the reoperation rate for failure after modified condylotomy. MATERIALS AND METHODS: A consecutive series from each of two surgeons constituted the study group of 361 joints in 235 patients. Reoperation rates were calculated for all joints and by type of disc displacement. RESULTS: A second operation occurred in 4.2% of all joints. However, the cumulative rate of reoperation was 4.4%, because one of the joints required a third operation. Although the rate of reoperation varied (0% to 6.5%) according to the type of disc displacement, the differences were not statistically significant. All joints requiring reoperation had a displaced disc, and more than half had lost nearly all the joint space gained by the primary operation. CONCLUSION: The rate of reoperation for modified condylotomy is low. Risk factors for reoperation appear to be recurrent or residual disc displacement and loss of joint space after the first operation. Bilateral operation was not a risk factor.
Authors:
H D Hall; J R Werther
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  55     ISSN:  0278-2391     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1997-12-09     Completed Date:  1997-12-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1250-3; discussion 1253-4     Citation Subset:  AIM; D; IM    
Affiliation:
Department of Oral and Maxillofacial Surgery, Vanderbilt University School of Medicine, TN, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Dislocations / pathology,  surgery
Female
Follow-Up Studies
Humans
Male
Mandibular Condyle / surgery*
Middle Aged
Osteoarthritis / surgery
Recurrence
Reoperation
Retrospective Studies
Risk Factors
Temporomandibular Joint / pathology,  surgery
Temporomandibular Joint Disk / pathology,  surgery
Temporomandibular Joint Disorders / surgery
Treatment Failure
Treatment Outcome

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


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