Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A CLINICAL STUDY OF MOUTH OPENING RANGE IN MANDIBULAR CONDYLE FRACTURES

하악골 과두돌기 골절시 개구범위에 관한 임상적 연구

  • Woo, Seung-Cheol (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Um, In-Woong (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Lee, Dong-Keun (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Kim, Soo-Nam (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University)
  • 우승철 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 엄인웅 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 이동근 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 김수남 (원광대학교 치과대학 구강악안면외과학 교실)
  • Published : 1992.12.31
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Abstract

Functional recovery associated with mouth opening after mandibular condyle fracture was a contradictory result of many authors. The treatment goal of condyle fracture has been not only the good reduction and fixation but also the rapid functional recovery with mouth opening capacity. The purpose of this study is to evaluate the mouth opening capacity after surgical or non-surgical treatment of condyle fracture according to the site, level, maxillomandibular fixation(MMF) and operation method based on 39 patents with condyle fracture who were admitted to the department of oral and maxillofacial surgery, Wonkwang University Hospital from May.1, 1990 to Aug.31, 1992. The results were as follows. 1. The most common fracture site was level IV (17 cases : 42.2%) and level I (14 cases : 36.8%), level II (5 cases: 13.2%) and level III(3 cases : 7.9%) were in decreasing order of frequency. Compound fracture with symphysis was more frequent (69.2%) than simple fracture(30.8%). 2. The mouth opening capacity was increased in the level I compared with level IV. 3. The mouth opening capacity was increased in the group of segment removal. 4. The mouth opening capacity was increased in the MMF period was decreased. 5. Better mouth opening capacity was recorded in the physical therapy group of more than 3-4 weeks of treatment period.

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