Maxillofacial Plastic and Reconstructive Surgery

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

LONG-TERM EVALUATION OF MANDIBULAR CONDYLE FRACTURES

하악 과두 골절에 관한 장기추적조사연구

  • Min, Seung-Ki (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Park, Sang-Kyu (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Oh, Seung-Hwan (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Kwon, Kyung-Hwan (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Choi, Mun-Ki (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Chae, Young-Won (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 박상규 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 오승환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 권경환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 최문기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 채영원 (원광대학교 치과대학 구강악안면외과학교실)
  • Published : 2005.12.31
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Abstract

The management of mandibular condyle fractures continues to be a subject of much debate. It is suggested that, if not properly managed, these fractures may give rise to serious problems, such as malocclusion, mouth opening limitation, temporomandibular joint disorders. Treatment planing of mandibular condyle fractures is very important. The aim of this present study was to evaluate the long-term results according to treatment methods in condylar fractures. Also, it was to evaluate results of treatment according to condylar fracture level. We conducted a retrospective analysis of 43 mandibular condyle fractures. 43 patients followed for average period of 9.00 years(mini. 7yr, max. 12yr). All patients underwent a clinical and radiologic evaluation focusing on mouth opening, mandibular movements, TMJ function, change of ramal height, condylar remodelling. If the level of fracture was positioned in high, especially in level II, mandibular movement disability and ramus length loss was more prominent. This results were similar to the cases of treatment of fragment removal. In high level fracture and fragment removal cases, It is thought that more intensive and long term management are needed than other treatment cases using different operation methods. Also, direct fixation by each approach showed good results in mandibular movement, ramal height change and condylar shape. Through this results, accurate reduction of the mandibular condyle fractures was a very important factor in postoperative prognosis.

Keywords

References

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