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Condylar Fracture TMJ

Shinnosuke Nogami, Tetsu Takahashi, Kensuke Yamauchi, Yuri Takeda, Ko Ito, Masatoshi Chiba, Alexander Gaggl
BACKGROUND: Arthrocentesis has an effect of washing out inflammatory products that accumulate in the joint compartment of a dysfunctional TMJ. The procedure removes inflammatory cytokines, which are pain-causing substances, for early reduction of TMJ pain and quick recovery of jaw function, thus increasing the possibility of a successful rehabilitation. OBJECTIVE: The aim of the present study was to investigate the relationship between arthroscopy synovitis grade in patients with unilateral high condylar fractures and concentrations of the pro-inflammatory cytokines tumor necrosis factor (TNF)-alpha as well as of matrix metalloproteinases (MMPs) in washed-out synovial fluid (SF) samples obtained from those patients...
April 16, 2018: Journal of Oral Rehabilitation
Nandakishore Sahoo, Dibyajyoti Boruah, Ankur Thakral, Rahul Kumar, Indranil Deb Roy
Background: Temporomandibular joint (TMJ) ankylosis is one of the most disruptive maladies afflicting the masticatory system. The characteristic feature is the formation of bony mass bridging condyle with glenoid fossa. The exact pathogenesis is, however, not completely understood. Purpose: To investigate and compare histomorphometric features of ankylosed condylar specimen with normal condylar process. Materials and Methods: Group I included 17 post-traumatic unilateral TMJ ankylosis patients managed by excision of ankylosed mass and interpositional arthroplasty...
June 2018: Journal of Maxillofacial and Oral Surgery
Said Algan, Murat Kara, Mehmet Akif Cakmak, Onder Tan, Hakan Cinal, Ensar Zafer Barin, Akin Inaloz
OBJECTIVE: Condylar and subcondylar fractures (CSFs) are among the most common mandible fractures. If reduction of these fractures is not carried out correctly, serious complications can result, including infection, damage to temporomandibular joint (TMJ) function, malocclusion, nonunion, malunion, and ankylosis of the TMJ. METHODS: We used a preauricular, mini-incision, open technique (PMIOT) for CSF of the mandible. 66 patients (48 males, 18 females), with a total of 72 CSFs of the mandible, were repaired with PMIOT between 2011 and 2016...
April 2018: Journal of Cranio-maxillo-facial Surgery
S Suhas, Sharad Ramdas, P P Lingam, H R Naveen Kumar, Aashish Sasidharan, R Aadithya
Introduction: Condylar fractures of the mandible are functionally important fractures as the condyle of the mandible being a part of the temporomandibular joint (TMJ) and can lead to TMJ dysfunction if not properly treated. Materials and Methods: This was a cross-sectional study of a total of 33 treated patients with fracture of the mandibular condyle who underwent examination as per the Helkimo index. Their dysfunction was quantified and clinicoepidemiological characteristics were assessed...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Ningjuan Ouyang, Xiaofang Zhu, Hongliang Li, Yuheng Lin, Jun Shi, Jiewen Dai, Guofang Shen
OBJECTIVES: In this study, we tried to explore the effects of a single condylar neck fracture without condylar cartilage injury during the pathogenesis process of traumatic heterotopic ossification around the temporomandibular joint (THO-TMJ). STUDY DESIGN: One-month-old C57 BL/6 J male mice were divided into 2 groups. In group 1, condylar cartilage was partially removed in the right joint to induce THO. In group 2, a single fracture on the condylar neck was created using small scissors...
February 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Zeng Wenli, Zhou Wuchao, Zhang Jingkun, Shao Yisen, Xi Weihong
OBJECTIVE: To explore the selection of temporomandibular joint (TMJ) disc reduction and fixation methods in condylar sagittal fracture surgery. METHODS: A total of 36 patients with condylar fractures were chosen. The follow-up period was more 6 months. All 36 cases of condylar sagittal fracture were fixed with long screw. In the operation, the displaced joint disc was repositioned and fixed. The fixed method included direct suture (22 cases) and anchorage (14 cases)...
October 1, 2017: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
J F C Dantas, J N Nogueira Neto, V A Sarmento, P S F Campos
Total condylar resorption and the failure of bone synthesis material as postoperative complications of condyle fracture are seldom reported in the literature. When these occur, they may severely limit temporomandibular joint (TMJ) function. In such cases, a reconstruction of the joint is indicated, which can be achieved by means of an alloplastic prosthesis. This article reports a rare case of impaction of osteosynthesis material in the region of the base of the skull associated with a mandibular condyle fracture treated with rigid internal fixation, which resulted in complications...
January 2018: International Journal of Oral and Maxillofacial Surgery
D Hirjak, V Machon, M Beno, B Galis, I Kupcova
Management of condylar head fractures (CHF) of the temporomandibular joint (TMJ) remains a source of controversy. Based on established literature, group of CHFs and conservative treatment connected with period of maxillomandibular fixation (MMF) increases the risk for TMJ ankylosis. This paper presents anatomical and functional results of surgical treatment of condylar head fractures in a group of 24 patients (29 joints). Fractures were diagnosed based on conventional radiographs and computed tomography (CT) scans...
2017: Bratislavské Lekárske Listy
Ephraim R Rikhotso, Muhammad A Bobat
PURPOSE: Traumatic dislocation of the mandibular condyle into the middle cranial fossa is an extremely rare complication of maxillofacial injury. Management case of the of dislocation of the mandibular condyle complicated by bilateral temporomandibular joint ankylosis is presented. MATERIALS AND METHODS: A 17year old male patient presented to the outpatient clinic complaining of inability to open his mouth following a motor vehicle accident 6 months prior. Examination revealed bilateral TMJ ankylosis following left condylar head fracture and dislocation of the right condylar head into the middle cranial fossa...
December 2016: Journal of Oral and Maxillofacial Surgery
Leila Khojastepour, Shirin Kolahi, Nazi Panahi, Abdolaziz Haghnegahdar
OBJECTIVES: Differential diagnosis of bifid mandibular condyle (BMC) is important, since it may play a role in temporomandibular joint (TMJ) dysfunctions and joint symptoms. In addition, radiographic appearance of BMC may mimic tumors and/or fractures. The aim of this study was to evaluate the prevalence and orientation of BMC based on cone beam computed tomography (CBCT) scans. MATERIALS AND METHODS: This cross-sectional study was performed on CBCT scans of paranasal sinuses of 425 patients...
December 2015: Journal of Dentistry of Tehran University of Medical Sciences
Y Nabil
A prospective cohort study was performed to investigate concurrent and delayed temporomandibular joint (TMJ) injuries following different types of mandibular fracture using magnetic resonance imaging (MRI). One hundred adult male patients with a recent history of mandibular fracture were included. The patients were divided into five groups according to the site of fracture. The patients underwent MRI within 10 days of the primary injury. The same clinical, radiographic, and MRI examinations were performed 5 years later...
November 2016: International Journal of Oral and Maxillofacial Surgery
Tian-Ge Deng, Chang-Kui Liu, Ping Liu, Lin-Lin Zhang, Li-Geng Wu, Hong-Zhi Zhou, Yu-Xiang Ding, Kai-Jin Hu
BACKGROUND: The pathogenesis of traumatic TMJ ankylosis remains unclear. This study aimed to verify the role of the lateral pterygoid muscle in the pathogenesis of traumatic temporomandibular joint (TMJ) bony ankylosis. METHODS: Eight 6-month-old male sheep were used in this study. Bilateral TMJ osteotomies were performed to induce sagittal fractures of the mandibular condyle. The lateral one-fourth segment of the disc was removed to establish a model of TMJ bony ankylosis...
2016: BMC Oral Health
H Takano, T Takahashi, A Nakata, S Nogami, K Yusa, S Kuwajima, M Yamazaki, M Fukuda
The aim of this study was to investigate the bone resorption effect of the mediators delivered in joint cavity of patients with mandibular condyle fractures by detecting osteoclast markers using cellular biochemistry methods, and by analysing bone resorption activities via inducing osteoclast differentiation of the infiltrated cells from arthrocentesis. Sixteen joints in 10 patients with mandibular condyle fractures were evaluated. The control group consisted of synovial fluid (SF) samples from seven joints of four volunteers who had no clinical signs or symptoms involving the temporomandibular joint (TMJ) or disc displacement...
May 2016: Journal of Oral Rehabilitation
X Y Quan, M Qin, Y F Kang, Y Zhang, Y M Zhao
OBJECTIVE: To evaluate the developmental and functional outcome of condylar fractures in children and adolescents after conservative treatment. METHODS: Eight children and adolescents with unilateral condylar fracture, aged 5-13 were included. A removable occlusal splint, the thickness of which was determined according to the age, the developmental stage of the dentition, the level of the fracture and the degree of dislocation, worn for 1-3 months, and the patients were asked to perform functional exercises...
January 2016: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
JiSi Zheng, ShanYong Zhang, Chi Yang, Ahmed Abdelrehem, DongMei He, HanHsuan Chiu
To evaluate the displacement of the disc of the temporomandibular joint (TMJ) in different types of condylar fracture we studied 160 patients (222 joints) from May 2009-June 2014. All patients had computed tomographic scans (CT) and magnetic resonance images (MRI) taken preoperatively, and 24 patients (32 joints) had MRI postoperatively. CT scans were reviewed to categorise the types of condylar fracture (intracapsular, condylar neck, and subcondylar), and intracapsular condylar fractures were further classified into subtypes A, B, C, and M...
January 2016: British Journal of Oral & Maxillofacial Surgery
Richik Tripathi, Naresh Sharma, Amit Nandan Dwivedi, Sanjeev Kumar
PURPOSE: This study aimed to quantify articular soft tissue injury in condylar fractures based on magnetic resonance imaging (MRI) findings and investigate the impact of severity of articular soft tissue injury on the development of postoperative complications after functional reduction of a condylar fracture. PATIENTS AND METHODS: Fifty-four patients 18 to 60 years old with unilateral undisplaced, deviated, or displaced condylar fractures were included in this prospective study...
December 2015: Journal of Oral and Maxillofacial Surgery
Eugénio Martins, Joana-Cristina Silva, Carlos A Pires, Maria-João-Feio Ponces-Ramalhão, Jorge-Dias Lopes
INTRODUCTION: The joint space measurements of the temporomandibular joint have been used to determine the condyle position variation. Therefore, the aim of this study is to perform a systematic review and meta-analysis on the coronal joint spaces measurements of the temporomandibular joint. MATERIAL AND METHODS: An electronic database search was performed with the terms "condylar position"; "joint space"AND"TMJ". Inclusionary criteria included: tomographic 3D imaging of the TMJ, presentation of at least two joint space measurements on the coronal plane...
July 2015: Journal of Clinical and Experimental Dentistry
Shakil Ahmed Nagori, Anson Jose, Ongkila Bhutia, Ajoy Roychoudhury
BACKGROUND: Temporomandibular joint (TMJ) ankylosis due to undiagnosed condylar fractures has a high incidence in India compared to western countries. We evaluated the demographics, injury pattern, hospital reporting and referral pattern of undiagnosed condylar fractures complicating TMJ ankylosis in northern India. METHODS: We did a retrospective analysis by retrieving medical records of patients with post-traumatic TMJ ankylosis reporting to the Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences between 1 July 2012 and 30 June 2013...
September 2014: National Medical Journal of India
C E Anyanechi
Mandibular condylar fractures are common presentations to hospitals across the globe and remain the most important cause of temporomandibular joint (TMJ) ankylosis. This study aimed to analyze cases of mandibular condylar fracture complicated by TMJ ankylosis after treatment. A 16-year retrospective analysis was performed at the dental and maxillofacial surgery clinic of the study institution; patient data were collected from the hospital records and entered into a pro-forma questionnaire. It was found that 56/3596 (1...
August 2015: International Journal of Oral and Maxillofacial Surgery
Surej Kumar L K, Suvy Manuel, Nikhil M Kurien, Sherin A Khalam, Varun P Menon
INTRODUCTION: In a condylar fracture whether to intervene or to go for conservative management still remains a dilemma. Studies and hypothesis suggests that it's medially dislocated condylar fracture segment that is more likely to ankylose, moreover no consensus have been put forth as to whether to remove the medially displaced fracture segment. PRESENTATION OF CASE: The current article describes a case of unilateral temporomandibular joint (TMJ) ankylosis, which resulted as a sequlae from conservative management of a bilateral condylar fracture of which, the ankylosed side had a sagittal fracture of condyle...
2015: International Journal of Surgery Case Reports
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