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Condylar Fracture Mandible

Arunesh Tiwari, Jeevan Lata, Madan Mishra
AIMS: This study was set out to evaluate the relationship between the presence and absence of unerupted mandibular third molar and fracture of mandibular angle/condyle, and to analyse if prophylactic removal of symptom-free unerupted mandibular third molar is beneficial. METHODS: Hundred patients of mandible fracture were selected randomly irrespective of age, sex, caste, creed and socio-economic status. Data were collected from the patients on the basis of history, clinical examination and radiographs for the following information: age, sex, aetiology of fracture, presence and status of the mandibular third molar and location of mandible fracture...
September 2016: Journal of Oral Biology and Craniofacial Research
S Vo Quang, J Dichamp, C Tomat, M P Vazquez, A Picard, N Kadlub
INTRODUCTION: Subcondylar fractures are common in children. Occlusion disorders resulting from these fractures in deciduous or mixed dentition do not have as much impact as in adults due to alveolar adaption possibilities. Functional treatment allows for good functional results, but does not treat the dynamic shortening of the ramus. The objective of this study was to evaluate the axiographic condylar slope changes after subcondylar fracture in children. MATERIALS AND METHODS: A prospective study was conducted from 2010 to 2015, including all the under-18 patients presenting with a subcondylar fracture...
September 28, 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
Loai Hijazi, Wael Hejazi, Mhd Ayham Darwich, Khaldoun Darwich
PURPOSE: The purpose of the study was to evaluate the effect of clenching tasks on the stress and strain of condylar osteosynthesis screws and plates, as well as on the stress, strain distribution and displacement on the whole mandible and bone surrounding screws. METHODS: Three-dimensional finite element models of the mandible, two straight four-hole plates and eight screws were established. Six static clenching tasks were simulated in this study: incisal clench (INC), intercuspal position (ICP), right unilateral molar clench (RMOL), left unilateral molar clench (LMOL), right group function (RGF) and left group function (LGF)...
September 23, 2016: Oral and Maxillofacial Surgery
Bin Zhang, Mingliang Yang, Qing Zhou, Qiang Liu
PURPOSE: To share our experience in the open reduction and single screw internal fixation of delayed bilateral condylar head fractures with fragmentation and evaluate its feasibility and outcomes. PATIENTS AND METHODS: The study involved 6 males and 1 female. All patients had multiple injuries at different body sites and failed non-surgical treatment of bilateral condylar head fractures. The mean period between the injury and the operation was 5.7 (4-8) weeks. According to the preoperative computer-aided design, and the clinical manifestations, the fracture fragments were reduced and fixed with a single screw...
August 21, 2016: Journal of Cranio-maxillo-facial Surgery
Siying Liu, Lei Tian, Mingchao Ding, Yanpu Liu, Guiyu Li, Jinwu Chen, Yin Ding
OBJECTIVE: To investigate the effects of condylar extracapsular injuries on the development of the mandibular condyle and try to find a way to treat condylar hyperplasia by electively using such injuries to restrict the overdeveloped mandibular condyle. STUDY DESIGN: Sixty 6-month-old beagle puppies were divided randomly into five groups: blank control; unilateral fracture to the condylar neck; unilateral fracture to the condylar neck treated with rigid internal fixation; unilateral periosteum injury; unilateral decortication of the condylar neck...
November 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Sudheesh K M, Rajendra Desai, Siva Bharani K Sn, Subhalakshmi S
There are no clearly defined guidelines for when an open or closed treatment is indicated for treatment of mandibular condylar fractures. The aim of the study is to analyze the mandibular function after nonsurgical treatment of unilateral subcondylar fractures, in a prospective study. A prospective study was conducted on 30 patients with unilateral mandibular subcondylar fracture undergoing nonsurgical treatment. Clinical and radiographic examinations were done prior to treatment and at 12-month follow-up. Pain, perceived occlusion, mouth opening, protrusion, and horizontal movements of the mandible were evaluated by clinical examination...
September 2016: Craniomaxillofacial Trauma & Reconstruction
Giuseppe Minervini, Alberta Lucchese, Letizia Perillo, Rosario Serpico, Gennaro Minervini
BACKGROUND: To present the outcomes for a case of unilateral mandibular subcondylar fracture with dislocation in an 11-year-old female treated with an acrylic splint for functional repositioning of the mandible. CLINICAL PRESENTATION: A splint was placed in the upper arch to restore the functional repositioning of the mandible. The splint's height was increased up to 5.5 mm on the side of the fracture to stimulate growth on the deficient side. To correct the mandibular asymmetry, a construction bite was made by 4 mm advancing...
July 11, 2016: Cranio: the Journal of Craniomandibular Practice
Takahiro Kanno, Shintaro Sukegawa, Hiroto Tatsumi, Masaaki Karino, Yoshiki Nariai, Eiji Nakatani, Yoshihiko Furuki, Joji Sekine
PURPOSE: The retromandibular transparotid approach (RMA) to condylar fractures of the mandible provides excellent access, but can increase the risk of complications. The aim of this study was to estimate the frequency of facial nerve paralysis (FNP) and associated postoperative complications after open reduction and rigid internal fixation (ORIF) of subcondylar fractures through the RMA. MATERIALS AND METHODS: This was a retrospective cohort study of patients with condylar fractures requiring ORIF through the RMA...
October 2016: Journal of Oral and Maxillofacial Surgery
Zhiqiang Feng, Xufeng Chen, Fengdi Cao, Qiang Lin, Renfa Lai
OBJECTIVE: To investigate the effectiveness of mini titanium plate for the treatment of intracapsular condylar fractures-type A. METHODS: Between March 2013 and July 2015, 22 cases (26 sides) of intracapsular condylar fractures-type A were treated with mini titanium plate through anterior auricular approach. There were 13 males and 9 females, aged from 16 to 32 years (mean, 22.7 years). The disease causes were traffic accident injury in 17 cases, falling injury in 4 cases, and heavy impact injury in 1 case...
March 2016: Chinese Journal of Reparative and Reconstructive Surgery
Rajasekhar Gali, Sathya Kumar Devireddy, Kishore Kumar Rayadurgam Venkata, Sridhar Reddy Kanubaddy, Chaithanyaa Nemaly, Mallikarjuna Dasari
INTRODUCTION: Free grafting or extracorporeal fixation of traumatically displaced mandibular condyles is sometimes required in patients with severe anteromedial displacement of condylar head. Majority of the published studies report the use of a submandibular, retromandibular or preauricular incisions for the access which have demerits of limited visibility, access and potential to cause damage to facial nerve and other parotid gland related complications. PURPOSE: This retrospective clinical case record study was done to evaluate the preauricular transmasseteric anteroparotid (P-TMAP) approach for open reduction and extracorporeal fixation of displaced and dislocated high condylar fractures of the mandible...
January 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Maciej Sikora, Marcin Sielski, Agata Stąpor, Dariusz Chlubek
PURPOSE: The purpose of this study was to summarize the results of our own experience in the application of the Delta plate for surgical treatment of condylar fractures. MATERIAL AND METHODS: The research was carried out in 42 patients of the Department for Maxillofacial Surgery, Hospital of the Ministry of Interior in Kielce (Poland), who were surgically treated in the years 2013-2015 after a unilateral condylar fracture. To be qualified for surgery patients fulfilled at least two of the following criteria: (1) presence of occlusal disorders, (2) presence of displacement of fragments, (3) height decrease of the mandibular ramus of over 4 mm, or (4) dislocation of the temporomandibular joint...
July 2016: Journal of Cranio-maxillo-facial Surgery
Madan Mishra, Gaurav Singh
Several cases have been reported regarding superolateral, posterior, or superior dislocation of mandibular condyle. The anteromedial dislocation of fractured condyle is the most common among all. This article reports an unusual and unique case of dislocated fractured mandibular condyle wherein the fractured left condylar head was dislocated to the left anatomic angle of mandible. We have not found a single such case in the world English literature published till date. The presented case falls in the rarest of the rare category that will add to our previous knowledge about the types and extent of fracture dislocation of mandibular condyle...
June 2016: Craniomaxillofacial Trauma & Reconstruction
Cem Aslan, Mubin Hoşnuter, Soysal Baş, Osman Tan, Dağhan Işık, Mustafa Durgun
BACKGROUND: Although the fractures of the mandibular condylar region are very common, the controversies about the treatment of this area is still ongoing. In recent years, general agreement has emerged that open treatment is more effective than closed approaches for extracapsular condylar fractures. However, this time, the method of surgical approach has become controversial. The aim of this study was to evaluate the effectiveness of the retromandibular transparotid approach for the fixation of subcondylar/high ramus mandible fractures...
January 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Narotam Kumar Ghezta, Yogesh Bhardwaj, Pooja Rani, Rangila Ram
PURPOSE: The aim of this study was to evaluate the long-term clinical and radiologic results of the retromandibular transparotid approach to displaced extracapsular subcondylar mandibular fractures. PATIENTS AND METHODS: A prospective cohort study was conducted over a period of 5 years on patients surgically treated for displaced extracapsular subcondylar mandibular fractures by the retromandibular transparotid approach. Variables including the type of fracture, degree of mouth opening, fracture displacement, deviation, excursive movements of the mandible, and facial nerve function were monitored before and after treatment...
August 2016: Journal of Oral and Maxillofacial Surgery
Gaye Taylan Filinte, İsmail Mithat Akan, Gülçin Nujen Ayçiçek Çardak, Özay Özkaya Mutlu, Tayfun Aköz
BACKGROUND: The aim of this study was to compare the efficiency of resorbable and metallic plates in open reduction and internal fixation of mandible fractures in children. METHODS: Thirty-one patients (mean age, 8.05 years; range 20 months-14 years) were operated on various fractures of the mandible (26 [60.4%] symphysis- parasymphysis, 12 [27.9%] condylar-subcondylar fractures, 5 [11.6%] angulus and ramus fractures). Twelve patients were treated with resorbable plates and 19 patients with metallic plates...
December 2015: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Haihua Zhou, Kun Lv, Rongtao Yang, Zhi Li, Zubing Li
As the mandible is susceptible to fracture, the aim of this study was to use multivariate logistic regression analysis to identify and distinguish various internal factors that may influence the location of mandibular fractures. The study included 1131 patients with maxillofacial fractures during the period from January 2000 to December 2009 to evaluate the association of mandibular fracture location (unilateral symphysis, body, angle, condylar, or bilateral condylar fractures) with various internal factors...
2016: PloS One
Gerhard S Mundinger, Justin L Bellamy, Devin T Miller, Michael R Christy, Branko Bojovic, Amir H Dorafshar
BACKGROUND: This study investigates the hypothesis that mechanisms of injury, fracture patterns, and burden to the health care system differ between geriatric and nongeriatric populations sustaining blunt-force craniofacial trauma. METHODS: A 5-year retrospective chart review of patient records and computed tomographic imaging was performed. Demographic and outcome data were extracted for equally numbered samples of blunt-mechanism facial fracture patients aged 60 years or older (geriatric), and adult patients aged 18 to 59 years (adult nongeriatric)...
February 2016: Plastic and Reconstructive Surgery
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
Nadia Theologie-Lygidakis, Konstantina Chatzidimitriou, Fotios Tzerbos, Aikaterini Gouzioti, Ioannis Iatrou
PURPOSE: To present the 15 years of experience after closed treatment of condylar fractures in children, by evaluating the short- and long-term results and propose treatment modalities. MATERIAL AND METHODS: Data were retrieved for all young patients with condylar fractures who were treated from 2000 to 2014. Gender, age of patient, date of injury, type of fracture, treatment provided, and follow-up were registered. RESULTS: A total of 84 patients (mean age: 8...
February 2016: Journal of Cranio-maxillo-facial Surgery
Mhd Ayham Darwich, Mhd Hassan Albogha, Adnan Abdelmajeed, Khaldoun Darwich
PURPOSE: The aim of this study was to compare the performances of 5 plating techniques for fixation of unilateral mandibular subcondylar fracture. MATERIALS AND METHODS: Five titanium plating techniques for fixation of condylar fracture were analyzed using the finite element method. The modeled techniques were 1) 1 straight plate, 2) 2 parallel straight plates, 3) 2 angulated straight plates, 4) 1 trapezoidal plate, and 5) 1 square plate. Three-dimensional models were generated using patient-specific geometry for the mandible obtained from a computerized tomographic image of a healthy living man...
April 2016: Journal of Oral and Maxillofacial Surgery
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