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Mandible condyle fracture

Sebastian Blatt, Roman Rahimi-Nedjat, Keyvan Sagheb, Lisa Piechowiak, Christian Walter, Dan Brüllmann
BACKGROUND/AIM: There is no data available to show whether there is a relationship between mandibular fractures and isolated fractures of the posterior and/or latera wals of the maxillary sinus. The aim of this study was to determine whether there is a coincidence between these fracture patterns. METHODS: Four hundred large volume cone beam computed tomography scans (CBCT) of patients with a fracture of the mandible between 2008 and 2013 were analyzed retrospectively...
April 21, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Mahnaz Sheikhi, Maryam Ghazizadeh, Mohammad Mahdi Salehi
One of the most common sites of injury of the facial skeleton is mandibular condyle. However, it is the least diagnosed site of trauma in the head and neck regions. A trauma to the mandible and specifically condylar zone during childhood, may lead to asymmetry or mandibular bilateral distortion, which is usually manifested in the second decade of life when the etiology is unknown to most people. This report is about an adult male complaining about facial asymmetry with an unknown source. Obvious clicking at the right side and shorter right ramus and condyle's head deviation directed us to a childhood trauma and fracture...
March 2017: Radiology case reports
Lu Han, Ting Long, Wei Tang, Lei Liu, Wei Jing, Wei-Dong Tian, Jie Long
BACKGROUND: The treatment of the condylar fractures is difficult. Factors that result in the fractures are complex. The objective of this morphometric study was to investigate the relationship between condylar fracture patterns and condylar morphological characteristics. METHODS: We conducted a retrospective analysis of 107 patients admitted to the West China Hospital of Stomatology for bilateral condylar fractures caused by parasymphyseal impact. The patients were divided into five groups according to the type of condylar fracture...
February 20, 2017: Chinese Medical Journal
Srikanth Gadicherla, Prem Sasikumar, Satpal Singh Gill, Manish Bhagania, Abhay Taranath Kamath, Kalyana Chakravarthy Pentapati
OBJECTIVES: The aim of this study was to evaluate the distribution, etiology and type of mandibular fractures in subjects referred to our institution. METHODS: A retrospective study of 689 subjects, during the period from May 2010 to September 2013 with mandibular fractures was conducted. Information on age, gender, mechanism of injury and sites of trauma was obtained from the trauma registry. Data were tabulated and analyzed statistically. RESULTS: A total of 653 subjects had mandibular fractures, out of which 574 were males...
December 2016: Archives of Trauma Research
Perumal Jayavelu, R Riaz, A R Tariq Salam, B Saravanan, R Karthick
Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle), extracapsular - head and neck (high condyle fracture), and subcondylar (low condyle fracture), and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral), and dislocated...
October 2016: Journal of Pharmacy & Bioallied Sciences
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
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
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
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
Rajasekhar Gali, Sathya Kumar Devireddy, R V Kishore Kumar, Sridhar Reddy Kanubaddy, Chaithanyaa Nemaly, Mohammed Akheel
BACKGROUND AND OBJECTIVE: The incidence of maxillofacial trauma is increasing at a very fast pace in developing countries like India and poses a major health burden. Hence, the epidemiological data of maxillofacial trauma during a 6 year period, was analyzed to study the characteristics, factors predisposing, and aid in advocating strict guidelines to prevent the same. MATERIALS AND METHODS: Data related to 638 cases with maxillofacial trauma, from January 2008 to December 2014 were reviewed retrospectively and the data regarding gender, age, etiology, anatomic location of fracture, alcohol consumption, associated head and other injuries, modality of treatment rendered and associated complications were analyzed with descriptive statistics...
October 2015: Contemporary Clinical Dentistry
Kolli Yada Giri, Aishwarya Pratap Singh, Ramakant Dandriyal, Niranjanaprasad Indra, Sanjay Rastogi, Sunil Kumar Mall, Shouvik Chowdhury, Himanshu Pratap Singh
AIMS: To understand and evaluate the significance of various aetiological factors in determining the incidence and dictating the patterns of mandibular fractures in Rohilkhand region. METHODS: The patient records and radiographs for 144 patients treated for mandibular fractures were reviewed between the time periods from January 2012 to December 2013. Data on age, gender, aetiology, use of intoxicants, head injury, associated injuries, days of the week, anatomic site and multiple fractures within the mandible were recorded and assessed...
September 2015: Journal of Oral Biology and Craniofacial Research
James A Owusu, Emily Bellile, Jeffrey S Moyer, James D Sidman
IMPORTANCE: The mandible is arguably the most frequently fractured facial bone in children. However, facial fractures are rare in children compared with adults, resulting in few large studies on patterns of pediatric facial fractures. OBJECTIVE: To report the patterns, demographics, and cause of pediatric mandible fractures across the United States. DESIGN, SETTING, AND PARTICIPANTS: A retrospective analysis was conducted of the Healthcare Cost and Utilization Project's National Emergency Department Sample from January 1 to December 31, 2012, using the International Classification of Disease, Ninth Revision, codes for mandible fractures (802...
January 2016: JAMA Facial Plastic Surgery
H P Barham, P Collister, V D Eusterman, A M Terella
Introduction. The mandibular condyle is the most common site of mandibular fracture. Surgical treatment of condylar fractures by open reduction and internal fixation (ORIF) demands direct visualization of the fracture. This project aimed to investigate the anatomic relationship of the tragus to the facial nerve and condylar process. Materials and Methods. Twelve fresh hemicadavers heads were used. An extended retromandibular/preauricular approach was utilized, with the incision being based parallel to the posterior edge of the ramus...
2015: International Journal of Otolaryngology
Yeliz Guven, Sevgi Zorlu, Abdulkadir Burak Cankaya, Oya Aktoren, Koray Gencay
The principles of management of mandibular fractures differ in children when compared to adults and depend on the specific age-related status of the growing mandible and the developing dentition. This paper presents a case report with a complex facial trauma affecting the mandibular body and condyle region and dentoalveolar complex. Clinical examination revealed soft tissue injuries, limited mouth opening, lateral deviation of the mandible, an avulsed incisor, a subluxated incisor, and a fractured crown. CBCT examination revealed a nondisplaced fracture and an oblique greenstick fracture of the mandibular body and unilateral fracture of the condyle...
2015: Case Reports in Dentistry
Tabishur Rahman, Ghulam Sarwar Hashmi, Mohammad Kalim Ansari
We describe what is to our knowledge the first report of a patient who presented with a superolateral dislocation of the mandible, in which the medial portion of the left condyle was fractured and the lateral fragment was hooked on the zygomatic arch without any other associated fracture.
May 2016: British Journal of Oral & Maxillofacial Surgery
Peter Aquilina, William C H Parr, Uphar Chamoli, Stephen Wroe
Various patterns of internal fixation of mandibular condyle fractures have been proposed in the literature. This study investigates the stability of two patient-specific implants (PSIs) for the open reduction and internal fixation of a subcondylar fracture of the mandible. A subcondylar fracture of a mandible was simulated by a series of finite element models. These models contained approximately 1.2 million elements, were heterogeneous in bone material properties, and also modeled the muscles of mastication...
June 2015: Craniomaxillofacial Trauma & Reconstruction
Jie Jing, Ai-li Qu, Xiao-mei Ding, Yu-na Hei
PURPOSE: To analyze the biomechanical healing process on rigid fixation of sagittal fracture of the mandibular condyle (SFMC), and to provide guidelines for surgical treatment. METHODS: Three-dimensional finite element model (3D-FEAM) of mandible and condyle was established. The right condyle was simulated as SFMC with 0.1 mm space across the condyle length ways. The 3D-FEAM of rigid fixation was established. The biomechanical factors such as stress distribution of condylar surface, displacement around fracture, stress on the plate and stress shielding were calculated during 0, 4, 8 and 12-week after rigid fixation...
April 2015: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
Lucile Tuchtan, Marie-Dominique Piercecchi-Marti, Christophe Bartoli, Dominic Boisclair, Pascal Adalian, Georges Léonetti, Michel Behr, Lionel Thollon
BACKGROUND: Forensic investigations have been reported regarding the loss of consciousness and cardiac arrests resulting from direct mandible impact. However, the mechanisms by which the forces are transferred to the skull through direct mandible impact remain unclear. We conducted a study regarding direct mandible impact on the level of energy required to create a mandible fracture and on the energy dispersion phenomenon to the skull and to the brain. MATERIALS AND METHODS: This study combines an experimental and numerical approach...
July 2015: Forensic Science International
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