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subcondylar fracture

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https://www.readbyqxmd.com/read/29858108/unilateral-absence-of-mandibular-condyle-in-a-bronze-age-male-skeleton-from-portugal
#1
A M Silva, T Tomé, C Cunha, J d'Oliveira Coelho, A C Valera, V Filipe, G R Scott
In 2009, a pit burial dated to the Bronze Age was excavated in Monte do Gato de Cima 3 (Portugal). The purpose of this paper is to describe the pathological absence of the left mandibular condyle noted in an adult male skeleton and to discuss possible diagnoses, including subcondylar fracture, cystic defect, congenital absence, condylar aplasia and mandibular condylysis. The most likely explanation for the pathological alteration is subcondylar fracture with non-union. Although the occurrence of non-union and slight osteoarthritic alterations in the left glenoid fossa were evident, this mandible was likely functional, as can be inferred from dental wear and muscle attachment sites...
May 29, 2018: International Journal of Paleopathology
https://www.readbyqxmd.com/read/29846213/is-the-smartlock-hybrid-maxillomandibular-fixation-system-comparable-to-intermaxillary-fixation-screws-in-closed-reduction-of-condylar-fractures
#2
Rosiane Alfinito Roeder, Lifei Guo, Alan A Lim
Condylar fractures account for one third of all mandibular fractures. Despite being highly prevalent, treatment of these fractures remains controversial because of the sequelae of inadequate closed reduction and the risks associated with open repair. Multiple studies attempt to compare closed reduction with maxillomandibular fixation (MMF), open reduction with internal fixation, and endoscopic reduction with internal fixation. In our practice, we favor closed reduction with MMF except in cases of significantly displaced subcondylar fractures...
May 24, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29732312/complications-of-the-retromandibular-transparotid-approach-for-low-condylar-neck-and-subcondylar-fractures-a-retrospective-study
#3
Jeroen Van Hevele, Erik Nout
Objectives: The goal of this study was to evaluate the rates of complications, morbidity, and safety with the transparotid approach. Materials and Methods: A retrospective study was conducted and consisted of 53 surgically treated patients in the past five years for low condylar neck and subcondylar fractures. Only patients with malocclusion and who underwent open reduction with internal fixation with the retromandibular transparotid approach were included. The examined parameters were postoperative suboptimal occlusion, deflection, saliva fistula, and facial nerve weakness...
April 2018: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/29713448/pseudoaneurysm-of-the-internal-maxillary-artery-secondary-to-subcondylar-fracture-case-report-and-literature-review
#4
Alessandro Moro, Mattia Todaro, Alessandro Pedicelli, Andrea Alexandre, Sandro Pelo, Piero Doneddu, Giulio Gasparini, Umberto Garagiola, Giuseppe D'Amato, Gianmarco Saponaro
Pseudoaneurysms are an uncommon complication of mandibular condylar-subcondylar fractures; however, if present, their recognition and management is mandatory to avoid life-threatening situations. The authors report a case of internal maxillary artery pseudoaneurysm rupture that occurred after an open reduction and internal fixation of a mandibular subcondylar fracture, along with a review of the literature.
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29679586/video-laryngoscopy-or-macintosh-laryngoscopy-which-one-is-more-successful-in-patients-with-bilateral-mandibular-fractures
#5
Reza Tabrizi, Mastaneh Dahi, Mohammad Reza Moshari, Fereydoon Pourdanesh, Sahar Zolfigol
PURPOSE: Successful intubation is challenging in patients with bilateral mandibular fractures. The aim of this study was to compare the video laryngoscope (VL) with the Macintosh laryngoscope (ML) for intubation of patients with bilateral mandibular fractures. MATERIALS AND METHODS: In this randomized controlled trial study, patients who had bilateral mandibular fractures (angle or subcondylar) were studied. Patients were randomly assigned to 1 of 2 groups using computerized randomization...
March 28, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29526414/experiences-with-a-modified-preauricular-mini-incision-with-subdermally-dissection-in-condylar-and-subcondylar-fractures-of-the-mandible
#6
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
https://www.readbyqxmd.com/read/29481477/reducing-prominent-mandibular-angle-osteotomy-complications-10-year-retrospective-review
#7
Hongbo Chen, Jiaming Sun, Jiecong Wang
BACKGROUND: Several methods are available for mandibular reduction, and each method is characterized by unique limitations and complications. However, only a few studies have systematically analyzed these complications. This study aimed to investigate the effects of the outcome of performing curved mandibular angle ostectomy and outer cortex grinding in 1-stage operation and to examine the causes of different types and characteristics of complications. METHODS: The subjects consisted of 528 patients who were subjected to curved mandibular angle ostectomy and outer cortex grinding in 1-stage operation through an intraoral approach...
February 23, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29452070/a-modified-peri-angular-approach-for-exposure-of-condylar-fractures
#8
Adarsh Kudva, Abhay T Kamath, Jyotsna Rajan, Charlene D'Souza
PURPOSE: To describe a modified peri-angular approach to address subcondylar and condylar neck fractures. MATERIALS AND METHODS: A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach. RESULTS: In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation. CONCLUSION: Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout...
January 12, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29395992/bioabsorbable-plates-versus-metal-miniplate-systems-for-use-in-endoscope-assisted-open-reduction-and-internal-fixation-of-mandibular-subcondylar-fractures
#9
Dong-Yul Kim, Iel-Yong Sung, Yeong-Cheol Cho, Eun-Ji Park, Jang-Ho Son
PURPOSE: To compare bioabsorbable plates with metal miniplate systems for use in endoscope-assisted open reduction and internal fixation (EAORIF) of mandibular subcondylar fractures. MATERIALS AND METHODS: This retrospective cohort study included patients with mandibular subcondylar fractures treated with EAORIF using bioabsorbable unsintered hydroxyapatite/poly l-lactide composite plates or titanium miniplate systems. The outcome variables included preoperative fracture conditions, postoperative stability during fracture healing, and complications during the follow-up period...
March 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29360455/comparative-evaluation-of-clinical-outcomes-using-delta-plates-and-conventional-miniplates-for-internal-fixation-of-mandibular-condylar-fractures-in-adults
#10
Suraj Arjun Ahuja, Jyotsna Galinde, Usha Asnani, Yusuf A Mistry
PURPOSE: In recent years numerous osteosynthesis devices have become available for the management of condylar fractures. The aim of this study was to compare and evaluate the clinical outcomes of delta plates and conventional miniplates for internal fixation of mandibular condylar fractures in adults. MATERIALS AND METHODS: We performed a prospective study of 20 patients with subcondylar fractures requiring open reduction and internal fixation for their management...
December 30, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29344821/resistance-of-four-fixation-techniques-used-to-treat-subcondylar-fractures
#11
Lucas Cavalieri-Pereira, Guilherme Spagnol, Cássio Edvard Sverzut, Márcio de Moraes, Alexandre Elias Trivellato
OBJECTIVE: This study aimed to evaluate the resistance of four fixation techniques used to treat subcondylar fractures. The following techniques were evaluated: fixation with one 4-hole single straight plate; fixation with one 2-mm 4-hole system plate and one 1.5-mm 3-hole system plate; fixation with two 2-mm plates with a 3-hole anterior plate; and fixation with two 2-mm plates with four holes each. STUDY DESIGN: Each fixation technique was subjected to a resistance test...
March 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29311022/three-dimensional-titanium-miniplates-for-fixation-of-subcondylar-mandibular-fractures-comparison-of-five-designs-using-patient-specific-finite-element-analysis
#12
Mhd Hassan Albogha, Yoshihide Mori, Ichiro Takahashi
PURPOSE: The purpose of the current study is to compare the performance of five designs of three-dimensional titanium miniplates (lambda, strut, delta, rhombic and trapezoid) for fixation of subcondylar mandibular fracture. MATERIALS AND METHODS: Three-dimensional models were constructed for the five miniplates with their screws and integrated into a virtually fractured mandible that was derived from a computed tomographic image of living human. Patient-specific finite element models were analyzed to compare the performances of the miniplates...
March 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29296116/a-new-method-for-surgical-treatment-of-subcondylar-fractures-a-case-report
#13
Gholamreza Shirani, Mahnaz Arshad, Kamran Rasouli, Touraj Vaezi
Subcondylar fractures are common in the maxillofacial region following direct trauma to the mandibular ramus. The literature is replete with articles written on the treatment of subcondylar fractures, encompassing a plethora of various surgical approaches; however, the best treatment procedure has remained controversial. Such fractures are either treated by open reduction with internal fixation or closed reduction with maxillomandibular fixation. In this article, we describe a new surgical method for treatment of subcondylar fractures...
September 2017: Journal of Dentistry of Tehran University of Medical Sciences
https://www.readbyqxmd.com/read/29274311/endoscopic-assisted-treatment-combined-with-transoral-and-transbuccal-approach-to-mandibular-subcondylar-fractures
#14
Osman Akdag, Gokce Yildiran, Malik Abaci, Zekeriya Tosun
PURPOSE: Endoscopic treatment of maxillofacial fractures is a different way of performing open reduction and internal fixation. This report presents a case series of mandibular subcondylar fractures performed with combined endoscopic transoral and transbuccal approaches and the results. MATERIALS AND METHODS: Sixteen patients with mandibular condylar fractures were preoperatively assessed for risk and underwent open reduction and internal fixation with the endoscope-assisted transoral approach...
April 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29212042/facial-nerve-injury-and-other-complications-following-retromandibular-subparotid-approach-for-the-management-of-condylar-fractures
#15
Stéphane Bruneau, Delphine S Courvoisier, Paolo Scolozzi
PURPOSE: To estimate the prevalence and identify risk factors for facial nerve paralysis (FNP) and other postoperative complications after the use of the retromandibular subparotid approach (RMSA) for the treatment of condylar fractures. MATERIALS AND METHODS: Radiologic and clinical data from all patients who underwent an RMSA from 2007 through 2015 at the University Hospital of Geneva (Geneva, Switzerland) were retrospectively reviewed. The primary and secondary outcome variables were, respectively, FNP and other complications (unesthetic scars, infection, nonunion, malocclusion, salivary fistula, Frey syndrome, and loosening or breaking of plates and screws)...
April 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29211352/histopathological-evaluation-of-the-effect-of-locally-administered-strontium-on-healing-time-in-mandibular-fractures-an-experimental-study
#16
Kasım Durmuş, Nergiz Hacer Turgut, Mehtap Doğan, Ersin Tuncer, Hatice Özer, Emine Elif Altuntaş, Melih Akyol
BACKGROUND: Mandibular fractures are the most common facial fractures. They can be treated by conservative techniques or by surgery. The authors hypothesized that the application of a single local dose of strontium chloride would accelerate the healing of subcondylar mandibular fractures, shorten the recovery time and prevent complications. OBJECTIVES: The aim of the present pilot study was to evaluate the effects of a single local dose of strontium chloride on the healing of subcondylar mandibular fractures in rats...
October 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/28941509/current-management-of-subcondylar-fractures-of-the-mandible-including-endoscopic-repair
#17
REVIEW
Alexis M Strohl, Robert M Kellman
Treatment of subcondylar fractures has been the subject of debate for many years. Options for treatment include physical therapy, elastic maxillomandibular fixation, and open repair. Proper imaging and clinical evaluation are imperative when deciding on the best management option. In the past, most subcondylar fractures were treated with a closed approach. Recent data support open repair, when feasible. Studies show increased interincisal opening, lateral excursion, and protrusion with less mandibular shortening, jaw deviation, and pain...
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28872502/lingual-short-split-a-bilateral-sagittal-split-osteotomy-technique-modification
#18
Eduardo Sant'Ana, Denis Pimenta E Souza, Astrid Buysse Temprano, Elio H Shinohara, Paulo Esteves Pinto Faria
The technique of sagittal split osteotomy of the mandibular ramus is an established technique that has been evolving over the years, with significant improvements regarding stability, better bone contact between the segments, and possibilities of osteosynthesis. However, paresthesia is common in the postoperatory, sometimes permanent, and undesirable fractures in the subcondylar region can occur leading to longer operative time and extraoral scars. The short lingual split technique is an easy technique that simplifies the horizontal osteotomy of the ramus and decreases the risk of undesirable fractures with a neurosensitive recovery of patients in a much shorter time because of minor trauma and nerve manipulation during the execution...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28530780/retromandibular-transparotid-approach-for-subcondylar-mandibular-fractures-a-retrospective-study
#19
Gökhan Göçmen, Altan Varol, Onur Atalı, Sertaç Aktop, Selçuk Basa
BACKGROUND: The aim was to evaluate the effectiveness and complications of retromandibular transparotid approach performed for the reduction of dislocated subcondylar fractures. METHODS: Fourteen patients with subcondylar mandibular fractures were evaluated (8 male, 6 female, age range 19-43 years). The primary predictor variable in the present study was time (preoperative vs postoperative). The primary outcome variables were inflammatory complication, facial nerve deficit (House and Brackmann classification), and presence of parotid fistula...
May 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28507963/evaluation-of-efficacy-of-three-dimensional-stainless-steel-mini-plates-in-the-treatment-of-fractures-of-the-mandible-a-prospective-study
#20
Shreyas H Gupte, Shruti Chaddva, Yash Jethwani, Aditi Mohandas, Digvijay P Kumavat, Nirali Jhaveri
INTRODUCTION: The purpose of the study was to analyze whether adequate fracture fixation can be achieved by three-dimensional (3D) stainless steel mini-plates its ease of placement, whether the patient can resume function early and to find out the need to do intermaxillary fixation. MATERIALS AND METHODS: In the prospective study, we treated 12 patients and 17 fractured sites using 3D mini-plates. Once fracture reduction was achieved temporary intermaxillary fixation (IMF) was done occlusion was achieved and the fractured segments were fixed using 3D plates either 4-holed or 6-holed of 2...
November 2016: Journal of Orthopaedic Case Reports
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