지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제34권 제1호
- 발행연도
- 2012.1
- 수록면
- 53 - 57 (5page)
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초록· 키워드
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Purpose: This study considered the effects and proper treatments of mandibular condyle fractures by comparing clinical differences and complications according to analysis and treatment plan.Methods: From September 2007 to August 2010, patients who were diagnosed with condylar fracture and monitored for more than 3 months were selected. Cases were divided in a reductive manner and evaluated by type and period of intermaxillary fixation (IMF), status of occlusion and trismus according to the Spiessle/Schroll method. A total 50 patients were examined.Results: The number of the unilateral condyle fractures was 45 and 30 patients had multiple fractures. Type of fracture was categorized by the Spiessle/Schroll method. There were 21 patients with type I, 11 patients with type II, 3 patients with type 3, 10 patients with type V and 5 patients with type VI; there were no patients with a type IV fracture. 11 patients were operated on with open reduction. Among them, 9 patients were type II and 2 patients were type I. For type I patients,an intra-oral approach was conducted with an endoscope and trocar. For 3 of the type II patients, an retromandibular approach was conducted and for the rest of the type II patients, the same approach as type I was used. The periods of IMF were 2.36 weeks (mean) in open reduction group and 2.9 weeks (mean) in closed reduction group and the total mean period is 2.78 weeks. All patients had stable occlusion after removing the IMF. Trismus occurred in 1 patient for open reduction and 5 patients for closed reduction. Facial nerve palsy was observed in one patient postoperatively that resolved after 6months.Conclusion: In this study, similar prognosis was shown after an open and closed reduction was conducted. Therefore,treatments need to be planned depending on the degree of condyle fracture and the amount of displacement. Additionally,the period of IMF could be shortened with open reduction.
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참고문헌 (31)
참고문헌 신청
Bradley P / 1994 / Injuries of the condylar and coronoid process, In Rowe and Williams Maxillofacial Injuries. 2nd ed / Churchill Livingstone :405
el-Sheikh MM / 1996 / Bird face deformity secondary to bilateral temporomandibular joint ankylosis / J Craniomaxillofac Surg 24:96~103
Wood WW / 1987 / A review of masticatory muscle function / J Prosthet Dent 57:222~232
Türp JC / 1996 / Computerized axiographic evaluation of condylar movements in cases with fractures of the condylar process: a follow up over 19 years / J Craniomaxillofac Surg 24:46~52
Hotz RP / 1978 / Functional jaw orthopedics in the treatment of condylar fractures / Am J Orthod 73:365~377
el-Sheikh MM / 1996 / Bird face deformity secondary to bilateral temporomandibular joint ankylosis / J Craniomaxillofac Surg 24:96~103
Wood WW / 1987 / A review of masticatory muscle function / J Prosthet Dent 57:222~232
Türp JC / 1996 / Computerized axiographic evaluation of condylar movements in cases with fractures of the condylar process: a follow up over 19 years / J Craniomaxillofac Surg 24:46~52
Hotz RP / 1978 / Functional jaw orthopedics in the treatment of condylar fractures / Am J Orthod 73:365~377
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