Clinical outcomes of open treatment of old condylar head fractures in adults |
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| Authors: | Xueting Luo Ruiye Bi Nan Jiang Songsong Zhu Yunfeng Li |
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| Affiliation: | 1. Istanbul Medipol University, School of Dentistry, Department of Oral and Maxillofacial Surgery, ?stanbul Medipol Üniversitesi, Di? Hekimli?i Fakültesi, Esenler Hastanesi, Birlik Mah. Bahçeler Cad. No: 5 Esenler, ?stanbul, Turkey;2. Istanbul Medipol University, School of Dentistry, Department of Oral and Maxillofacial Surgery, Medipol University School of Dentistry, TEM Avrupa Otoyolu Go¨ztepe Ç?k??? No: 1 Ba?c?lar, 34214, ?stanbul, Turkey;1. Department of Oral and Maxillofacial Surgery, University Hospital Tuebingen, Osianderstrasse 2-8, 72076, Tuebingen, Germany;2. Department of Conservative Dentistry and Periodontology, University Hospital Tuebingen, Osianderstrasse 2-8, 72076, Tuebingen, Germany;3. Institute of Pathology, Liebermeisterstrasse 8, 72076, Tuebingen, Germany;4. Institute for Clinical Epidemiology and Applied Biometry, University Hospital Tuebingen, Silcherstrasse 5, 72076, Tuebingen, Germany;1. Maxillofacial Surgery and Diagnostic Science, College of Dentistry, Qassim University, Saudi Arabia;2. Anaesthesia, Intensive Care, and Pain, Faculty of Medicine for Girls, Al Azhar University, 11727, Nasr City, Cairo, Egypt;3. Oral and Maxillofacial Surgery, Faculty of Dentistry, Deraya University, Minya, Egypt;4. Dental Medicine for Girls, Al Azhar University, 11727, Nasr City, Cairo, Egypt;1. Heidelberg University Hospital, Department of Oral and Cranio-Maxillofacial Surgery, Im Neuenheimer Feld 400, D-69120, Heidelberg, Germany;2. Saarland University Hospital, Department of Oral and Cranio-Maxillofacial Surgery, Kirrberger Str. 100, D-66421, Homburg, Germany;3. Institute of Medical Biometry and Informatics, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, D-69120, Heidelberg, Germany |
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| Abstract: | The aim of this study was to classify the clinical feasibility and outcomes of open reduction treatment of old condylar head fractures (CHFs).This was a retrospective case series study of patients with old CHFs that were treated with open reduction and internal fixation, with anatomic reduction and sutured fixation of the articular disc. Preoperative and postoperative examinations were recorded and analyzed, including temporomandibular joint (TMJ) symptoms, occlusion, maximum interincisal opening (MIO), and mandibular deviation. Computed tomography (CT) was used to assess condylar morphology and position.Eleven patients with old CHFs were included (nine unilateral and two bilateral). The mean period from condylar fracture to operation was 8.9 months (ranging from 6 to 14 months). The mean follow-up period after surgery was 16.1 months (ranging from 12 to 22 months). At the end of follow-up period, no malocclusion was found, and the MIO had expanded considerably to 37.4 ± 3.8 mm. Postoperative CT showed that all fragments were properly reduced and the condyles were in the normal position. All patients showed apparently improved TMJ function, occlusion, and facial appearance.Our results showed that open reduction treatment could be an effective method for the treatment of old CHFs. |
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| Keywords: | Condylar head fracture Old fracture Open reduction Occlusion |
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