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
- 발행연도
- 2014.1
- 수록면
- 76 - 82 (7page)
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초록· 키워드
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Objectives: The aim of this study is to report the results of extracorporeal fixation in patients with mandibular condylar fractures and compare them with the clinical results of conservative treatment. Materials and Methods: The medical records of 92 patients (73 male [M] : 19 female [F], age 13-69 years, mean 33.1 years) treated for condylar fractures at the Department of Oral and Maxillofacial Surgery in Sun Dental Hospital (Daejeon, Korea) from 2007 to 2012 were reviewed. Patients were divided into three groups: group A (23 patients; M : F=18 : 5, age 21-69 years, mean 32.6 years), treated with extracorporeal fixation; group B (30 patients; M : F=24 : 6, age 16-57 years, mean 21.1 years), treated by conventional open reduction; and group C (39 patients; M : F=31 : 8, age 16-63 years, mean 34.4 years), treated with the conservative method (‘closed’ reduction). Clinical and radiographic findings were evaluated and analyzed statistically. Results: Occurrence of postoperative condylar resorption correlated with certain locations and types of fracture. In this study, patients in group A (treated with extracorporeal fixation) did not demonstrate significant postoperative complications such as malocclusion, mandibular hypomobility, temporomandibular disorder, or complete resorption of condyle fragments. Conclusion: In superiorly located mandibular condyle fractures, exact reconstruction of condylar structure with the conventional open reduction technique can be difficult due to the limited surgical and visual fields. In such cases, extracorporeal fixation of the condyle using vertical ramus osteotomy may be a better choice of treatment because it results in anatomically accurate reconstruction and low risk of complications.
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참고문헌 (21)
참고문헌 신청
Adeyemi MF / 2012 / Is healing outcome of 2 weeks intermaxillary fixation different from that of 4 to 6 weeks intermaxillary fixation in the treatment of mandibular fracture
Baker AW / 1998 / Current consensus on the management of fractures of the mandibular condyle. A method by questionnaire / Int J Oral Maxillofac Surg 27 : 258 ~ 266
Bell WH / 1976 / Biological basis for vertical ramus osteotomies--a study of bone healing and revascularization in adult rhesus monkeys / J Oral Surg 34 : 215 ~ 224
Boyne PJ / 1989 / Free grafting of traumatically displaced or resected mandibular condyles / J Oral Maxillofac Surg 47 : 228 ~ 232
Brandt MT / 2003 / Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management /
Baker AW / 1998 / Current consensus on the management of fractures of the mandibular condyle. A method by questionnaire / Int J Oral Maxillofac Surg 27 : 258 ~ 266
Bell WH / 1976 / Biological basis for vertical ramus osteotomies--a study of bone healing and revascularization in adult rhesus monkeys / J Oral Surg 34 : 215 ~ 224
Boyne PJ / 1989 / Free grafting of traumatically displaced or resected mandibular condyles / J Oral Maxillofac Surg 47 : 228 ~ 232
Brandt MT / 2003 / Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management /
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