Avtor/Urednik     Vesnaver, Aleš; Ahčan, Uroš; Rozman, Janez
Naslov     Evaluation of surgical treatment in mandibular condyle fractures
Tip     članek
Vir     J Craniomaxillofac Surg
Vol. in št.     Letnik 40, št. 8
Leto izdaje     2012
Obseg     str. 647-53
Jezik     eng
Abstrakt     AIM: In the past, fractures of the mandibular condylar process were, as a rule, treated conservatively. At the Department of Maxillofacial and Oral Surgery of the University Medical Centre Ljubljana, Slovenia, our doctrine was changed in 2002 on the basis of preliminary results and reports in the literature, and these fractures were started to be treated surgically by open reduction and internal fixation with miniplates and screws, which led to good results and a shorter rehabilitation period. The goal of this study was to determine the safety and efficiency of surgical treatment, as well as to compare long-term results of surgical and conservative treatment, as objectively as possible. PATIENTS AND METHODS: Two groups of patients, which had all sustained a unilateral, extra-articular mandibular condyle fracture, were compared. In the test group, there were 42 surgically treated patients, and in the control group, 20 conservatively treated patients. Clinical parameters and X-ray images were assessed in both groups and compared by the two tailed Student t test, and in case of attributive variables by the chi(2) test. Within the surgically treated group, postoperative and intraoperative complications were noted: temporary facial nerve palsy, development of a parotid salivary fistula, disturbance of auricle sensibility due to injury of the greater auricular nerve, miniplate fracture, as well as intraoperative bleeding, postoperative haematoma formation, infection, reoperation due to fragment malposition and other complications. Postoperative scars were also assessed. RESULTS: Statistically significant differences between the surgically and conservatively treated patients were found when comparing clinical parameters as well as X-ray images, the results being better in the surgically treated group. (Abs. trunc. at 2000 ch.)
Deskriptorji     MANDIBULAR CONDYLE
MANDIBULAR FRACTURES
INTRAOPERATIVE COMPLICATIONS
POSTOPERATIVE COMPLICATIONS
FACIAL PARALYSIS
SALIVARY GLAND FISTULA
POSTOPERATIVE HEMORRHAGE
BITE FORCE