Author/Editor | Becner, Draga; Čizmarevič, Bogdan; Grošeta, Tomislav; Munda, Anton; Didanovič, Vojko; Žic, Rado; Lanišnik, Boštjan | |
Title | Zdravljenje nizkih zlomov kondilarnih nastavkov spodnje čeljusti s stabilno osteosintezo | |
Translated title | Treatment of low condylar fractures of the mandible using rigid osteosynthesis | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 39, št. Suppl 3 | |
Publication year | 2000 | |
Volume | str. 147-50 | |
Language | slo | |
Abstract | Condylar fractures of the mandible can be treated either conservatively or surgically. There is no consensus on the best method of treatment. Our decision to treat them with rigid osteosynthesis using plates in compliance with AO regulations was based on our experience and data from literature. This method enables immediate functioning of the temporomandibular joints and thus prevents possible functional disorders which occur after conservative treatment with the use of intermaxillary fixation. From September 1995 to December 1999, we surgically treated 16 low condylar fractures. The results were good. The therapeutic protocols for different treatments should be harmonised so that comparative studies could be conducted. | |
Summary | Zlome kondilarnih nastavkov spodnje čeljusti zdravimo na več načinov. Soglasja o načinu zdravljenja ni. Osnovna načina sta konzervativni ali operacijski. Po lastnih izkušnjah s stabilno osteosintezo panfacialnih zlomov z istočasnimi kondilarnimi zlomi in po preučevanju literature smo se odločili zdraviti nizke kondilarne zlome s stabilno osteosintezo s ploščicami po pravilih Arbeitsgemeinschaft Osteosynthesis. Ta način zdravljenja omogoča takojšnjo gibljivost čeljustnih sklepov. S tem se izognemo motnjam gibljivosti sklepa, ki so možne pri konzervativnem zdravljenju z intermaksilarno fiksacijo. Od septembra 1995 do decembra 1999 smo tako oskrbeli 16 zlomov. Rezultati so dobri. Treba bi bilo uskladiti terapevtske protokole za primerjalno študijo različnih načinov zdravljenja. | |
Descriptors | MANDIBULAR FRACTURES MANDIBULAR CONDYLE FRACTURE FIXATION, INTERNAL TREATMENT OUTCOME JAW FIXATION TECHNIQUES |