Renata Porto Stypulkowski1, Aline Gama Santos1, Elvidio de Paula E Silva2, Cícero André da Costa Moraes3, Everton Luis Santos da Rosa4,5. 1. Oral and Maxillofacial Surgeon at the Base Hospital of the Federal District, SHS, Quadra 101, Area Especial, s/n - Asa Sul, Brasília, DF, 70335-900, Brazil. 2. Oral and Maxillofacial Surgery Residency Program Chief at the Base Hospital of the Federal District, SHS, Quadra 101, Area Especial, s/n - Asa Sul, Brasília, DF, 70335-900, Brazil. 3. Brazilian Team of Forensic Anthropology and Forensic Dentistry (EBRAFOL), Rua do Rosário chácara 25, Sinop, MT, Brazil. 4. Oral and Maxillofacial Surgeon at the Base Hospital of the Federal District, SHS, Quadra 101, Area Especial, s/n - Asa Sul, Brasília, DF, 70335-900, Brazil. zazai547@gmail.com. 5. Oral and Maxillofacial Surgery Unit, the Base Hospital of the Federal District, SHS, Quadra 101 - Área Especial - Asa Sul, Brasília, DF, 70335-900, Brazil. zazai547@gmail.com.
Abstract
PURPOSE: To retrospectively compare the clinical outcomes of closed treatment (closed reduction and intermaxillary fixation) with open treatment (open reduction and internal fixation with miniplates and screws) of unilateral mandibular condylar process fractures. METHODS: Adult patients with unilateral condylar fractures treated from January 2011 to July 2013 in the Oral and Maxillofacial Surgery Service at the Base Hospital of the Federal District, Brazil, were invited to participate. Those who agreed to participate were scheduled for clinical evaluation, which consisted of a subjective questionnaire (completed by the examiner) and an objective physical examination of the temporomandibular joints and mandibular range of motion. The following variables were analyzed: mouth opening; lateral excursions of the mandible; presence of clicking; mandibular function impairment (speech, chewing); and occlusion. RESULTS: Seventeen patients (15 men and 2 women) attended the scheduled appointment: 9 had received open treatment (surgical) and 8 had received closed treatment (nonsurgical). Patients were evaluated at 6-30 months postoperatively. Only maximum mouth opening (p = 0.044) and maximum lateral excursion to the unaffected side (p = 0.030) showed a significant difference between the closed and open treatment groups. CONCLUSIONS: Our findings are consistent with those reported in the literature as both methods (closed and open treatment) produced satisfactory outcomes. The only between-group difference was the amount of maximum mouth opening and lateral excursion to the unaffected side. Further randomized studies with a larger number of patients with condylar process fractures are needed to verify the results obtained with each treatment.
PURPOSE: To retrospectively compare the clinical outcomes of closed treatment (closed reduction and intermaxillary fixation) with open treatment (open reduction and internal fixation with miniplates and screws) of unilateral mandibular condylar process fractures. METHODS: Adult patients with unilateral condylar fractures treated from January 2011 to July 2013 in the Oral and Maxillofacial Surgery Service at the Base Hospital of the Federal District, Brazil, were invited to participate. Those who agreed to participate were scheduled for clinical evaluation, which consisted of a subjective questionnaire (completed by the examiner) and an objective physical examination of the temporomandibular joints and mandibular range of motion. The following variables were analyzed: mouth opening; lateral excursions of the mandible; presence of clicking; mandibular function impairment (speech, chewing); and occlusion. RESULTS: Seventeen patients (15 men and 2 women) attended the scheduled appointment: 9 had received open treatment (surgical) and 8 had received closed treatment (nonsurgical). Patients were evaluated at 6-30 months postoperatively. Only maximum mouth opening (p = 0.044) and maximum lateral excursion to the unaffected side (p = 0.030) showed a significant difference between the closed and open treatment groups. CONCLUSIONS: Our findings are consistent with those reported in the literature as both methods (closed and open treatment) produced satisfactory outcomes. The only between-group difference was the amount of maximum mouth opening and lateral excursion to the unaffected side. Further randomized studies with a larger number of patients with condylar process fractures are needed to verify the results obtained with each treatment.
Authors: Uwe Eckelt; Matthias Schneider; Francois Erasmus; Klaus Louis Gerlach; Eberhard Kuhlisch; Richard Loukota; Michael Rasse; Johannes Schubert; Hendrik Terheyden Journal: J Craniomaxillofac Surg Date: 2006-06-15 Impact factor: 2.078
Authors: Eduardo Fausto de Andrade Filho; Dulce Maria Fonseca Soares Martins; Miguel Sabino Neto; Carlos de Souza Toledo J nior Cd; Max Domingues Pereira; Lydia Massako Ferreira Journal: Rev Assoc Med Bras (1992) Date: 2003-04-28 Impact factor: 1.209