PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “MANDIBULAR CONDYLE”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 649 records · Page 36Linked to original sources
PubMed2004

Therapeutic objectives and surgical treatment of mandibular condyle fractures. Personal experience.

AIM: A review of condylar fractures treated ''non-surgically'' and ''surgically'' over the last 5 years (1996-2001) at the Maxillofacial Surgery Division of the Brescia Civil Hospital (Italy) is presented. The non surgical and surgical treatments carried out, as well as their effectiveness and therapeutic aims, are illustrated. METHODS: From June 1996 to June 2001, at the Maxillofacial Surgery Division of the Brescia Civil Hospital, 179 fractures of the mandibular condyle were treated. Of the 179 cases treated, a distinction was immediately made between ''non-surgical'' (103 cases) and ''surgical'' cases (76 cases). The 76 ''surgical'' cases were all treated with the same surgical technique. Out-patient follow-up was at days 20, 60, 90, and 1 year, together with a radiographic check-up at 60 days. Of the 76 condylar fractures treated surgically, 15 patients selected at random were re-examined; the medical history was investigated and clinical and radiological examinations performed. For each patient, the type of condylar fracture and whether this was associated with other mandibular fractures were recorded. The following data were also recorded: age of the patient; pain at the surgical site or at the mandible at the time of check-up; presence of normal occlusion and laterodeviation; any surgical sequelae at the facial nerve on the operated side; maximum mouth opening; any radiological defect; time since surgery. Then, the patient was asked to give his/her own evaluation of the surgical outcome, by expressing adequate, good or excellent result. RESULTS: In patients treated surgically the indication is almost absolute in the following cases: condylar fractures types II and IV of the Spiessl/Schroll classification, low or high condylar fractures with medial dislocation of the condyle; non-surgical treatment cannot be applied for reasons of patient's health; condylar fracture associated with other open fractures of the face. The use of rigid fixation also may help in the success of the technique adopted. In all the cases (surgical and non-surgical) it is important to achieve early mobilization of the mandible and carry out a rehabilitation program for masticatory function. CONCLUSION: The goals of condylar treatment may therefore be summarized as follows: to achieve a good occlusion; to eliminate pain; to achieve a proper mandibular symmetry; to achieve good mandibular movement in the 3 planes of space.

Adolescent↗
PubMed1995

[Clinical, radiographic and axiographic control after traction-screw osteosynthesis of fractures of the mandibular condyle region].

Clinical, radiographic and electronic axiographic follow-up examinations were performed in 45 patients with a luxation or highly displaced fractures treated with traction screw fixation from 1984 to 1989. Axiographic findings gave an excellent objective evaluation of joint function. The excellent results achieved with traction screw fixation suggest that this method can be recommended for condyleal fractures of the mandible.

Adolescent↗
PubMed1981

[Fracture of the mandibular condyle in a skeleton dating from the early middle ages (author's transl)].

The skeleton of a 45 to 50 year-old man dating from the early Middle Ages (discovered at Schwechat in Lower Austria) was examined. In addition to numerous pathological findings with respect to the masticatory apparatus such as caries, severe crown abrasion, pulp necrosis and inflammatory and degenerative alterations in the areas near the teeth, an exceptionally rare findings was observed, namely that of a deformation of the right mandibular condyle. The differential diagnosis on the basis of the radiological findings showed the presence of post-traumatic transformation processes with functional adaptation. Since anatomical specimens of completely healed jawbone fractures are exhibited only rarely in recent case histories, this findings takes on a special significance from the medical as well as from the archeological and anthropological points of view.

Austria↗
PubMed1995

[Surgical versus non-surgical treatment of unilateral dislocated fractures of the lower mandibular condyle].

To compare open versus closed reduction of unilaterally dislocated low subcondylar fractures in adults, 101 consecutive patients were treated either by closed reduction with a median of four weeks of maxillomandibular fixation or by a median of six weeks of maxillomandibular fixation after surgical repositioning and transosseous wiring of the dislocated condylar fragment. No selection of patients was done for either treatment. Fifty-two patients were observed for a median of two years after treatment. Complications such as malocclusion, mandibular asymmetry, impaired masticatory function, and pain located to the affected joint or masticatory muscles were significantly more frequent in patients treated with closed reduction (39%) compared with those treated surgically (4%)(p = 0.005). Neither the degree of dislocation of the proximal fragment, concomitant mandibular fractures, nor the absence of posterior occlusal support seemed to influence the results.

Adolescent↗
PubMedDate not supplied

[A device for osteosynthesis in fractures of the mandibular condyle].

Using the above device and fixation of osteal fragments by brackets with the storage it is possible to overcome all the differences which are observed during osteosynthesis on the condyle process of the lower jaw. The device is simple to use and, therefore, may be recommended for wide clinical use.

Adult↗