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
- 2016.12
- 수록면
- 1,045 - 1,054 (10page)
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Purpose : Aim of this study is to describe and compare clinical results and complications epending on the surgical approaches for the mandibular subcondyle fracture
Materials and methods : The patients who had been diagnosed as the mandibular subcondyle fracture and underwent open reduction and internal fixation from May 2009 to December 2014 were included. They were divided into two groups depending on the surgical approaches; endoscopically assisted transoral approach and retromandibular approach. Association between the preoperative fracture classification and post-operative results was reviewed depending on the surgical approaches.
Results : The number of patients selected in this study was 33. Eighteen patients (male 7, female 11) underwent open reduction and internal fixation via retromandibular approach and fifteen patients (male 12, female 3) underwent open reduction and internal fixation via endoscopically assisted transoral approach. The mean age, follow up period, and operation time were 44.29 ± 15.19 years, 9.97 ± 7.82 months, and 161 ± 89.44 minutes. Post-operative results were all “good” state in the retromandibular approach group regardless of the fracture classification but two patients in the endoscopically assisted transoral approach group underwent re-operation due to “poor” results. The fracture types of two were classified as displacement and lateral override at the same time. There was no statistically significant difference between two groups. Three patients in the retromandibular approach group had experienced facial nerve palsy (17%) temporarily. No one showed malocclusion in this study. There was no significant difference on the complications such as temporomandibular disorder, local infection, and condyle resorption depending on the surgical approaches.
Conclusion : In this study, there was no significant difference on the complications between the two groups but retromandibular approach has advantage over endoscopically assisted transoral approach in case of the severely displaced subcondyle fracture.
Materials and methods : The patients who had been diagnosed as the mandibular subcondyle fracture and underwent open reduction and internal fixation from May 2009 to December 2014 were included. They were divided into two groups depending on the surgical approaches; endoscopically assisted transoral approach and retromandibular approach. Association between the preoperative fracture classification and post-operative results was reviewed depending on the surgical approaches.
Results : The number of patients selected in this study was 33. Eighteen patients (male 7, female 11) underwent open reduction and internal fixation via retromandibular approach and fifteen patients (male 12, female 3) underwent open reduction and internal fixation via endoscopically assisted transoral approach. The mean age, follow up period, and operation time were 44.29 ± 15.19 years, 9.97 ± 7.82 months, and 161 ± 89.44 minutes. Post-operative results were all “good” state in the retromandibular approach group regardless of the fracture classification but two patients in the endoscopically assisted transoral approach group underwent re-operation due to “poor” results. The fracture types of two were classified as displacement and lateral override at the same time. There was no statistically significant difference between two groups. Three patients in the retromandibular approach group had experienced facial nerve palsy (17%) temporarily. No one showed malocclusion in this study. There was no significant difference on the complications such as temporomandibular disorder, local infection, and condyle resorption depending on the surgical approaches.
Conclusion : In this study, there was no significant difference on the complications between the two groups but retromandibular approach has advantage over endoscopically assisted transoral approach in case of the severely displaced subcondyle fracture.
목차
ABSTRACT
Ⅰ. Introduction
Ⅱ. Materials and methods
Ⅲ. Results
Ⅳ. Discussion
참고문헌
참고문헌 (18)
참고문헌 신청
[단행본] - Peter WB / 2011 / Maxillofacial trauma and Esthetic facial reconstruction / Churchill Living stone
[학술지(정기간행물)] - 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 / J Oral Maxillofac Surg 61 : 1324 ~ 1332
[학술지(정기간행물)] - Villarreal PM / 2004 / Mandibular condyle fractures: determinants of treatment and outcome / J Oral Maxillofac Surg 62 : 155 ~ 163
[학술지(정기간행물)] - Delvin MF / 2002 / Carton ATM: Open reduction and internal fixation of fractured mandibular condyles by a retromandibular approach:surgical morbidity and informed consent / Br J Oral Maxillofac Surg 40 : 23 ~ 25
[학술지(정기간행물)] - Manisali M / 2003 / Retromandibular approach to the mandibular condyle: a clinical and cadaveric study / Int J Oral Maxillofac Surg 32 (3) : 253 ~ 256
[학술지(정기간행물)] - 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 / J Oral Maxillofac Surg 61 : 1324 ~ 1332
[학술지(정기간행물)] - Villarreal PM / 2004 / Mandibular condyle fractures: determinants of treatment and outcome / J Oral Maxillofac Surg 62 : 155 ~ 163
[학술지(정기간행물)] - Delvin MF / 2002 / Carton ATM: Open reduction and internal fixation of fractured mandibular condyles by a retromandibular approach:surgical morbidity and informed consent / Br J Oral Maxillofac Surg 40 : 23 ~ 25
[학술지(정기간행물)] - Manisali M / 2003 / Retromandibular approach to the mandibular condyle: a clinical and cadaveric study / Int J Oral Maxillofac Surg 32 (3) : 253 ~ 256
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UCI(KEPA) : I410-ECN-0101-2017-515-001866156