Craniofacial Morphometric Features Associated With Pericondylar Fractures of the Mandible.

Autor: Shilo D; Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center.; Ruth & Bruce Rappaport Faculty of Medicine at the Technion-Israel Institute of Technology, Haifa., Elias YB; Private Practice, Israel., Capucha T; Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center., Blanc O; Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center., Emodi O; Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center.; Ruth & Bruce Rappaport Faculty of Medicine at the Technion-Israel Institute of Technology, Haifa., Rachmiel A; Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center.; Ruth & Bruce Rappaport Faculty of Medicine at the Technion-Israel Institute of Technology, Haifa.
Jazyk: angličtina
Zdroj: The Journal of craniofacial surgery [J Craniofac Surg] 2019 Oct; Vol. 30 (7), pp. 2065-2068.
DOI: 10.1097/SCS.0000000000005960
Abstrakt: The research aimed at investigating potential correlations between craniofacial morphological measurements and mandibular pericondylar fractures, based on a retrospective study of 380 mandible fractures treated in our department, during 2010 to 2017. Predictors included morphological measurements and features. Primary outcome was presence of pericondylar fracture; 133 pericondylar fractures were found, including subcondylar, condylar neck, and condylar head fractures. Condylar neck fractures showed negative correlations with condylar neck width (5.7 mm versus 6.7 mm sagittaly, and 6.1 mm versus 6.8 mm coronally, respectively). Gonial angle (117.3 degrees versus 128.7), and mandibular length 106.2 mm versus 110.4 mm, respectively) showed negative correlation with all pericondylar fractures. Ramus height correlated positively with pericondylar fractures (53.6 mm versus 51.2 mm, respectively). Thus, our results showed condylar neck width was a predictor for condylar neck fractures. In addition, individuals suffering from pericondylar fractures had significantly smaller gonial angles, longer ramus height, and shorter mandibular length. These morphologic features are characteristic of individuals with decreased anterior facial height. Our results corroborated a previous study we had conducted, which suggested that increased anterior vertical growth correlates with angle fractures.
Databáze: MEDLINE