Pediatric condylar fractures: a long-term follow-up study of 55 patients
Autor: | Sven Erik Nørholt, Ib Jensen, Steen Sindet-Pedersen, Vejayan Krishnan |
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Rok vydání: | 1993 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Dentistry Condyle Cohort Studies Fracture Fixation Mandibular Fractures Surveys and Questionnaires Fracture fixation Ankylosis medicine Humans Range of Motion Articular Child Chi-Square Distribution business.industry Age Factors Mandibular Condyle medicine.disease Surgery Treatment Outcome Otorhinolaryngology El Niño Child Preschool Mastication Female Oral Surgery Complication business Range of motion Chi-squared distribution Cohort study Follow-Up Studies |
Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 51(12) |
ISSN: | 0278-2391 |
Popis: | Fifty-five patients between 5 and 20 years old who were previously treated conservatively for a fracture of the mandibular condyle were recalled for follow-up examination with a mean postoperative observation time of 10.1 years. Anamnestic information was obtained from a questionnaire, and clinical and radiologic examinations were performed. Anamnestic and clinical dysfunction indices were obtained. When the patients were divided into four different age groups it was found that the dysfunction index values increased significantly with increasing age at the time of trauma. Radiologic abnormalities such as reduced ramus height, deviation of the mandibular midline, and irregular shape of the condyle were seen frequently, but could not be correlated with the severity of dysfunction. No cases of ankylosis or serious asymmetry were found. The results support the opinion that conservative treatment is sufficient in pediatric patients, but in older age groups the results of conservative treatment are less satisfactory. |
Databáze: | OpenAIRE |
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