Results of reoperation after failed modified condylotomy
Autor: | John R. Werther, H. David Hall |
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Rok vydání: | 1997 |
Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Adolescent medicine.medical_treatment Joint Dislocations Osteoarthritis Osteotomy Disc displacement Recurrence Risk Factors Temporomandibular Joint Disc Arthropathy medicine Humans Displacement (orthopedic surgery) Treatment Failure Child Retrospective Studies Temporomandibular Joint business.industry Mandibular Condyle Retrospective cohort study Middle Aged Temporomandibular Joint Disorders medicine.disease Surgery Temporomandibular joint Condylotomy Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Female Oral Surgery business Follow-Up Studies |
Zdroj: | Journal of Oral and Maxillofacial Surgery. 55:1250-1253 |
ISSN: | 0278-2391 |
DOI: | 10.1016/s0278-2391(97)90178-6 |
Popis: | Purpose : This retrospective study reports the reoperation rate for failure after modified condylotomy. Materials and Methods : A consecutive series from each of two surgeons constituted the study group of 361 joints in 235 patients. Reoperation rates were calculated for all joints and by type of disc displacement. Results : A second operation occurred in 4.2% of all joints. However, the cumulative rate of reoperation was 4.4%, because one of the joints required a third operation. Although the rate of reoperation varied (0% to 6.5%) according to the type of disc displacement, the differences were not statistically significant. All joints requiring reoperation had a displaced disc, and more than half had lost nearly all the joint space gained by the primary operation. Conclusion : The rate of reoperation for modified condylotomy is low. Risk factors for reoperation appear to be recurrent or residual disc displacement and loss of joint space after the first operation. Bilateral operation was not a risk factor. |
Databáze: | OpenAIRE |
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