Management of Medially Displaced Sub-Condylar Mandibular Fractures in Pediatric Population Using Novel Atraumatic Approach

Autor: Esma Sengenc, Dicle Aksoyler, Mehmet Ali Yavan, Taha Sönmez, Alberto Bolletta, Fatih Dogan
Přispěvatelé: ŞENGENÇ, ESMA
Rok vydání: 2020
Předmět:
Male
Condyle
intraoral reduction
mandible
pediatric patients
sub-condyle
Child
Female
Fracture Fixation
Internal
Humans
Mandible
Mandibular Condyle
Treatment Outcome
Ankylosis
Mandibular Fractures
Long term follow up
03 medical and health sciences
0302 clinical medicine
Fracture Fixation
Occlusion
Medicine
Aksoyler D.
Dogan F.
Bolletta A.
ŞENGENÇ E.
Sonmez T.
Yavan M. A.
-Management of Medially Displaced Sub-Condylar Mandibular Fractures in Pediatric Population Using Novel Atraumatic Approach-
JOURNAL OF CRANIOFACIAL SURGERY
cilt.32
sa.3
ss.851-854
2021
030223 otorhinolaryngology
Orthodontics
business.industry
Posterior facial height
030206 dentistry
General Medicine
Internal
Temporomandibular joint
medicine.anatomical_structure
Otorhinolaryngology
Surgery
business
Pediatric population
Facial symmetry
Zdroj: Journal of Craniofacial Surgery. 32:851-854
ISSN: 1536-3732
1049-2275
DOI: 10.1097/scs.0000000000006993
Popis: The appropriate treatment of pediatric mandibular condyle fractures is subject to much debate and concern among surgeons, with improper treatment potentially resulting in a number of adverse outcomes. Such outcomes include the disruption of mandible growth, decreased posterior facial height, facial asymmetry, and temporomandibular joint ankylosis. Several surgical and nonsurgical approaches to these fractures have been described in the literature; however, each one carries its own risk of various complications. In this study, the authors illustrate a new atraumatic approach for mild to moderately displaced subcondylar fractures, with least possible complications and unexpected outcomes. In this study, 6 patients (2 female and 4 male) with unilateral medially displaced condylar base and neck fractures, angulated between 30 and 45 degrees, were treated using a novel intraoral approach. The follow-up period varied from 12 to 18 months. All patients achieved normal occlusion and had painless functioning of the temporomandibular joint with proper mouth opening (>35 mm) without any recurrence at long term follow up. This minimally invasive approach could eliminate the possibility of major complications and be considered a safe and feasible surgical technique for certain cases of pediatric mandibular condyle fracture.
Databáze: OpenAIRE
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