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Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures
OBJECTIVES: To compare the clinical and radiological outcomes after closed reduction (CR) and open reduction and internal fixation (ORIF) in the management of subcondylar fractures. MATERIALS AND METHODS: Forty-eight patients presenting with subcondylar fracture between January 2010 and March 2013 w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Association of Oral and Maxillofacial Surgeons
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279978/ https://www.ncbi.nlm.nih.gov/pubmed/25551095 http://dx.doi.org/10.5125/jkaoms.2014.40.6.297 |
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author | Kim, Seong-Yong Ryu, Jae-Young Cho, Jin-Yong Kim, Hyeon-Min |
author_facet | Kim, Seong-Yong Ryu, Jae-Young Cho, Jin-Yong Kim, Hyeon-Min |
author_sort | Kim, Seong-Yong |
collection | PubMed |
description | OBJECTIVES: To compare the clinical and radiological outcomes after closed reduction (CR) and open reduction and internal fixation (ORIF) in the management of subcondylar fractures. MATERIALS AND METHODS: Forty-eight patients presenting with subcondylar fracture between January 2010 and March 2013 were evaluated retrospectively. Fifteen patients were treated with CR and 33 patients with ORIF. The clinical and radiologic parameters were evaluated during follow-up (mean, 7.06 months; range, 3 to 36 months). RESULTS: In the CR group, no patients had any problems with regard to the clinical parameters. The average period of maxillomandibular fixation (MMF) was 5.47 days. The preoperative average tangential angulation of the fractured fragment was 3.67°, and loss of ramus height was 2.44 mm. In the ORIF group, no clinical problems were observed, and the average period of MMF was 6.33 days. The preoperative average tangential angulation of the subcondylar fragment was 8.66°, and loss of ramus height was 3.61 mm. CONCLUSION: CR provided satisfactory clinical results, though ORIF provided more accurate reduction of the fractured fragment. So there is no distinct displacement of fractured fragment, CR should be selected than ORIF because of no need for surgery. |
format | Online Article Text |
id | pubmed-4279978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Korean Association of Oral and Maxillofacial Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-42799782014-12-30 Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures Kim, Seong-Yong Ryu, Jae-Young Cho, Jin-Yong Kim, Hyeon-Min J Korean Assoc Oral Maxillofac Surg Original Article OBJECTIVES: To compare the clinical and radiological outcomes after closed reduction (CR) and open reduction and internal fixation (ORIF) in the management of subcondylar fractures. MATERIALS AND METHODS: Forty-eight patients presenting with subcondylar fracture between January 2010 and March 2013 were evaluated retrospectively. Fifteen patients were treated with CR and 33 patients with ORIF. The clinical and radiologic parameters were evaluated during follow-up (mean, 7.06 months; range, 3 to 36 months). RESULTS: In the CR group, no patients had any problems with regard to the clinical parameters. The average period of maxillomandibular fixation (MMF) was 5.47 days. The preoperative average tangential angulation of the fractured fragment was 3.67°, and loss of ramus height was 2.44 mm. In the ORIF group, no clinical problems were observed, and the average period of MMF was 6.33 days. The preoperative average tangential angulation of the subcondylar fragment was 8.66°, and loss of ramus height was 3.61 mm. CONCLUSION: CR provided satisfactory clinical results, though ORIF provided more accurate reduction of the fractured fragment. So there is no distinct displacement of fractured fragment, CR should be selected than ORIF because of no need for surgery. The Korean Association of Oral and Maxillofacial Surgeons 2014-12 2014-12-26 /pmc/articles/PMC4279978/ /pubmed/25551095 http://dx.doi.org/10.5125/jkaoms.2014.40.6.297 Text en Copyright © 2014 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Seong-Yong Ryu, Jae-Young Cho, Jin-Yong Kim, Hyeon-Min Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures |
title | Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures |
title_full | Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures |
title_fullStr | Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures |
title_full_unstemmed | Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures |
title_short | Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures |
title_sort | outcomes of open versus closed treatment in the management of mandibular subcondylar fractures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279978/ https://www.ncbi.nlm.nih.gov/pubmed/25551095 http://dx.doi.org/10.5125/jkaoms.2014.40.6.297 |
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