하악과두 골절 환자에서 하악과두 체외적출 후 재식에 관한 임상적 연구
A Clinical Study on the Condylar Fractures of Mandible Treated with Osteotomy-Replantation Open Reduction Technique.
양승필, 여환호,
소속 상세정보
양승필 ( Yang Seung-Phil ) - 조선대학교 치과대학 구강악안면외과학교실
여환호 ( Yeo Hwan-Ho ) - 조선대학교 치과대학 구강악안면외과학교실
KMID : 0353319930170010101
Abstract
The author investigated 29 patients of the condylar fractures who received open reduction with Nam’s method or modified Nam’s method in Dept. of Oral and Maxillofacial surgery, Dental Infirmary of Chosun University during a 5-year period from May
1987
to June 1992.
After the analysis of the patient’s charts, preoperative and postoperative radiograms and the evaluation of the temporomandibular joint function through follow up examinations, the following results were obtained.
1. Of 157 patients with condylar fractures, 29 patients received open reduction with Nam’s method or modified Nam’s method(18.5%).
2. The number of total fracture sites was 43, and the number of the condylar neck fracture sites was the highest with 26 sites(60.4%).
3. The number of dislocated condyles was the highest with 25 sites(58.2%)
4. In the assessment of temporomandibular joint function of 29 patients, the patient’s number of Grade I disorder group was the highest as 14 patients(48.3%) and that of Grade II, Grade O, Grade III disorder group was 8 patients(27.6%), 6
patients(20.7%), 1 patients(3.4%) each.
5. The degree of restoration of temporomandibular joint function was not related with patient’s age in patients above 13 of age.
6. The degree of restoration of temporomandibular joint function was not related with fracture site.
7. Complications occurred such as condylar resorption as result of wound infection (1 case), and temporary paralysis of marginal mandibular branch of facial nerve (3 cases).
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