Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures
김성용, 류재영, 조진용, 김현민,
소속 상세정보
김성용 ( Kim Seong-Yong ) - Gachon University Gil Medical Center Department of Oral and Maxillofacial Surgery
류재영 ( Ryu Jae-Young ) - Gachon University Gil Medical Center Department of Oral and Maxillofacial Surgery
조진용 ( Cho Jin-Yong ) - Gachon University Gil Medical Center Department of Oral and Maxillofacial Surgery
김현민 ( Kim Hyeon-Min ) - Gachon University Gil Medical Center Department of Oral and Maxillofacial Surgery
KMID : 0355620140400060297
Abstract
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 retrospec-tively. 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 fiation (MMF) was 5.47 days. The preoperative average tangential angulation of the fractured fragment was 3.67º, 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 sub-condylar fragment was 8.66º, 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 dis-tinct displacement of fractured fragment, CR should be selected than ORIF because of no need for surgery.
키워드
Subcondylar fracture; Closed reduction; Open reduction and internal fixatio
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