하악 과두 골절과 측두하악관절과의 관계
Correlation Between Mandibular Condylar Process Fracture and Temporomandibular Joint
문철웅, 김수관, 오지수,
소속 상세정보
문철웅 ( Moon Chul-Woong ) - 조선대학교 치의학전문대학원 구강악안면외과
김수관 ( Kim Su-Gwan ) - 조선대학교 치의학전문대학원 구강악안면외과
오지수 ( Oh Ji-Su ) - 조선대학교 치의학전문대학원 구강악안면외과
KMID : 0360120100320050488
Abstract
This review evaluates the literature on the relationship between mandibular condylar process fracture and temporomadibular joint (TMJ). The topic of condylar fracture generated more discussion and controversy than any other field of maxillofacial trauma associated with TMJ. Disturbance of occlusal function, deviation of mandible, internal derangements of TMJ, and ankylosis of the joint with resultant inability to move the jaw are sequelae of condylar process fracture. Thus it is necessary to understand how the masticatory system adapts to the structural alterations that accompany fractures of the mandibular condyle. Treatment of condylar process fracture include two methods ; closed treatment and open treatment. If one chooses to treat closed, one must understand that adaptations in the musculature, skeleton, and dentition will be necessary. Open treatment of condylar process fractures probably requires fewer adaptations within the masticatory system to provide a favorable functional outcome. However, one must weigh the risk of open surgery against the possible improvement in outcome. The risks are not just surgical risk, but biological risk as well, such as disruption of the blood supply to the condyle. This review presents relevant aspects of change of TMJ associated with condylar process fracture.
키워드
Temporomandibular joint; Condylar fracture
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