Surgical treatment of the fractured and dislocated condylar process of the mandible

Surgical treatment of the fractured and dislocated condylar process of the mandible

Autor Pereira, M. D. Google Scholar
Marques, A. Google Scholar
Ishizuka, M. Google Scholar
Keira, S. M. Google Scholar
Brenda, E. Google Scholar
Wolosker, A. B. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Most fractures of the mandible can be managed conservatively. This report is a retrospective evaluation of the clinical and radiological results in 17 patients with 21 dislocated fractures submitted to open reduction and fixation, employing steel wires and maxillomandibular fixation. Follow-up ranged from 7 to 55 months, (mean 29.5). Functional assessment showed good opening movements (mean 41.9 mm). There were no cases of ankylosis, pain, or paralysis of the facial nerve. Radiological assessment was normal when the lateral pterygoid muscle was maintained adherent to the fractured proximal segment. Radiological signs of bone resorption occurred when the fractured segment was detached from the lateral pterygoid muscle. in our opinion, dislocated condylar process fractures can be managed surgically and with steel wire ligatures and maxillomandibular fixation. Whenever possible, the lateral pterygoid muscle should be inserted into the fractured proximal segment, i.e. as an osteomuscular flap.
Idioma Inglês
Data 1995-12-01
Publicado em Journal of Cranio-maxillofacial Surgery. Edinburgh: Churchill Livingstone, v. 23, n. 6, p. 369-376, 1995.
ISSN 0301-0503 (Sherpa/Romeo, fator de impacto)
Editor Churchill Livingstone
Extensão 369-376
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:A1995TQ99100005

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