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Lobular adenocarcinoma of breast metastatic to the mandibular condyle. Report of a case and review of the literature.

A case of metastatic breast adenocarcinoma to the condyle in a 55-year-old white woman is reported. Highlights of this case presentation include the rarity of reported metastatic lesions to the condyle, a negative bone scan 2 months before the bone biopsy, the existence of a pathologic fracture as the only persistent symptom of the lesion, initial symptoms suggestive of temporomandibular joint disorder, and the uncommon type of breast carcinoma.

Breast Neoplasms↗

Relationship between the presence of unerupted mandibular third molars and fractures of the mandibular condyle.

Previous studies have shown that the presence of unerupted mandibular third molars predisposes the mandible to angle fractures. This study attempted to relate the presence of unerupted mandibular third molars with the incidence of condyle fractures. The authors compared the proportion of fractures in 439 patients who had unerupted third molars or no unerupted third molars. Fractures at the condylar region showed a significantly higher incidence in patients without unerupted third molars than in those patients with unerupted third molars. This study provides solid clinical evidence to suggest that the removal of unerupted mandibular third molars predisposes the mandible to condyle fractures.

Adult↗

Commentary regarding the publication "Fractures of the mandibular condyle--a review of 466 cases. Literature review, reflections on treatment and proposals" by N. Zachariades et al.

The paper by Zachariades et al. presents a considerable contribution with regards to the epidemiology of condylar fractures. Hence, it is not possible to draw conclusions from this study with regards to the indication of open reduction or closed treatment. Only well-documented prospective and, if possible, randomized studies will be able to help us in the fracture. In the first prospective randomized study [Eckelt U, Schneider M, Erasmus F, Gerlach KL, Kuhlisch E, Loukota R, Rasse M, Schubert J, Terheyden H: Open versus closed treatment of fractures of the mandibular condylar process - a prospective randomized multi-centre study. J Cranio Maxillofac Surg 34: 306-314, 2006], advantages were observed for the open reduction and fixation of displaced fractures with stable osteosynthesis.

Fracture Fixation↗

Indications for open reduction of mandibular condyle fractures.

Most condylar fractures of the mandible may be treated by closed reduction and appropriate physiotherapy. Some, however, absolutely should be opened and reduced anatomically; with others, good arguments for open reduction may be offered. This article reviews the possible indications for open reduction and presents an approach that conceals the scar.

Adult↗

[Osteochondroma of the mandibular condyle. Case report (author's transl)].

A rare case of osteocartilaginous exostosis, also called osteochondroma, is described. The resection of the tumor through an extra-oral incision is the treatment of choice. The follow-up covers a period of 4 years. No relapse was observed and postoperatively the function of the temporomandibular joint was practically normal.

Adult↗

[Periosteal or juxtacortical chondroma of the mandibular condyle].

One case of juxtacortical chondroma is reported, and the authors review the clinical, radiological, pathological and therapeutic data concerning this tumour which was first individualised by Lichtenstein and Hall in 1952 but never described in this location. Conservative surgery with complete excision of the chondroma usually results in permanent cure.

Adult↗

[Surgical treatment of fractures of the mandibular condyle complicated by dislocation of the head].

Results of the operative treatment of 42 patients with fractures of the condylar process complicated by a dislocation of the head are analyzed in different terms after trauma. The method of choice in patients with fresh fractures in thought to be the surgical setting of the mandible head followed by osteosynthesis. With wrong fixation, old non-united fractures and false articulations the operation of the head replantation is recommended.

Adult↗

Recent developments in understanding temporomandibular joint disorders. Part 1: Bone marrow abnormalities of the mandibular condyle.

Improvements in diagnostic imaging of the temporomandibular joint in the past 20 years have shown that disk displacement is the most frequent abnormality in patients with joint pain and dysfunction. The aetiology of the pain is poorly understood. Recent studies with magnetic resonance imaging have demonstrated a number of other changes in the TMJ. In this paper I review the possible significance of alterations in the condylar bone marrow and its relationship to osteonecrosis.

Arthralgia↗

Reimplantation of the mandibular condyle in cases of intraoral resection and reconstruction of the mandible.

A new technique for the reconstruction of the disarticulated ramus is presented. From an intra-oral approach the mandible is resected, and if the posterior part of the ramus and the neck of the condyle are not involved by the tumour, this part is preserved. It is then fixed to the bone graft from the iliac crest bridging the remaining defect. The procedure is outlined, based on the experience of 4 cases which have been successfully operated on according to this technique. The earliest of them has been followed-up for seven years.

Adult↗

[Functional treatment of fractures of the mandibular condyle and its neck].

The functional treatment of condylar and sub-condylar fractures requires very early mobilisation of the mandible, in protraction. This form of treatment, suggested in France since 1928 by L. Lebourg, is usually carried out with the aid of traction using a plaster helmet. The authors use more simple inter-maxillary traction (as parallel as possible from the standpoint of occlusion) followed by propulsion plates.

Adolescent↗

Unusual presentations of injuries associated with the mandibular condyle in children.

Condylar fractures are sustained commonly by children and are readily diagnosed in the main. Three case histories serve to illustrate the intricate anatomy of the area and how damage to it can produce unusual signs and symptoms which can mislead the unwary. Supplemental images, in particular coronal CTs, can be instrumental in arriving at the correct diagnosis and treatment.

Accidental Falls↗

[Tension bolt osteosynthesis for fractures of the mandibular condyle].

182 patients were treated with our method of tension bolt osteosynthesis between 1980 and 1989. Follow-ups of 103 patients with severe displacement and dislocation fractures showed the results to be clearly better than those of conservative functional treatment. Compared with other surgical procedures this method has the advantage that it does not require the joint area to be exposed again for removal of the osteosynthesis material. Slight displacement, diacapitular fractures and fractures in children still require conservative functional treatment.

Bone Regeneration↗

Open reduction of mandibular condyle fractures. Indications and technique.

The traditional approach of closed reduction for condylar fractures has proved to be effective in an overwhelming majority of patients, but not in all. Some authors have proposed open reduction in selected cases. At present, there are no long-term data supporting open reduction to prevent future joint problems. In view of this, I believe that the best overall indication for open reduction is the surgical need to place the face or jaws in the proper functional position.

Fracture Fixation, Internal↗

[Sagittal fracture of mandibular condyle (SFMC): a clinical and pathological study on the operated patients].

8 patients with SFMC (9 TMJs) were treated surgically, of which findings on images, during operation and pathological examination demonstrated that SFMC of human being was able to reach bony healing, however, with a larger transverse diameter and a step-like articular surface or a bifid condyle; and that both the fractured and the remained condylar cartilage early show degeneration deteriorating progressively, as a result, all 3 six-month or more SFMC patients had perforation of disc and adhesion in TMJ and complained of TMJDS symptoms. These results support the views that the fate of SFMC is severe secondary osteoarthrosis and that SFMC patients should be treated with positive procedures as early as possible.

Humans↗

[Experience in the treatment of mandibular condyle fractures at specialized military medical institutions].

The authors have generalized the experience of treatment of 82 injured with injuries of condylar processus fracture treatment of the lower jaw. By a surgical way were successfully eliminated posttraumatic ankylosis and contracture of temporomandibular articulations with use of titanium endoprosthesis and semi-joints. The osteosynthesis of condylar processus of the lower jaw by titanium miniplates and screws was also practiced.

Adult↗

[Standard radiography of the mandibular condyle in the dental office. The modified Parma and the Zimmer trans-orbital production technic using a retro-alveolar radiologic unit].

Trauma to the condylar area is rather frequent and the stomatologist should be capable of performing a standard radiographic exploration. Two incidences performed in the stomatologist's office using a dental tube appear to be essential. The modified Parma and the transorbitary Zimmer incidences are needed for lateral and anteroposterior views respectively. The equipment required for these views are described together with several examples.

Female↗

[A method for the surgical treatment of mandibular condyle fractures with dislocation of the head of the mandible].

A new method for surgical treatment of fractures of the condylar processes of the mandible with dislocation of the joint head is proposed. It consists in vertical osteotomy of the jaw branch, removal of fragments of the branch and joint head from the wound, intraosseous securing of fragments with a needle outside the operative wound, and fixation of the replant to the branch with 1 or 2 wire sutures. Sixteen patients were operated using this method, the outcomes were favorable.

Adult↗