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Results for “MANDIBULAR CONDYLE”

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At least 1,621 records · Page 90Linked to original sources

Open reduction and internal rigid fixation of subcondylar fractures via an intraoral approach.

Extraoral open reduction and rigid fixation of mandibular subcondylar fractures is controversial among surgeons. An intraoral approach with a percutaneous trocar and miniplates demonstrated satisfactory reduction. This technique can be more easily performed than a preauricular or submandibular incision, and risk of facial nerve damage is diminished. Early function with proper vertical dimension was restored with minimal postoperative morbidity.

Adult↗

Improved magnetic resonance imaging of the temporomandibular joint by oblique scanning planes.

This study was undertaken to investigate whether the quality of magnetic resonance images of the temporomandibular joint could be improved by scanning in oblique planes oriented according to the individual angle of the mandibular condyle (oblique images) instead of in the true anatomic sagittal and coronal planes (orthogonal images). Sagittal and coronal magnetic resonance images obtained by both methods in 21 patients were compared for image quality of the disk. In more than half the patients the oblique images demonstrated the anatomy of the disk better than the orthogonal images. Oblique images are therefore recommended.

Adolescent↗

Ankylosis of the temporomandibular joint. Follow-up of thirteen patients.

We undertook a postoperative clinical study of 13 patients with ankylosis of the temporomandibular joints. The study consisted of an evaluation of the surgical concepts of resection and subsequent surgical reconstruction by osteotomy in previous height of the joint space and lining of the glenoid fossa with lyophilized dura. Early mobilization and aggressive physiotherapy are mandatory postoperative measures. According to the theory of mandibular growth as a result of functional matrix, early surgical intervention to correct ankylosis should be performed, regardless of the age of the patient, to prevent recurrence and later asymmetry or distoclusion.

Adolescent↗

Solitary neurofibroma of the mandible and infratemporal fossa in a young child. Report of a case.

The first case of a rare and unusual solitary neurofibroma of the mandible that caused bony erosion and extension into the adjacent soft tissues of the infratemporal fossa is presented. The clinical, radiographic, and histopathologic features of the neurofibroma are reviewed. The diagnostic procedures and the surgical treatment of this tumor in a young child are discussed.

Child, Preschool↗

Multiple idiopathic mandibular bone cysts in a patient with osteogenesis imperfecta.

Although the most common oral manifestation of osteogenesis imperfecta is dentinogenesis imperfecta, several authors have described jaw fractures and radiolucent bone lesions associated with this disease. We report a case of a 23-year-old white woman with osteogenesis imperfecta and dentinogenesis imperfecta who developed multiple unilocular, bilateral, radiolucent lesions of the mandible 5 years after presenting with a condylar fracture. This is the first documentation by surgical and histopathologic examination that the radiolucent lesions in this particular case represent multiple idiopathic bone cysts.

Adult↗

The management of fractures of the mandible.

In some countries there is a move away from the traditional use of predominantly closed or semi-closed procedures in the management of facial fractures to widespread use of aggressive surgical techniques. Observations are made on the effect that this trend may have on the trainee Oral Surgeon. An analysis of a series of 156 consecutive cases of mandibular fracture bears out the impression that simple jaw support, when there is patient co-operation, is adequate for the treatment of the majority of mandibular fractures and that when fixation is indicated, the eyelet wiring technique gives excellent results without complicating management. When open operation is indicated, intraosseous wire suture is proposed as a convenient method for first consideration. The necessity to determine accurately the pre-accident occlusion in cases of possible malocclusion is underlined and a plea is made to exercise patience in the management of fractures, particularly when the condylar neck is involved.

Adolescent↗

Facial nerve paralysis complicating bilateral fractures of the mandible: a case report and review of the literature.

A case report of a unilateral lower motor neurone facial nerve paralysis complicating bilateral fractures of the mandible is described. The injury was the result of a fall. The differential diagnosis is discussed together with the treatment undertaken. The importance of a thorough examination of the cranial nerves following trauma is emphasised. A review of the literature is presented with special reference to the relative merits and indications for the use of cortico-steroids and surgical exploration.

Adult↗

An analysis of mandibular fractures in Dundee, Scotland (1977 to 1985).

A retrospective study was undertaken to assess mandibular fractures presenting over the period 1977-1985 in Dundee, Scotland. The data collected included age, sex, aetiology, month in which injury occurred, anatomical site of fracture, associated maxillofacial trauma and treatment modalities. The majority of fractures were sustained by males in the age group 20 to 29 years. Assault was the major cause of trauma followed by falls and road traffic accidents. The posterior body region was found to be the most common fracture site in the mandible. The level of such trauma has more than doubled, since a similar study was undertaken between the years 1961 to 1970.

Accidental Falls↗

Guide groove for pinning subcondylar fractures.

For pinning subcondylar fractures, a guide groove cut on the lateral surface of the mandibular ramus is a useful method of directing a Kirschner wire into the correct position. An extended groove correctly guides the pin in difficult cases.

Bone Nails↗

Delayed miniplate osteosynthesis for mandibular fractures.

Forty patients with 51 mandibular fractures were reviewed retrospectively following miniplate osteosynthesis which had been delayed beyond the recommended time interval. All patients received preoperative antibiotics. The incidence of wound dehiscence (2.5%), wound infection (2.5%) and delayed union (2.5%) were found to be comparable to osteosynthesis performed within 24 h. The sitting of incision lines is important in preventing wound dehiscence and infection. Stainless steel plates appear as effective in the short term, as those constructed of more expensive alloys.

Adolescent↗

Abnormal bone masses in Klippel-Feil syndrome.

Five female patients with Klippel-Feil syndrome (KFS) are presented with abnormal bony masses in the mandibular ramus region. The features of KFS are described with assessment and treatment of the five patients. Although congenital duplication of mandibular rami in KFS has been previously documented, we believe this is the first series of patients with this deformity.

Adult↗