Bone resorption post open reduction and internal fixation of mandibular condylar head fractures: An original research
Keywords:
Bone Resorption, Open Reduction, Internal Fixation, Condylar Head FracturesAbstract
Introduction: The various changes after ORIF and the internal fixation of condylar head fractures are available for a less follow up period only. Hence in this study we evaluated bone resorption after open reduction and internal fixation of condylar head fractures of the mandible. Materials and Methods: A retrospective analysis of patients who underwent open reduction and internal fixation of condylar head fractures was conducted. The bone resorption on the condylar head was measured after removal of osteosynthesis material by segmenting and superimposing of the postoperative 3D radiologic follow-up exam (T2) over the initial intraoperative cone-beam computed tomography (T1). Results: We observed that in the total of 150 patients, the mean follow-up time was 25.6 months. The mean bone resorption on the condylar head is -5.16% of segmented condylar head. There was no correlation of clinical outcome and bone resorption. Conclusions: The mean bone resorption rate of -5.16% in the intermediate-term follow-up time is comparable to findings of other studies with short-term follow-up time. The bone resorption is seen in the first few months postoperative and is lower in the next moths.
Downloads
References
Yang WG, Chen CT, Tsay PK, et al. Functional results of unilateral mandibular condylar process fractures after open and closed treatment. J Trauma. 2002;52:498Y503.
Ellis E 3rd, McFadden D, et al. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2000;58: 950Y958.
Gerbino G, Boffano P, Tosco P, et al. Long-term clinical and radiological outcomes for the surgical treatment of mandibular condylar fractures. J Oral Maxillofac Surg. 2009;67:1009Y1014.
Iizuka T, Lindqvist C, Hallikainen D, et al. Severe bone resorption and osteoarthrosis after miniplate fixation of high condylar fractures. A clinical and radiologic study of thirteen patients. Oral Surg Oral Med Oral Pathol. 1991;72:400Y407.
Hlawitschka M, Loukota R, Eckelt U. Functional and radiological results of open and closed treatment of intracapsular (diacapitular) condylar fractures of the mandible. Int J Oral Maxillofac Surg. 2005;34:597Y604.
Choi BH, Yi CK, Yoo JH. Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures. J Oral Maxillofac Surg. 2001;59:734Y737; discussion 738.
Sauerbier S, Schon R, Otten JE, et al. The development of plate osteosynthesis for the treatment of fractures of the mandibular bodyVa literature review. J Craniomaxillofac Surg. 2008;36:251Y259.
Benech A, Arcuri F, Baragiotta N, et al. Retroauricular transmeatal approach to manage mandibular condylar head fractures. J Craniofac Surg. 2011;22: 641Y647.
He D, Yang C, Chen M, et al. Modified preauricular approach and rigid internal fixation for intracapsular condyle fracture of the mandible. J Oral Maxillofac Surg. 2010;68:1578Y1584.
Luhr HG. A micro-system for cranio-maxillofacial skeletal fixation. Preliminary report. J Craniomaxillofac Surg. 1988;16:312Y314.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
