Produção Nacional
Revisado por pares
Treatment of condylar fractures with an intraoral approach using an angulated screwdriver: Results of a multicentre study
2014; Elsevier BV; Volume: 43; Issue: 1 Linguagem: Inglês
10.1016/j.jcms.2014.10.006
ISSN1878-4119
AutoresAndré Vajgel, Thiago de Santana Santos, Igor Batista Camargo, David Moraes de Oliveira, José Rodrigues Laureano Filho, Ricardo José de Holanda Vasconcellos, Sergio Monteiro Lima, Valfrido Antonio Pereira‐Filho, Andreas Mueller, P. Juergens,
Tópico(s)Dental Radiography and Imaging
ResumoThis multicentre study aimed to investigate long-term radiographic and functional results following the treatment of condylar fractures using an angulated screwdriver system and open rigid internal fixation with an intraoral surgical approach. Twenty-nine patients with a total of 32 condylar fractures were evaluated. The patients were investigated prospectively based on the following variables: age, sex, aetiology, side, location and classification of the fracture, degree of displacement, associated fractures, surgical approach, oral health status, type of osteosynthesis plate, duration of surgery, mouth-opening, complications, and duration of follow-up. The fractures were classified as subcondylar (n = 25) or condylar neck (n = 7). Mean patient age was 36.38 ± 16.60 years. The median duration of postoperative follow-up was 24.39 ± 13.94 months. No joint noise, weakness of the facial nerve, joint pain, or muscle pain was observed. An additional retromandibular approach was necessary to enable the treatment of one subcondylar fracture with medial displacement. Subcondylar or condylar neck fractures with medial or lateral displacement can be treated using an intraoral approach with satisfactory results with the advantages of the absence of visible scarring, the avoidance of facial nerve injury, and the ability to obtain rapid access to the fracture.
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