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Treatment of condylar fractures with an intraoral approach using an angulated screwdriver: Results of a multicentre study

Vajgel, André and De Santana Santos, Thiago and Camargo, Igor Batista and De Oliveira, David Moraes and Laureano Filho, José Rodrigues and De Holanda Vasconcellos, Ricardo José and Lima, Sergio Monteiro and Pereira Filho, Valfrido A. and Mueller, Andreas A. and Juergens, Philipp. (2015) Treatment of condylar fractures with an intraoral approach using an angulated screwdriver: Results of a multicentre study. Journal of Cranio-Maxillofacial Surgery, 43 (1). pp. 34-42.

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Official URL: https://edoc.unibas.ch/78392/

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Abstract

Background This 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. Methods 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. Results 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. Conclusion 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.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Kopfbereich > Cleft lip and palate surgery (Müller)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Kopfbereich > Cleft lip and palate surgery (Müller)
UniBasel Contributors:Müller, Andreas A.
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Elsevier
ISSN:1010-5182
e-ISSN:1878-4119
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:29 Sep 2020 06:57
Deposited On:29 Sep 2020 06:57

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