Prospective evaluation of a new classification system for the management of mandibular subcondylar fractures.
Purpose: We propose a new classification of subcondylar fractures of the mandible based on ramal height shortening and degree of fracture angulation and present our treatment experience using this classification system. Patients and Methods: Eighty patients with subcondylar fractures of the mandible...
| Published in: | Journal of Oral & Maxillofacial Surgery (02782391) Vol. 69; no. 4; pp. 1159 - 1166 |
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| Main Authors: | , , , , , , , |
| Format: | research randomized controlled trial Journal Article |
| Published: |
W B Saunders
Apr2011
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104854840&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104854840 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782391 1YP jtl: Journal of Oral & Maxillofacial Surgery (02782391) issn: 02782391 maglogo: N pubinfo: dt: Apr2011 vid: 69 iid: 4 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 104854840 NLM21211891 2010990762 10.1016/j.joms.2010.05.050 NLM21211891 104854840 ppf: 1159 ppct: 7 formats: tig: atl: Prospective evaluation of a new classification system for the management of mandibular subcondylar fractures. aug: au: Bhagol A Singh V Kumar I Verma A Bhagol, Amrish Singh, Virendra Kumar, Ish Verma, Ajay affil: Department of Oral and Maxillofacial Surgery, Government Dental College, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India sug: subj: Mandibular Condyle Injuries Mandibular Fractures Classification Adult Dental Occlusion Dislocations Classification Dislocations Therapy Female Fracture Fixation Methods Human Male Malocclusion Classification Mandibular Fractures Surgery Mandibular Fractures Therapy Motor Neuron Diseases Classification Motor Neurons Physiology Pain Measurement Paresthesia Classification Perception Prospective Studies Radiography, Panoramic Randomized Controlled Trials Range of Motion Physiology Surgery, Oral Touch Physiology Treatment Outcomes Adult: 19-44 years Female Male ab: Purpose: We propose a new classification of subcondylar fractures of the mandible based on ramal height shortening and degree of fracture angulation and present our treatment experience using this classification system. Patients and Methods: Eighty patients with subcondylar fractures of the mandible were evaluated. We categorized the fractures into 3 classes: Class 1 (minimally displaced), fracture with ramal height shortening: <2 mm and/or degree of fracture displacement: <10°; Class 2 (moderately displaced), fracture with ramal height shortening: 2 to 15 mm and/or degree of fracture displacement: 10 to 35°; Class 3 (severely displaced), fracture with ramal height shortening: >15 mm and/or degree of fracture displacement: >35°. Our treatment protocol is closed treatment for Class 1 fractures; either closed or open treatment for Class 2 fractures; and open treatment for Class 3 fractures. Results: Among 80 patients, 20 had Class 1 fractures (25%), 40 had Class 2 fractures (50%), and 20 had Class 3 fractures (25%). In Class 2 fractures, 22 patients were managed by closed treatment (Class 2a) and 18 by open treatment (Class 2b). No statistically significant differences were found between the 3 classes in terms of functional outcome, while, within Class 2 patients, significantly (P = .00) better functional results were observed in open (Class 2b) group compared with closed group (Class 2a). Conclusions: Our new classification based on ramal height shortening and degree of fracture displacement can better guide clinical treatment. Class 1 fractures are treated by closed method, while open reduction is recommended in Class 2 and Class 3 cases. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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