Lateral Pterygoid Muscle Biometric Modifications in Pterygoid Process Fractures Associated With Mandibular Fractures.

Purpose: Pterygoid process fractures (PPFs) are classically associated with Lefort fractures but can also be encountered in association with other facial fractures such as mandibular fractures. The aim of this study was to estimate the frequency of PPFs associated with mandibular fractures and ident...

Full description

Bibliographic Details
Published in:Journal of Oral & Maxillofacial Surgery (02782391) Vol. 78; no. 12; pp. 2258 - 2267
Main Authors: Nicot, Romain, Roland-Billecart, Thomas, Srouji, Alexandre, Barry, Florent, Ferri, Joël, Schlund, Matthias
Format: research tables/charts Journal Article
Published: W B Saunders Dec2020
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146932459&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 146932459
    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: Dec2020
      vid: 78
      iid: 12
      pid: 1351
      pub: W B Saunders
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        146932459
        146932459
        NLM32866485
        146932459
        10.1016/j.joms.2020.07.219
        NLM32866485
        146932459
      ppf: 2258
      ppct: 9
      formats:
      tig:
        atl: Lateral Pterygoid Muscle Biometric Modifications in Pterygoid Process Fractures Associated With Mandibular Fractures.
      aug:
        au:
          Nicot, Romain
          Roland-Billecart, Thomas
          Srouji, Alexandre
          Barry, Florent
          Ferri, Joël
          Schlund, Matthias
        affil: Senior Lecturer, Department of Oral and Maxillofacial Surgery, University of Lille, CHU Lille, INSERM, Controlled Drug Delivery Systems and Biomaterials, Lille, France
      sug:
        subj:
          Mandibular Fractures
          Retrospective Design
          Pterygoid Muscles
          Cross Sectional Studies
          Mandible
          Human
      ab: Purpose: Pterygoid process fractures (PPFs) are classically associated with Lefort fractures but can also be encountered in association with other facial fractures such as mandibular fractures. The aim of this study was to estimate the frequency of PPFs associated with mandibular fractures and identify factors associated with PPF.Materials and Methods: We conducted a retrospective cross-sectional study using computed tomography scanning of patients having a mandibular fracture between November 2018 and April 2020. PPFs were classified using the classification by An et al. Volume, length, and width of both lateral pterygoid muscles have been evaluated by using an image processing software. Study population has been divided into 2 groups: fracture of pterygoid process or the absence of PPF. To evaluate the implication of lateral pterygoid muscle in the pathophysiology of PPF, we compared lateral pterygoid muscle volume, its maximal length, and width between both groups. Patients with bilateral fractures were excluded from this analysis.Results: About 304 patients with at least 1 mandibular fracture have been included in this study. About 18 patients presenting an association of mandibular fracture and PPF were finally selected. About 83.33% of the patients were concerned by a fracture of the posterior part of the mandible. The PPF was classified as type IIA by the classification of An et al for 94.4% of patients. The lateral pterygoid muscle volumes were significantly larger on the side of the PPF (P = .02). However, there were no significant differences in the maximum length (P = .49) and width (P = .1) of lateral pterygoid muscle.Conclusions: Our study showed an association between mandibular fractures (mainly ipsilateral posterior) and isolated PPF through a lateral pterygoid muscle volume increase.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N