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Management of Mandibular Condylar Sagittal Fracture Accompanied by Lateral Condylar Crest Defect.
Wu, Benxing; Lin, Yuxin; Lv, Kun.
Afiliação
  • Wu B; State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Hubei, Wuhan, People's Republic of China.
  • Lin Y; State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Hubei, Wuhan, People's Republic of China.
  • Lv K; State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Hubei, Wuhan, People's Republic of China.
J Craniofac Surg ; 35(5): e428-e429, 2024.
Article em En | MEDLINE | ID: mdl-38563559
ABSTRACT

BACKGROUND:

The sagittal fracture of the mandibular condyle can be fixed with absorbable long screws. Absorbable long screws are generally inserted from the lateral crest of the condyle and are as close as possible to the medial pole of the condyle to obtain sufficient retention force. However, in clinical practice, patients with locally comminuted condylar fractures and partial defects in the lateral crest are often encountered. We validated the use of absorbable plates and long screws to fix mandibular condylar fractures with lateral crest defects, and postoperative follow-up showed good results.

METHODS:

The preoperative design indicated that if conventional long screws were used, more soft tissue need to be pulled downward to achieve the appropriate drilling angle. If an absorbable plate was used, the degree of downward pulling of soft tissue was smaller, which can better protect the parotid gland tissue and facial nerve. The surgery was performed according to the preoperative design, using an absorbable plate scheme. RESULTS AND

DISCUSSION:

Postoperative CT confirmed a stable anatomical reduction of condyle. Four-month follow-up showed that the patient's facial shape, occlusion, and mouth opening were all good. Follow-up CT showed good fracture healing. It is feasible to use absorbable plates and long absorbable screws to fix mandibular condylar sagittal fracture accompanied by lateral condylar crest defect.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Placas Ósseas / Parafusos Ósseos / Implantes Absorvíveis / Fixação Interna de Fraturas / Côndilo Mandibular / Fraturas Mandibulares Limite: Adult / Female / Humans / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Placas Ósseas / Parafusos Ósseos / Implantes Absorvíveis / Fixação Interna de Fraturas / Côndilo Mandibular / Fraturas Mandibulares Limite: Adult / Female / Humans / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article