Clinical, radiographic and MRI findings during and after conservative treatment of condylar fractures

1999 ◽  
Vol 28 ◽  
pp. 153
Author(s):  
M. Prager ◽  
R. Fischbach ◽  
M. Siessegger ◽  
J. Hidding ◽  
J. Zoller
Keyword(s):  
Conservative Treatment ◽  
Mri Findings ◽  
Condylar Fractures

scholarly journals Conservative Approach to Unilateral Condylar Fracture in a Growing Patient: A 2.5-Year Follow Up

2012 ◽  
Vol 6 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Elif Bahar Tuna ◽  
Aysun Dündar ◽  
Abdülkadir Burak Çankaya ◽  
Koray Gençay
Keyword(s):  
Conservative Treatment ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Mandibular Growth ◽  
Fractures In Children ◽  
Facial Swelling ◽  
Direct Pressure ◽  
Condylar Head ◽  
Condylar Fractures

Condylar fractures in children are especially important because of the risk of a mandibular growth-center being affected in the condylar head, which can lead to growth retardation and facial asymmetry. The purpose of this article is to follow up the two and half year clinical and radiological evaluation of the conservative treatment of a 10 year-old patient, who had a unilateral green-stick type fracture. The patient presented with painful facial swelling localized over the left condylar region, limited mouth-opening and mandibular deviation to the left. Panoramic radiography and computed tomography confirmed the diagnosis of incomplete fracture on the left condyle with one side of the bone fractured and the other bent. Closed reduction was chosen to allow for initial fibrous union of the fracture segments and remodeling with a normal functional stimulus. A non-rigid mandibular splint was applied in order to remove the direct pressure on the fracture side of the mandible. Clinical and radiologic examination after 30 months revealed uneventful healing with reduction of the condylar head and remodeling of the condylar process following conservative treatment.

PEDIATRIC FRACTURES OF JAW AND FACIAL BONES

PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 551-559
Author(s):  
Daniel E. Waite
Keyword(s):  
Conservative Treatment ◽  
Adult Patient ◽  
Pediatric Patient ◽  
Patient Management ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Facial Bones ◽  
Pediatric Fractures ◽  
Treatment Principles ◽  
Condylar Fractures

The author has reviewed the literature in the area of jaw and facial fractures in the pediatric patient. There are differences in incidence and treatment between the pediatric and adult patient. A review of the treatment principles for pediatric patient management is provided. Special attention is devoted to the use of "stock" trough splints in the treatment of mandibular fractures. The conservative treatment of condylar fractures is advocated.

Remodelling of the Temporomandibular Joint after Conservative Treatment of Condylar Fractures

1987 ◽  
Vol 16 (2) ◽  
pp. 91-98 ◽  
Author(s):  
Z-J Zou ◽  
W-T Wu ◽  
G-X Sun ◽  
X-P Zhu ◽  
K-H Zhang ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Temporomandibular Joint ◽  
Condylar Fractures

Conservative treatment for pediatric lumbar spondylolysis to achieve bone healing using a hard brace: what type and how long?

2012 ◽  
Vol 16 (6) ◽  
pp. 610-614 ◽  
Author(s):  
Koichi Sairyo ◽  
Toshinori Sakai ◽  
Natsuo Yasui ◽  
Akira Dezawa
Keyword(s):  
Conservative Treatment ◽  
Bone Healing ◽  
Signal Intensity ◽  
Early Stage ◽  
Ct Scanning ◽  
High Signal Intensity ◽  
High Signal ◽  
Mri Findings ◽  
Lumbar Spondylolysis ◽  
Pars Interarticularis

Object Various kinds of trunk braces have been used to achieve bone healing in cases of pediatric lumbar spondylolysis. However, the optimal brace for achieving bone healing is unclear. The purpose of the present study was to determine in what types of spondylolysis bone healing can be achieved and how long it takes. Methods In this prospective study, 63 pars interarticularis defects (spondylolysis) among 37 patients who were younger than 18 years (mean 13.5 ± 2.7 years) were treated using a hard brace. The youngest patient was 8 years old. Based on the results of CT scanning, the lyses were classified into 3 categories: early, progressive, and terminal defects. Progressive defects were further divided into 2 types according to STIR MRI findings: those with high signal intensity at the adjacent pedicle and those with low signal intensity (that is, a normal appearance). A hard brace, such as a molded plastic thoracolumbosacral orthosis, was used to immobilize the trunk. Approximately every 3 months, CT scanning was performed to evaluate bone healing until approximately 6 months. Results The union rates were 94%, 64%, 27%, and 0% for the early, progressive with high signal intensity, progressive with low signal intensity, and terminal defects, respectively. It was noted that no terminal defect was healed using conservative treatment. The mean time to healing among the defects that showed bone healing was 3.2, 5.4, and 5.7 months for the early, progressive with high signal intensity, and progressive with low signal intensity groups, respectively. Conclusions Patients with early-stage defects are the best candidates for conservative treatment with a hard brace because more than 90% of such cases can be healed in 3 months.

scholarly journals CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT

2021 ◽  
Vol 71 (2) ◽  
pp. 667-71
Author(s):  
Humaira Sarwar ◽  
Irfan Shah ◽  
Ali Akhtar Khan ◽  
Adnan Babar ◽  
Saad Mehmood ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Conservative Management ◽  
Maxillofacial Surgery ◽  
Radiological Finding ◽  
Mouth Opening ◽  
Armed Forces ◽  
P Value ◽  
Oral And Maxillofacial Surgery ◽  
Condylar Fractures

Objective: To assess the clinical as well as radiological outcomes of the conservative management of mandibular condyle fractures. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery (OMFS), Armed Forces Institute of Dentistry (AFID), Rawalpindi, from Feb 2018 to Aug 2019. Methodology: A total of 60 patients diagnosed as isolated mandible trauma with unilateral condyle fractures were studied. All patients were assessed radiologically on orthopantomogram (OPG) before the start of treatment. They were assessed clinically for maximum mouth opening (MMO), occlusion, pain and masticatory satisfaction before the start of treatment and after conservative management. Conservative Management includes soft diet only or maxillomandibular fixation (MMF) followed by active physical therapy. After 6 months of follow up, pre-treatment and post-treatment clinical parameters and radiological finding were compared. Results: Sixty patients were managed conservatively, among them 37 (62%) were male and 23 (38%) were female with age range of 21-53 years. There was statistically significant decrease in pain (p-value 0.002) and improvement in mastication (pvalue 0.079) before and after the conservative treatment of mandibular condylar fractures. Overall 46 (77%) patients treated with conservative management were satisfied with their mastication and 40 (67%) patients had mild pain on mastication. All the patients showed satisfactory occlusion and had no occlusal discrepancy on last follow up visit. Maximum mouth opening improved from 32.38 ± 4.54 to 40.90 ± 1.75 after treatment. The mean of preoperative ramus length difference of both sides of the mandible was 4.23 ± 2.3 mm............

scholarly journals Intra-Articular Condylar Fractures: Is Necessary Surgical Treament?

2021 ◽  
Vol 7 (1) ◽  
pp. 10-15
Author(s):  
Giuseppe Consort ◽  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Internal Fixation ◽  
Open Reduction ◽  
Trauma Surgery ◽  
Surgical Techniques ◽  
Mandibular Fracture ◽  
Condylar Fracture ◽  
Articular Fractures ◽  
Condylar Fractures

The surgical treatment of mandibular condylar fractures represents one of the most discussed topics in maxillofacial trauma surgery. Over the years the literature has documented an increasing attitude towards open reduction and internal fixation (ORIF) of these fractures. Some authors have recently increased the indications for ORIF to include intra-articular fractures, which have historically been managed conservatively1,2,3. The authors present their experience in the surgical treatment of intra-articular condylar fractures over a period of five years, from 2009 to 2014. Surgical techniques, early and delayed complica-tions, clinical and radiological outcomes and comparison with conservative treatment are discussed. Keywords: Mandibular Fracture, Condylar Fracture, Trauma.

Non surgical management of condylar fracture in a 12 year old patient

2020 ◽  
Vol 12 (1) ◽  
pp. 49-52
Author(s):  
Dr. S.K. Srinath ◽  
Dr.Padmapriya S ◽  
Dr.Sahana N.S ◽  
Dr.Sushma H S ◽  
Dr.Viswanath S K
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Temporomandibular Joint ◽  
Surgical Management ◽  
Condylar Fracture ◽  
Pediatric Dentist ◽  
Fractures In Children ◽  
Condylar Fractures

TIn children, condylar fractures are fairly common and are among the most undiagnosed fractures in children. Seventy to eighty percent of temporomandibular joint ankyloses are the result of undiagnosed condylar fractures. As a pediatric dentist, it is crucial to diagnose and treat condylar fracture in order to ensure mastication and ensure thewell-being of the child as a whole. This case report focuses on the diagnosis of condylar fracture and the importance of its conservative treatment.

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