Bilateral Condylar Fracture: A Case Treated with a Conservative Myofunctional Approach

2020 ◽  
Vol 44 (6) ◽  
pp. 464-468
Author(s):  
Antonio Bedoya-Rodriguez ◽  
German O Ramirez-Yanez

Mandibular condylar fractures in a growing child may cause long-term consequences. A conservative approach has been recommended to permit the remodelling of the condyles as well as to re-establishing the mandibular dynamics and oral functions. This case report presents a bilateral mandibular condylar fracture in an 11 years old girl treated with myofunctional appliances in combination with exercises. The successful results from this clinical case support a conservative approach when treating mandibular condylar fractures in a growing child instead of an open surgical approach.

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sahani Anupama ◽  
Pilana Vithanage Kalani Shihanika Hettiarachchi

Background. Fractures of the mandible are common in elderly patients, and among them, condylar fractures are the most frequent type. A change in occlusion is the most common physical finding in patients with fractures of the mandible. Therefore, it is challenging to identify mandibular fractures in posterior edentulous patients due to the lack of posterior occlusal contacts. It is crucial to do radiological investigations in such patients to exclude fractures. Case Presentation. This article describes a case of delayed diagnosis of a unilateral mandibular condylar fracture for a week’s duration and treating the condition as temporomandibular pathology in a posterior edentulous, 52-year-old patient. Conclusion. This clinical case highlights the importance of radiological investigations and occlusal analysis for early diagnosis of condylar fractures, particularly in posterior edentulous patients, lacking posterior occlusal contacts.


2012 ◽  
Vol 50 (1) ◽  
pp. 95-103
Author(s):  
Fernando Lopez ◽  
Vanessa Suarez ◽  
Maria Costales ◽  
Carlos Suarez ◽  
Jose L. Llorente

Background: The management of juvenile angiofibroma (JA) has changed during the last decades but it still continues to be a challenge. The objective of this study was to review the used treatment and our outcomes. Methods: From 1992 to 2010, 48 cases of JA were treated at our department. Charts were reviewed for standard demographic, tumour size and location, vascular supply and results of embolization, surgical approach, operative results, adjuvant therapies, recurrence and postoperative follow-up. Results: Most tumours were Andrews-Fisch stages III and IV and surgery was used as the main treatment in all cases. We used an open surgical approach in 37 (77%) patients and 11 (23%) were treated endoscopically. The most common open approach used in this series was the subtemporal-preauricular approach. Until 1995, all tumours were operated on by a conventional open approach. Afterwards, early-stage tumours were operated on through an endoscopic approach. Ten patients were treated through surgery followed by radiosurgery. Two (4%) patients had recurrent disease. Conclusions: These tumours should be treated at centres with expertise in skull base surgery to achieve complete surgical resections with low morbidity. Radiosurgery after surgery seems to be a valuable option in the long-term control of some extended JAs.


2018 ◽  
Vol 38 (6) ◽  
pp. 841-847
Author(s):  
Nuria Otero ◽  
Javier Scarton ◽  
Laura Pizzolante ◽  
Stefano Inglese ◽  
Anthony Sclar ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Diana Cassi ◽  
Marisabel Magnifico ◽  
Chiara Di Blasio ◽  
Mauro Gandolfini ◽  
Alberto Di Blasio

Condylar fractures are among the most frequent fractures in the context of traumatic lesions of the face. The management of condylar fractures is still controversial, especially when fractures occur in children: if overlooked or inappropriately treated, these lesions may lead to severe sequelae, both cosmetic and functional. The therapy must be careful because severe long-term complications can occur. In this case report, the authors present a case of mandibular fracture in which the decision between surgical therapy and functional therapeutic regimen may be controversial due to the particular anatomy of the fracture line and the age of the patient.


2018 ◽  
Vol 9 (2) ◽  
pp. 90
Author(s):  
Radhika Lekhi ◽  
Kunwarjeet Singh ◽  
Shambhavi Shukla ◽  
Akash Raj Sharma

2016 ◽  
Vol 21 ◽  
pp. 154-156 ◽  
Author(s):  
Sam Tyagi ◽  
Joseph Sabat ◽  
Shinichi Fukuhara ◽  
Behzad Farivar ◽  
Alexander Kagen ◽  
...  

2011 ◽  
Vol 35 (3) ◽  
pp. 309-313
Author(s):  
S Hwang ◽  
RK Yoon

Developmental orofacial dentoalveolar complications associated with chemoradiotherapy in an 8 year old child with a history of rhabdomyosarcoma are reported. This report details, clinically and radiographically,these effects in a child diagnosed at 3 years of age with a lesion primary to the left buccinator. Early evaluation is vital to determine potential dentoalveolar complications and long-term consequences.


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