하악과두골절에서 근육과 인대를 통한 기능적인 정복술
Neuromuscular Guided Functional Reduction of Mandibular Condyle Fracture
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Introduction: Practitioner used 2 different plate fixation after reduction of mandibular condyle fracture. This study was to compare sliding plate between conventional 4 hole plate after condyle fracture reduction. Method and materials: A total of 30 patients were operated for condyle fracture. Group was separated two. Control group operated and fixated 4 hole conventional plate (n=13). Experimental group operated and fixated sliding plate (n=17). Approximately 3~6 month later followed up through panorama & reverse townes view X-ray. In these X-ray, we compared angle of non-fracture opposite side condyle between fracture site condyle. Statistical analyzed with Mann-whitney analysis (P<0.05). Results: Observing through Panoramic X-ray fracture site condyle angle and non-fracture site condyle angle’s difference were 2.1 degree at sliding plate and 7.12 degree at 4 hole conventional plate. In reverse towens view X-ray, fracture site condyle angle and non-fracture site condyle angle’s difference is 13.5 degree at sliding plate and 16.5 degree at 4 hole conventional plate. Conclusion: We suggest using sliding plate to reduce condyle fracture. No significant difference measured changing condyle angle after operation between sliding plate and 4 hole conventional plate in panoramic & reverse townes view.
Abstract
Introduction: Practitioner used 2 different plate fixation after reduction of mandibular condyle fracture. This study was to compare sliding plate between conventional 4 hole plate after condyle fracture reduction. Method and materials: A total of 30 patients were operated for condyle fracture. Group was separated two. Control group operated and fixated 4 hole conventional plate (n=13). Experimental group operated and fixated sliding plate (n=17). Approximately 3~6 month later followed up through panorama & reverse townes view X-ray. In these X-ray, we compared angle of non-fracture opposite side condyle between fracture site condyle. Statistical analyzed with Mann-whitney analysis (P<0.05). Results: Observing through Panoramic X-ray fracture site condyle angle and non-fracture site condyle angle’s difference were 2.1 degree at sliding plate and 7.12 degree at 4 hole conventional plate. In reverse towens view X-ray, fracture site condyle angle and non-fracture site condyle angle’s difference is 13.5 degree at sliding plate and 16.5 degree at 4 hole conventional plate. Conclusion: We suggest using sliding plate to reduce condyle fracture. No significant difference measured changing condyle angle after operation between sliding plate and 4 hole conventional plate in panoramic & reverse townes view.
참고문헌 (15)
- Ellis E, "Facial Symmetry After Closed and Open Treatment of Fractures of the Mandibular Condylar Process", J Oral Maxillofac Surg, 58, pp.719~728 (2000)
- Brandt MT, "Open Versus Closed Reduction of Adult Mandibular Condyle Fractures: A Review of the Literature Regarding the Evolution of Current Thoughts on Management", J Oral Maxillofac Surg, 61, pp.1324~1332 (2003)
- Jacobovicz J, "Endoscopic Repair of Mandibular Subcondylar Fractures", Plast Reconstr Surg, 101, pp.2~ (1998)
- Kokemueller H, "Endoscope-Assisted Transoral Reduction and Internal Fixation Versus Closed Treatment of Mandibular Condylar Process Fractures - A Prospective Double-Center Study", J Oral Maxillofac Surg, 70, pp.384~395 (2012)
- Meyer C, "Experimental evaluation of three osteosynthesis devices used for stabilizing condylar fractures of the mandible", J Craniomaxillofac Surg, 34, pp.173~181 (2006)
- Vesnaver A, "Evaluation of surgical treatment in mandibular condyle fractures", J Craniomaxillofac Surg, 40, pp.647~653 (2012)
- Spiessl B, "Spezielle frakture und luxationslehre" (1972), Thieme
- Baker AW, "Current consensus on the management of fractures of the mandibular condyle. A method by questionnaire", Int J Oral Maxillofac Surg, 27, pp.258~266 (1998)
- Singh V, "Outcomes of Open Versus Closed Treatment of Mandibular Subcondylar Fractures: A Prospective Randomized Study", J Oral Maxillofac Surg, 68, pp.1304~1309 (2010)
- Mohan AP, "Comparison of Preauricular Approach Versus Retromandibular Approach in Management of Condylar Fractures", J Maxillofac Oral Surg, 11(4), pp.435~441 (2012)
- Vajgel A, "Treatment of condylar fractures with an intraoral approach using an angulated screwdriver: Result of a multicenter study", J Craniomaxillofac Surg, 43, pp.34~42 (2005)
- Widmark G, "Open reduction of subcondylar fractures: A study of functional rehabilitation", Int J Oral Maxillofac Surg, 25, pp.107~111 (1996)
- Villarreal PM, "Mandibular condyle fracture: Determinants of treatment and outcome", J Oral Maxillofac Surg, 62(2), pp.155~163 (2004)
- Baek R-M, "A New Condyle Repositionable Plate for Sagittal Split Ramus Osteotomy", J Craniofac Surg, 21, pp.489~490 (2010)
- Ghang M-H, "Three-dimensional mandibular change after sagittal split ramus osteotomy with a semirigid sliding plate system for fixation of a mandibular setback surgery", Oral Surg Oral Med Oral Pathol Oral Radiol, 115, pp.157~166 (2013)