Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

CLINICAL STUDY OF PROGNOSIS USING LAG SCREW OSTEOSYNTHESIS IN MANDIBULAR CONDYLE FRACTURE

하악 과두 골절 환자에서 Lag Screw를 이용한 치료시 예후에 관한 임상적 연구

  • Lee, Dong-Keun (Dept. of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Min, Seung-Ki (Dept. of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Bae, Jin-Oh (Dept. of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Yang, Hee-Chang (Dept. of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
  • 이동근 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 배진오 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 양희창 (원광대학교 치과대학 구강악안면외과학교실)
  • Published : 1997.06.30
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Abstract

Treatment of condylar fracture is still controversial, but the indication of surgical mangement is increased due to improved fixation methods and surgical techniques. In this article, we report our clinical and radiological results with the use of lag screw osteosynthesis for fixation of fractured mandibular condyle. 12 case of condyle fracture treated by open reduction and fixation with lag screw were monitored for an average of 10 months (range from 6 months to 19 months) postoperatively. The obtained results are as follows : 1. Postoperative maximum mouth opening is achieved over 40mm except one patient. 2. Although slight crepitus and deviation of mandible during mouth opening were found, Temporomandibular joint problem is satisfactory in all but one patient. 3. Distal migration of screw and resorption of fractured fragment were found in each 2 patients, but good functional recovery was achieved in all. According to the above results, we think that lag screw osteosynthesis is relatively indicated in level III or IV condylar fracture.

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