Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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THE LONG-TERM RESULT OF CONDYLE FRACTURE IN CHILDREN

성장기 아동 하악 과두 골절의 예후에 관한 장기 추적 조사

  • Choi, Jin-Ho (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Inha University) ;
  • Ryu, Seung-Hyun (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Inha University) ;
  • Ryu, Mun-Gwang (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Inha University) ;
  • Kim, Jae-Woo (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Inha University) ;
  • Kim, Il-Kyu (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Inha University) ;
  • Ha, Tae-Jin (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Inha University)
  • 최진호 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 류승현 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 류문광 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 김재우 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 김일규 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 하태진 (인하대학교 의과대학 치과학교실 구강악안면외과)
  • Published : 2004.04.30
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Abstract

The purpose of this study was the long-term clinical and radiological evaluation of conservatively treated condylar fractures in children. This study was therefore undertaken to analyze the long-term effects of treating condylar fractures in children with conservative therapy in order to resolve the controversial question of whether complete remodeling occurs in this age or, if not, whether it is more likely to be associated with certain types of fracture or with other factors. This study was based on a series of 11 consecutive children and adolescents, aged between 3 and 15 years, with fractures of the condylar process who had been treated with conservative therapy at the Department of Oral & Maxillofacial surgery, Inha University Hospital, Inchon, Korea. All patients underwent a clinical investigation with special emphasis on Temporomandibular joint function and facial asymmetry. The patients also underwent a radiologic investigation, focusing on fracture remodeling and symmetry of mandible. It consists of panoramic radiograph, PA & lateral cephalogram and 3-D CT. No patient described impaired temporomandibular joint(TMJ) function or pain on the affected side. 2 of 8 (25%) unilateral and 1 bilateral fractures show slight facial asymmetry. Despite apparently excellent recovery of function, there were marked remodeling changes evident on the CT scan. Such changes are not usually evident on panoramic radiograph. Radiologic investigation showed incomplete remodelling(54.5%) and asymmetry of the mandible (27.3%) in some patients. Conservative treatment of condyle fracture in children results in satisfactory long-term outcome of jaw function despite a relative high frequency of radiologically noted aberrations.

Keywords

References

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