Browse > Article

REMODELLING AFTER CONSERVATIVE TREATMENT OF THE MANDIBULAR CONDYLAR FRACTURES IN CHILDREN  

Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University)
Hwang, Ung (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University)
Yang, Kyu-Ho (Department of Pediatric Dentistry, College of Dentistry, Dental Science Research Institute, Chonnam National University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.30, no.1, 2004 , pp. 49-55 More about this Journal
Abstract
The management of mandibular condylar fractures in children has long been a matter of controversy. The fracture, if not treated appropriately, may result in complications such as disturbance of mandibular growth and temporomandibular joint ankylosis. They are usually treated nonsurgically, which has been proved to be satisfactory in the long term results. Nineteen children with 25 condylar fractures experienced during their growth period (age at trauma from 10 months to 12 years, mean 7.0 years) were studied. All patients were treated by arch bars and intermaxillary fixation for $7{\sim}14$ days. They have been evaluated with clinical and radiographic examination. The maximum mouth opening and lateral movement of the mandible were within normal limits. There was no malocclusion or ankylosis. Beginning of remodelling was evident at postoperative $1{\sim}3$ months. Remodelling of the condyle was good in 21, while partial adjustment occured in the other 4 condyles. These results suggest that the conservative treatment of condylar fractures in growing children results in good functional results and good remodelling of the condyle.
Keywords
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Amaratunga NA, De S: Mandibular fractures in children. A study of clinical aspects, treatment needs, and complications. J Oral Maxillofac Surg 1988;46:637-640   DOI   ScienceOn
2 Oji C: Fractures of the facial skeleton in children: a survey of patients under the age of 11 years. J Cranio-Maxillofacial Surg 1998;26:322-325   DOI   ScienceOn
3 Siegel MB, Wetmore RF, Potsic WP, Handler SD, Tom LWC: Mandibular fractures in the pediatric patient. Arch Otolaryngol Head Neck Surg 1991;117:533-536   DOI   PUBMED   ScienceOn
4 Banks P: A pragmatic approach to the management of condylar fractures. Int J Oral Maxillofac Surg 1998;27:244-246   DOI   PUBMED   ScienceOn
5 Iizuka T, Ladrach K, Geering AH, Raveh J: Open reduction without fixation of dislocated condylar process fractures: long term clinical and radiologic analysis. J Oral Maxillofac Surg 1998;56:553-561   DOI   ScienceOn
6 민승기, 최문기, 오승환, 이동근: 소아의 하악골 골절에 관한 임상적 연구. 대한악안면성형재건외과학회지 2000;22:555-562
7 Hardt N: The treatmemt of mandibular fractures in children. J Cranio-Maxillofacial Surg 1993;21:214-219   DOI   ScienceOn
8 Teixeira ACB, Luz JGC, Araujo VC, Araujo NS: Healing of the displaced condylar process fracture: an experimental study. J Cranio-Maxillofacial Surg 1998;26:326-330   DOI   ScienceOn
9 Karl-Nicke B, Fischbach R, Gerlach KL: Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow up study using spiral computed tomography. Dentomaxillofac Radiol 1995:24:37-45
10 Dahlstrom L, Kahnberg KE, Lindahl L: 15 years follow-up on condylar fractures. Int J Oral Maxillofac Surg 1989;18:18
11 Hall RK: Facial trauma in children. Aust Dent J 1974;19:336-345   DOI   PUBMED   ScienceOn
12 Guven O: A clinical study on temporomandibular joint ankylosis. Auris Nasus Larynx 2000;27:27-33   DOI   PUBMED   ScienceOn
13 Guven O: Fractures of the maxillofacial region in children. J Cranio-Maxillofacial Surg 1992;20:244-247   DOI
14 Proffit WR, Vig KWL, Turvey TA: Early fracture of the mandibular condyles: frequently an unsuspected cause of growth disturbances. Am J Orthod 1980;78:1-24   DOI   ScienceOn
15 Lund K: Mandibular growth and remodelling process after mandibular fractures. Acta Odontol Scand 1974;32:64
16 Myall RWT: Condylar injuries in children:What is different about them? In Worthyngton P, Evans JR (eds). Controversies in Oral & Maxillofacial Surgery. 1st ed. Philadelphia, Saunders, 1994;191-200
17 Kaban LB : Diagnosis and treatment of fractures of the facial bones in children 1943-1993. J Oral Maxillofac Surg 1993;51:722-729   DOI   PUBMED   ScienceOn
18 James RB, Fredrickson C, Kent JN: Prospective study of mandibular fractures. J Oral Surg 1981;39:275
19 Hovinga J, Boering G, Stengenga B: Long-term results of non-surgical management of condylar fractures in children. Int J Oral Maxillofac Surg 1999;28:429-440   DOI   ScienceOn
20 Sahm G, Witt E: Long-term results after childhood condylar fractures. A computer-tomographic study. European J Orthod 1989;11:154-160
21 Guven O, Keskin A: Remodelling following condylar fractures in children. J Cranio-Maxillofacial Surg 2001;29:232-237   DOI   ScienceOn
22 Reil B, Krnnz S: Traumatology of the maxillofacial region in childhood. (Statistical evaluation of 210 cases in the last 13 years). J Max Fac Surg 1976;4:197-200   DOI
23 Rowe NL, Williams JLI: Maxillofacial injuries. 2nd ed. Edinburg, Churchill Livingstone, 1994;405-473
24 오승환: 소아의 하악과두 골절 치료의 예후에 관한 장기추적조사연구. 대한악안면성형재건외과학회지 2002;24:482-488
25 Khosla VM, Boren W: Mandibular fractures in children and their management. J Oral Surg 1971;29:116
26 Strobl H, Emshoff R, Rothler G: Conservative treatment of unilateral condylar fractures in children: a long-term clinical and radiologic follow-up of 55 patients. Int J Oral Maxillofac Surg 1999;28:95-98   PUBMED
27 Spiessel B, Schroll K: Gesichtsschadel. In Nigst H.(ed.): Spezielle Frankturen- und Luxationslehre, vol. I/1. Thieme, Stuttgart, 1972
28 Ponsnick JC : Pediatric facial fractures: evolving patterns of treatment. J Oral Maxillofac Surg. 1993;51:836-844   DOI   ScienceOn
29 Rave J, Vuillemin T, Ladrach K, Sutter F: Temporomandibular joint ankylosis: Surgical treatment and long-term results. J Oral Maxillofac Surg. 1989;47:900-906   DOI   ScienceOn
30 Norholt SE, Krishnan V, Sindet-Pedersen S, Jensen IB: Pediatric condylar fractures: a long-term follow-up study of 55 patients. J Oral Maxillofac Surg 1993;51:1302-1310   DOI   PUBMED   ScienceOn