Treatment of condylar fractures with an intraoral approach using an angulated screwdriver: Results of a multicentre study

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dc.contributor.authorVajgel, André
dc.contributor.authorSantos, Thiago de Santana
dc.contributor.authorCamargo, Igor Batista
dc.contributor.authorOliveira, David Moraes
dc.contributor.authorLaureano Filho, José Rodrigues
dc.contributor.authorVasconcellos, Ricardo José de Holanda
dc.contributor.authorLima Júnior, Sergio Monteiro
dc.contributor.authorPereira Filho, Valfrido A. [UNESP]
dc.contributor.authorMueller, Andreas A.
dc.contributor.authorJuergens, Philipp
dc.contributor.institutionUniversidade de Pernambuco (UPE)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionCentro Universitário Maurício de Nassau (UNINASSAU)
dc.contributor.institutionUniversidade Federal de Minas Gerais (UFMG)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de Basileia
dc.date.accessioned2015-08-06T16:12:45Z
dc.date.available2015-08-06T16:12:45Z
dc.date.issued2015
dc.description.abstractBackground This multicentre study aimed to investigate long-term radiographic and functional results following the treatment of condylar fractures using an angulated screwdriver system and open rigid internal fixation with an intraoral surgical approach. Methods Twenty-nine patients with a total of 32 condylar fractures were evaluated. The patients were investigated prospectively based on the following variables: age, sex, aetiology, side, location and classification of the fracture, degree of displacement, associated fractures, surgical approach, oral health status, type of osteosynthesis plate, duration of surgery, mouth-opening, complications, and duration of follow-up. Results The fractures were classified as subcondylar (n = 25) or condylar neck (n = 7). Mean patient age was 36.38 ± 16.60 years. The median duration of postoperative follow-up was 24.39 ± 13.94 months. No joint noise, weakness of the facial nerve, joint pain, or muscle pain was observed. An additional retromandibular approach was necessary to enable the treatment of one subcondylar fracture with medial displacement. Conclusion Subcondylar or condylar neck fractures with medial or lateral displacement can be treated using an intraoral approach with satisfactory results with the advantages of the absence of visible scarring, the avoidance of facial nerve injury, and the ability to obtain rapid access to the fracture.en
dc.description.affiliationUniversidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Diagnóstico e Cirurgia, Faculdade de Odontologia de Araraquara, Araraquara, Rua Humaitá, 1680, Centro, CEP 14801903, SP, Brasil
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Diagnóstico e Cirurgia, Faculdade de Odontologia de Araraquara, Araraquara, Rua Humaitá, 1680, Centro, CEP 14801903, SP, Brasil
dc.format.extent34-42
dc.identifier.citationJournal of Cranio-Maxillo-Facial Surgery, v. 43, n. 1, p. 34-42, 2015.
dc.identifier.doi10.1016/j.jcms.2014.10.006
dc.identifier.issn1010-5182
dc.identifier.lattes3933940257808182
dc.identifier.urihttp://hdl.handle.net/11449/125659
dc.language.isoeng
dc.relation.ispartofJournal of Cranio-Maxillo-Facial Surgery
dc.relation.ispartofjcr1.960
dc.relation.ispartofsjr1,033
dc.rights.accessRightsAcesso restrito
dc.sourceCurrículo Lattes
dc.subjectIntraoral approachen
dc.subjectMandibular condyleen
dc.subjectOpen treatmenten
dc.titleTreatment of condylar fractures with an intraoral approach using an angulated screwdriver: Results of a multicentre studyen
dc.typeArtigo
unesp.author.lattes3933940257808182
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt
unesp.departmentDiagnóstico e Cirurgiapt

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