The goals of condylar fracture are restoring normal occlusion, function and facial esthetics as other fractures of the jaw. In addition to these, prevention of growth disturbance is very important in the children. Concerning about treatment
method,
which is conservative or surgical, the most important thing is to know the exact indications of surgical treatment.
Dr. Nam had developed a method as a means to overcome technical limits of overcome technical limits of surgery, and reported that the clinical results had been satisfactory.
This study was carried out to clear up the function and state of joint long term after the operation. And this study was made the 20 patients as subject that had been treated of condylar fracture with Nam’s method in Department of Oral and
Maxillofacial
Seoul National University, from january 1980 to september 1993.
@ES On the basis of clinical and radiographic features that obtained at just after the trauma and long term after the operation, we have some results as follows.
@EN 1. Although there were some cases showed limitations in the mandibular movement, few of them had the clinical symptoms. And surgical complications such as nerve dysfunction and scar formation were negiigible.
2. The most frequent clinical feature after the operation was the jaw deviation to the fracture side during the mouth oening. Owing to this deviation, mean limitation rate of excursion was slightly high.
3. Length of the condylar process was relatively shorter than opposite side after the operation. And the shape of condyle was flat in many cases.
4. The dimension of the condyle had been decreased mediolaterally and increased anteroposteriorly in most cases. And most of the condyle had been positioned anteriorly in the articular fossa.
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