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KMID : 0358819810080020319
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1981 Volume.8 No. 2 p.319 ~ p.325
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CLINICAL OBSERVATIONS OF THE FRACTURE OF THE MANDIBULAR CONDYLE
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Suh Suk-Hwan
Park Beyoung-Yun
You Jae-Duk
Lee Young-Ho
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Abstract
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According to the escalation in the number of automobile accidents and the automation in the industry, the facial bones are apt to be damaged by the accidents and the facial fractures have been increased. Moreover about two-thirds of all facial fractures involve the mandible and the common site of the fracture may be located in the condyle. So the proper evaluation and management of the condylar fracture has been studied in order to prevent permanent disability and deformity, but still many problems are present.
The nonoperative or closed reducion treatment has been the principal method of management of condylar fractures by means of intermaxillary fixation. Georgiade(1964) suggested that the fractured and displaced returns to the fossa under the influence of functional forces after the spasm and inflammatory reaction subsides and the thought of the modelingresorption of the fractured condyle is unrealistic.
Thoma(1951) and Messer(1972) asserted that open reduction should be done in patients of condylar fractures with displacement of the condylar head out of the glenoid fossa, and in patients who are edentulous and who, as a result, have a loss of the vertical dimension of the ramus, and in patients of the bilateral condylar fracture or old condylar fracture with severe deviation.
Authors reviewed and evaluated our experience of 10 patients of condylar fractures among 71 patients of mandibular fracture who were admitted and treated in Yonsei Medical Center from September 1, 1976 to August 30, 1981.
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