|
KMID : 0360120100320050488
|
|
Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2010 Volume.32 No. 5 p.488 ~ p.492
|
|
|
Correlation Between Mandibular Condylar Process Fracture and Temporomandibular Joint
|
|
Moon Chul-Woong
Kim Su-Gwan
Oh Ji-Su
|
|
|
Abstract
|
|
|
|
This review evaluates the literature on the relationship between mandibular condylar process fracture and temporomadibular joint (TMJ). The topic of condylar fracture generated more discussion and controversy than any other field of maxillofacial trauma associated with TMJ. Disturbance of occlusal function, deviation of mandible, internal derangements of TMJ, and ankylosis of the joint with resultant inability to move the jaw are sequelae of condylar process fracture. Thus it is necessary to understand how the masticatory system adapts to the structural alterations that accompany fractures of the mandibular condyle. Treatment of condylar process fracture include two methods ; closed treatment and open treatment. If one chooses to treat closed, one must understand that adaptations in the musculature, skeleton, and dentition will be necessary. Open treatment of condylar process fractures probably requires fewer adaptations within the masticatory system to provide a favorable functional outcome. However, one must weigh the risk of open surgery against the possible improvement in outcome. The risks are not just surgical risk, but biological risk as well, such as disruption of the blood supply to the condyle. This review presents relevant aspects of change of TMJ associated with condylar process fracture.
|
|
|
KEYWORD
|
|
|
Temporomandibular joint, Condylar fracture
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|