scholarly journals Conservative Approach to Unilateral Condylar Fracture in a Growing Patient: A 2.5-Year Follow Up

2012 ◽  
Vol 6 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Elif Bahar Tuna ◽  
Aysun Dündar ◽  
Abdülkadir Burak Çankaya ◽  
Koray Gençay
Keyword(s):  
Conservative Treatment ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Mandibular Growth ◽  
Fractures In Children ◽  
Facial Swelling ◽  
Direct Pressure ◽  
Condylar Head ◽  
Condylar Fractures

Condylar fractures in children are especially important because of the risk of a mandibular growth-center being affected in the condylar head, which can lead to growth retardation and facial asymmetry. The purpose of this article is to follow up the two and half year clinical and radiological evaluation of the conservative treatment of a 10 year-old patient, who had a unilateral green-stick type fracture. The patient presented with painful facial swelling localized over the left condylar region, limited mouth-opening and mandibular deviation to the left. Panoramic radiography and computed tomography confirmed the diagnosis of incomplete fracture on the left condyle with one side of the bone fractured and the other bent. Closed reduction was chosen to allow for initial fibrous union of the fracture segments and remodeling with a normal functional stimulus. A non-rigid mandibular splint was applied in order to remove the direct pressure on the fracture side of the mandible. Clinical and radiologic examination after 30 months revealed uneventful healing with reduction of the condylar head and remodeling of the condylar process following conservative treatment.

scholarly journals CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT

2021 ◽  
Vol 71 (2) ◽  
pp. 667-71
Author(s):  
Humaira Sarwar ◽  
Irfan Shah ◽  
Ali Akhtar Khan ◽  
Adnan Babar ◽  
Saad Mehmood ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Conservative Management ◽  
Maxillofacial Surgery ◽  
Radiological Finding ◽  
Mouth Opening ◽  
Armed Forces ◽  
P Value ◽  
Oral And Maxillofacial Surgery ◽  
Condylar Fractures

Objective: To assess the clinical as well as radiological outcomes of the conservative management of mandibular condyle fractures. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery (OMFS), Armed Forces Institute of Dentistry (AFID), Rawalpindi, from Feb 2018 to Aug 2019. Methodology: A total of 60 patients diagnosed as isolated mandible trauma with unilateral condyle fractures were studied. All patients were assessed radiologically on orthopantomogram (OPG) before the start of treatment. They were assessed clinically for maximum mouth opening (MMO), occlusion, pain and masticatory satisfaction before the start of treatment and after conservative management. Conservative Management includes soft diet only or maxillomandibular fixation (MMF) followed by active physical therapy. After 6 months of follow up, pre-treatment and post-treatment clinical parameters and radiological finding were compared. Results: Sixty patients were managed conservatively, among them 37 (62%) were male and 23 (38%) were female with age range of 21-53 years. There was statistically significant decrease in pain (p-value 0.002) and improvement in mastication (pvalue 0.079) before and after the conservative treatment of mandibular condylar fractures. Overall 46 (77%) patients treated with conservative management were satisfied with their mastication and 40 (67%) patients had mild pain on mastication. All the patients showed satisfactory occlusion and had no occlusal discrepancy on last follow up visit. Maximum mouth opening improved from 32.38 ± 4.54 to 40.90 ± 1.75 after treatment. The mean of preoperative ramus length difference of both sides of the mandible was 4.23 ± 2.3 mm............

scholarly journals Giant unicystic ameloblastoma of maxilla-successful endoscopic management

2021 ◽  
Vol 7 (10) ◽  
pp. 1696
Author(s):  
Sanjeev Mohanty ◽  
Manu Vergis ◽  
Devipriya V. ◽  
Haripriya G. ◽  
Lakshmi Shree Nallapaneni ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Organ Preservation ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Standard Of Care ◽  
Endoscopic Management ◽  
Rare Tumour ◽  
Unicystic Ameloblastoma ◽  
The Right

<p>This 32-year-old male patient presented with complaints of restricted mouth opening and gross facial asymmetry owing to the massive jaw swelling on the right side. After a thorough examination, a diagnosis of unicystic ameloblastoma of maxilla. Although, the standard of care surgical approach was through Weber-Fergusson incision, a concerted attempt to excise the tumour with the minimally invasive endoscopic route was made successfully. The patient was symptom free now with complete resolution of swelling on a regular follow up post operatively. This case report highlighted the modern day protocol of organ preservation concepts in surgical management of a rare tumour in otolaryngology practice</p>

scholarly journals Two-Stage Treatment of Facial Asymmetry Caused by Unilateral Condylar Hyperplasia

2014 ◽  
Vol 25 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Samuel Porfírio Xavier ◽  
Thiago de Santana Santos ◽  
Erick Ricardo Silva ◽  
Ana Célia Faria ◽  
Francisco Verissimo de Mello Filho
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Two Stage ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
And Function ◽  
Spontaneous Onset

Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.

scholarly journals Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Katheleen Miranda ◽  
André Sander Carneiro ◽  
Jennifer Tsi Gerber ◽  
Suyany Gabriely Weiss ◽  
Leandro Eduardo Klüppel ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Lateral Deviation ◽  
Tmj Ankylosis ◽  
History Of ◽  
The Right

Introduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patient with no history of trauma and/or infection. Case Report. A 17-year-old male patient sought care reporting pain on the right TMJ region and mastication difficulty due to a severe limitation of mouth opening. In the clinic and imaging examinations, a 15 mm mouth opening and BMC associated with ankylotic mass of the right TMJ were observed, besides a facial asymmetry with chin deviation to the right. The proposed treatment plan was condylectomy on the right side, bilateral coronectomy, and genioplasty, so the chin lateral deviation could be corrected, under general anesthesia. The patient remains under clinical and imaging follow-up of two years with functional stability and no signs of relapse of the ankylosis. Conclusion. The association of BMC with ankylosis is an atypical entity which must be diagnosed and treated early to prevent aesthetic and functional damages to the patient.

scholarly journals ISOLATED ZYGOMATIC BONE FRACTURE

2016 ◽  
Vol 23 (05) ◽  
pp. 526-530
Author(s):  
Suneel Kumar Punjabi ◽  
Kashif Ali Channar ◽  
Munir Ahmed Banglani ◽  
Naresh Kumar ◽  
Ambreen Munir
Keyword(s):  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Fixation Method ◽  
Facial Bones ◽  
Limited Mouth Opening ◽  
Zygomatic Bone ◽  
Study Setting ◽  
Infraorbital Rim

Introduction: Facial bones injuries results in functional disturbances. Patientsmay presents with flattening of normal malar prominence, lid drop, eye movement limited orwith double vision, numbness of cheek area and unilateral epitasis. Emphasizing upon incisiontype, fixation method and occasionally reconstruction, surgeons suggest different methods forrepairing complex fractures of Zygoma. Study Design: Descriptive study. Setting: Departmentof Oral & Maxillofacial Surgery, Liaquat University of Medical & Health Sciences, Jamshoro.Period: Mar 2013 to Feb 2014. Materials and methods: Total 20 patients were included.Patients with fracture more than 28 days old were excluded. Zygomatic bone can be approachedby lateral brow or subcilicary incisions and by subgingival buccal sulcus approach. When 3fracture sites were reduced and aligned satisfactorily, application of miniplates was performedat 3 points frontozygomatic suture, Zygomatico maxillary buttress and infraorbital rim, woundwere closed in 2 layers. At 2nd week follow-up patients were assessed for outcome. Results:There were 14 male and 6 female patients. Most were of age <25 years. 45% fractures weredue to RTA. Duration of fracture of 2 patients was 2 days, 7 days of 11 patients, 4 patients had14 days and 3 patients had 28 days. 5 fractures were reduced using Gilies temporal approach,6 with Keen approach, 4 with Hook approach and 5 with Dingman approach. Preoperatively,17 patients had facial asymmetry, 19 had limited mouth opening and postoperatively this wasreduced to 6 cases each for facial asymmetry and limited mouth opening. Conclusion: Itis concluded from this study that three point fixation is most effective and safe method forreduction of fracture of Zygomatic bone.

Non surgical management of condylar fracture in a 12 year old patient

2020 ◽  
Vol 12 (1) ◽  
pp. 49-52
Author(s):  
Dr. S.K. Srinath ◽  
Dr.Padmapriya S ◽  
Dr.Sahana N.S ◽  
Dr.Sushma H S ◽  
Dr.Viswanath S K
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Temporomandibular Joint ◽  
Surgical Management ◽  
Condylar Fracture ◽  
Pediatric Dentist ◽  
Fractures In Children ◽  
Condylar Fractures

TIn children, condylar fractures are fairly common and are among the most undiagnosed fractures in children. Seventy to eighty percent of temporomandibular joint ankyloses are the result of undiagnosed condylar fractures. As a pediatric dentist, it is crucial to diagnose and treat condylar fracture in order to ensure mastication and ensure thewell-being of the child as a whole. This case report focuses on the diagnosis of condylar fracture and the importance of its conservative treatment.

Long-Term Follow-Up of Mandibular Condylar Fractures in Children

2011 ◽  
Vol 69 (11) ◽  
pp. 2853-2859 ◽  
Author(s):  
Njål Lekven ◽  
Evelyn Neppelberg ◽  
Knut Tornes
Keyword(s):  
Fractures In Children ◽  
Long Term Follow Up ◽  
Condylar Fractures

scholarly journals Osteochondroma of the temporomandibular joint: a case report

2010 ◽  
Vol 21 (3) ◽  
pp. 253-258 ◽  
Author(s):  
Estevam Rubens Utumi ◽  
Irineu Gregnanin Pedron ◽  
Andréia Perrella ◽  
Camila Eduarda Zambon ◽  
Marcelo Minharro Ceccheti ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Contralateral Side ◽  
Limited Mouth Opening ◽  
Oral And Maxillofacial Region ◽  
Preauricular Approach ◽  
Condylar Morphology

Osteochondroma of the mandibular condyle has been found in the oral and maxillofacial region rarely. This paper describes a case of osteochondroma of the mandibular condyle in a 20-year-old woman, who was referred to our service with facial asymmetry, prognathic deviation of chin, cross-bite to the contralateral side, changes in condylar morphology, limited mouth opening, and malocclusion. Computed tomography (CT) was performed for better evaluation to the pathological conditions on the temporomandibular joint. Based on the clinical examination, patient history, and complementary exams, the hypothesis of osteochondroma was established. Condylectomy was performed using a preauricular approach with total removal of the lesion. After 3 years of postoperative follow up and orthodontic therapy, the patient is symptom-free, and has normal mouth opening with no deviation in the opening pattern.

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