Home Bratislava Medical Journal 2017 Bratislava Medical Journal Vol.118, No.1, p.17-22, 2017

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.118, No.1, p.17-22, 2017

Title: Surgical treatment of condylar head fractures, the way to minimize the postraumatic TMJ ankylosis
Author: D. Hirjak, V. Machon, M. Beno, B Galis, I. Kupcova

Abstract: Management of condylar head fractures (CHF) of the temporomandibular joint (TMJ) remains a source of controversy. Based on established literature, group of CHFs and conservative treatment connected with period of maxillomandibular fixation (MMF) increases the risk for TMJ ankylosis. This paper presents anatomical and functional results of surgical treatment of condylar head fractures in a group of 24 patients (29 joints). Fractures were diagnosed based on conventional radiographs and computed tomography (CT) scans. Utilising an intraoperative arthroscopy authors evaluated actual intraarticular posttraumatic changes. This study presents acceptable functional and radiological results of surgical treatment of condylar head fractures with more than 3-year follow-up. The authors believe that re-establishing the pretraumatic anatomic position of the TMJ components (fragment and the disc) and early postoperative rehabilitation are inevitable to minimize the risk of postraumatic TMJ ankylosis (Tab. 2, Fig. 8, Ref. 31).

Keywords: condylar head fracture, articular disc, intraoperative arthroscopy, ankylosis.
Published online: 26-Jan-2017
Year: 2017, Volume: 118, Issue: 1 Page From: 17, Page To: 22

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