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  • BJOMS

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    Mohammed Sharif
    58 tayangan2 halaman
    This document summarizes a multicenter audit of 142 patients with isolated unilateral fractures of the mandibular condyle. The audit found that 73 patients attended follow up appointments at 6 and 12 weeks. At 12 weeks, 41 patients still had symptoms attributable to their injury, most of which were fracture displacements or dislocations that had not been openly reduced. There was a 50-85% positive correlation between the initial clinician's radiographic findings and those of the external auditor. Open reduction and internal fixation was uncommon. The audit concluded that fractures of the mandibular condyle should be treated by facial fracture specialists, as accurate diagnosis is more difficult than assumed. Displacements and dislocations often had suboptimal outcomes in nearly 30

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    This document summarizes a multicenter audit of 142 patients with isolated unilateral fractures of the mandibular condyle. The audit found that 73 patients attended follow up appointments at 6 and 12 weeks. At 12 weeks, 41 patients still had symptoms attributable to their injury, most of which were fracture displacements or dislocations that had not been openly reduced. There was a 50-85% positive correlation between the initial clinician's radiographic findings and those of the external auditor. Open reduction and internal fixation was uncommon. The audit concluded that fractures of the mandibular condyle should be treated by facial fracture specialists, as accurate diagnosis is more difficult than assumed. Displacements and dislocations often had suboptimal outcomes in nearly 30

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    58 tayangan2 halaman

    BJOMS

    Diunggah oleh

    Mohammed Sharif
    This document summarizes a multicenter audit of 142 patients with isolated unilateral fractures of the mandibular condyle. The audit found that 73 patients attended follow up appointments at 6 and 12 weeks. At 12 weeks, 41 patients still had symptoms attributable to their injury, most of which were fracture displacements or dislocations that had not been openly reduced. There was a 50-85% positive correlation between the initial clinician's radiographic findings and those of the external auditor. Open reduction and internal fixation was uncommon. The audit concluded that fractures of the mandibular condyle should be treated by facial fracture specialists, as accurate diagnosis is more difficult than assumed. Displacements and dislocations often had suboptimal outcomes in nearly 30

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    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
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    Search for in All FieldsArticle Title, Abstract, KeywordsAuthorsArticle TitleAbstractAdvanced Search.

    British Journal of Oral and Maxillofacial Surgery Volume 48, Issue 7 , Pages 520-526, October 2010 .Fractures of the mandibular condyle: evidence base and current concepts of management Khalid Abdel-Galil AffiliationsCorresponding author. Tel.: +44 113 3436219; fax: +44 113 3436264. , Richard Loukota AffiliationsTel.: +44 113 3436219; fax: +44 113 3436264. Accepted 8 October 2009. published online 09 November 2009.

    Abstract Full Text PDFImages References .Abstract Management of mandibular condylar fractures remains a source of ongoing controversy. While some condylar fractures can be managed non-surgically, recognition of fracture patterns that require surgical intervention and selection of an appropriate operative procedure are paramount to success in treating these injuries.The objective of this review is to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the mandibular condyle.

    A multicentre audit of unilateral fractures of the mandibular condyle


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    D.A. Mitchell, MB, FDS, FRCS, (MaxFac) AFFILIATIONS Correspondence and requests for offprints to D. A. Mitchell
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    Received 10 December 1996; accepted 20 May 1997.

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    ObjectiveTo audit a series of isolated unilateral fractures of the mandibular condyle treated in a number of units in the United Kingdom. DesignProspective confidential multicentre audit with review by a single external examiner between July 1993 and January 1994. SettingNine Maxillofacial units. Pro-formas were alphanumerically coded. Units are referred to by code letter. Subjects142 patients with fractures of the mandibular condyle. Main outcome measuresPain, crepitus, interincisal opening, mandibular deviation on movement, occlusion and posteroanterior and lateral radiographic analysis by a single examiner. ResultsOf the 142 patients, 135 over the age of 12 years had unilateral condylar fractures. Seventy-three attended appointments at both 6 and 12 weeks. Forty-one had identifiable symptoms attributable to the injury at 12 weeks, and most of these had fracture displacements or dislocations which had not been openly reduced. There was a 5085% positive correlation between radiographic findings of the first clinician and the external auditor. Open reduction and internal fixation was uncommon. ConclusionsFollow-up studies of trauma patients are difficult because of poor attendance. Fractures of the mandibular condyle should be treated by specialists in the management of facial fractures. Accurate clinical and radiographic diagnosis is more difficult than commonly supposed. Fracture displacements and dislocations have a suboptimal outcome in nearly 30% of cases. More should be spent to improve care of these patients. A consensus on objective indicators of satisfactory outcome is needed to establish a gold standard and close the audit loop.

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