Effect of Utilization of the proximal fractured segment as a guidance for open reduction and internal rigid fixation of unilateral low sub-condylar Fractures on posterior ramus height.
Kadry, W., Fahim, D., Tawab, U., Yousef, A. (2023). Effect of Utilization of the proximal fractured segment as a guidance for open reduction and internal rigid fixation of unilateral low sub-condylar Fractures on posterior ramus height.. EKB Journal Management System, 5(3), 534-541. doi: 10.21608/adjc.2023.201181.1280
Walaa Kadry; Dina Fahim; Usama Tawab; Ahmed Mohammed Yousef. "Effect of Utilization of the proximal fractured segment as a guidance for open reduction and internal rigid fixation of unilateral low sub-condylar Fractures on posterior ramus height.". EKB Journal Management System, 5, 3, 2023, 534-541. doi: 10.21608/adjc.2023.201181.1280
Kadry, W., Fahim, D., Tawab, U., Yousef, A. (2023). 'Effect of Utilization of the proximal fractured segment as a guidance for open reduction and internal rigid fixation of unilateral low sub-condylar Fractures on posterior ramus height.', EKB Journal Management System, 5(3), pp. 534-541. doi: 10.21608/adjc.2023.201181.1280
Kadry, W., Fahim, D., Tawab, U., Yousef, A. Effect of Utilization of the proximal fractured segment as a guidance for open reduction and internal rigid fixation of unilateral low sub-condylar Fractures on posterior ramus height.. EKB Journal Management System, 2023; 5(3): 534-541. doi: 10.21608/adjc.2023.201181.1280

Effect of Utilization of the proximal fractured segment as a guidance for open reduction and internal rigid fixation of unilateral low sub-condylar Fractures on posterior ramus height.

Advanced Dental Journal
Volume 5, Issue 3, July 2023, Pages 534-541    PDF (179.67 K)
Document Type: Original Article
DOI: 10.21608/adjc.2023.201181.1280
Authors
Walaa Kadry* 1; Dina Fahim2; Usama Tawab3; Ahmed Mohammed Yousef4
1Lecturer at department of oral and maxillofacial surgery, Faculty of Dentistry, Cairo University
2Associate prof. at oral &maxillofacial radiology department, Cairo university
3Lecturer at oral, maxillofacial surgery department, faculty of dentistry, Cairo University
4lecturer at department of oral and maxillofacial Surgery, faculty of dentistry, Cairo university,
Abstract
Facial asymmetry due to improperly reduced Condylar fractures is one of the Postoperative complications. Accurate reduction and fixation of Condylar fractures with symmetrical postoperative gain of ramus height is mandatory. Purpose: To assess the efficacy of utilization of the proximal segment as a guidance for Open reduction and internal rigid fixation in low sub-condylar Fractures. Patients and methods: For ten patients with unilateral sub-condylar fractures with age ranged from 32-51 years, the proximal fractured segment fixated to the plate was used a guidance for its reduction to the ramal stump. A cone beam CT was ordered for all patients immediate postoperative and the ramus height was measured on the fractured side and compared to the normal contralateral side. The Postoperative restoration of occlusion was reported. Results: For all patients, the restored ramus height of the fixated side was less than that of the non-fractured side with significant difference (p value= 0.009) and the postoperative occlusion was restored. Conclusion: Proximal condylar segment could be used as a guidance for Open reduction and rigid internal fixation of low sub-condylar fractures with subsequent restoration of the height of the ramus as compared to that of non-fractured side.
Keywords
Sub-condylar Fracture; occlusion; condyle; ramus height; mandibular height
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