Facial nerve and temporomandibular joint functional evaluation after subcondylar fractures Osteosynthesis by rhomboid-plate versus conventional miniplates
Abdullah, A., Elsayed, S., Abdelfattah, M. (2020). Facial nerve and temporomandibular joint functional evaluation after subcondylar fractures Osteosynthesis by rhomboid-plate versus conventional miniplates. EKB Journal Management System, 66(Issue 2 - April (Oral Surgery)), 919-929. doi: 10.21608/edj.2020.23998.1013
Abdel Aziz Baiomy Abdullah; Shadia Abdelhameed Elsayed; Mohamed Ashraf Abdelfattah. "Facial nerve and temporomandibular joint functional evaluation after subcondylar fractures Osteosynthesis by rhomboid-plate versus conventional miniplates". EKB Journal Management System, 66, Issue 2 - April (Oral Surgery), 2020, 919-929. doi: 10.21608/edj.2020.23998.1013
Abdullah, A., Elsayed, S., Abdelfattah, M. (2020). 'Facial nerve and temporomandibular joint functional evaluation after subcondylar fractures Osteosynthesis by rhomboid-plate versus conventional miniplates', EKB Journal Management System, 66(Issue 2 - April (Oral Surgery)), pp. 919-929. doi: 10.21608/edj.2020.23998.1013
Abdullah, A., Elsayed, S., Abdelfattah, M. Facial nerve and temporomandibular joint functional evaluation after subcondylar fractures Osteosynthesis by rhomboid-plate versus conventional miniplates. EKB Journal Management System, 2020; 66(Issue 2 - April (Oral Surgery)): 919-929. doi: 10.21608/edj.2020.23998.1013

Facial nerve and temporomandibular joint functional evaluation after subcondylar fractures Osteosynthesis by rhomboid-plate versus conventional miniplates

Egyptian Dental Journal
Article 10, Volume 66, Issue 2 - April (Oral Surgery), April 2020, Page 919-929  XML PDF (1.28 MB)
Document Type: Original Article
DOI: 10.21608/edj.2020.23998.1013
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Authors
Abdel Aziz Baiomy Abdullah email orcid 1; Shadia Abdelhameed Elsayedorcid 2; Mohamed Ashraf Abdelfattah3
1oral and maxillofacial surgery department, dental medicine faculty, Al-Azhar university, Assuit
2Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al Azhar University, Cairo, Egypt.
3Dentist at Hearing and Speech Institute General, Organization of Teaching Hospitals and Institutes, Cairo, Egypt
Abstract
Aim : This study was conducted to assess the function of temporomandibular joint (TMJ) and the facial nerve after subcondylar fractures Osteosynthesis by three-dimensional 3D-rhomboid plate compared with conventional double miniplates. Patient and methods: 20 patients suffering from unilateral displaced subcondylar fractures were divided randomly into two equal groups. Group, I was reduced and fixed by two miniplates while Group II was reduced and fixed by 3D-rhomboid plate. All patients were diagnosed according to Temporomandibular Dysfunction Diagnostic Research Criteria and classified according to the Helkimo Index. Facial nerve affection was assessed by Hause Brackmann facial nerve grading system. Radiographic evaluation was done using multi-slice CT and Orthopantomogram via condylar morphology scale (CMS) assessment. Postoperative occlusion and masticatory muscles were also assessed. All data collected and statistically analyzed. Results: Results showed non statistically significant difference between groups, regarding mandibular mobility and occlusion status however, TMJ, muscular pain, facial nerve affection, and CMS parameters showed comparable values between both groups in favor of Rhomboid plate group. Conclusion: From the results from the current study we can conclude that 3D-rhomboid plate had good functional TMJ and facial nerve outcomes in comparable to standard two miniplates in management of high subcondylar fracture.
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Keywords
Key Words: subcondylar fractures; 3D rhomboid plate; miniplates; TMJ; facial nerve
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