학술논문
下顎顆頭骨折 治療後의 豫後에 關한 臨床的硏究
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- 영문명
- A CLINICAL STUDY ON THE PROGNOSIS AFTER THE TREATMENT OF THE MANDIBULAR CONDYLE FRACTURES
- 발행기관
- 대한구강악안면외과학회
- 저자명
- Myung Rae Kim(金命來) Jang Hoon Lee(李章薰)
- 간행물 정보
- 『대한구강악안면외과학회지』대한구강악안면외과학회지 제12권 제1호, 149~156쪽, 전체 8쪽
- 주제분류
- 의약학 > 내과학
- 파일형태
- 발행일자
- 1986.06.30
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국문 초록
영문 초록
This is a clinical study on the prognosis after the surgical or non-surgical management of condylar fractures of the mandible, by reviewing recent results of 43 patients followed-up for at least 6 months after the treatment in Ewha University Hospital from 1976 to 1985.
The results were as follows;
1. Of 43 cases, 20.9% (9 cases) showed marked limitation of jaw excursion less than 30㎜ in interincisal opening; 18.6% (8 cases) followed by moderate temporomandibular joint dysfunction; 60.5% (26 cases) had no evidence of jaw dysfunction.
2. 47.0% of all disturbances in jaw excursion occurred in condylar head, 41.2% (7 cases) were in condylar neck, and only 1 case was in subcondylar portion.
3. Incidences of posttreatment disorders by the level of fractures were as 72.7% (8 of 11 cases) in condylar head, 26.9% (7 of 26 cases) in condylar neck, and only 1 case of 6 reductions in subcondylar fractures.
4. By the method of reduction, 58.8% of 17 complicated cases occurred after open reduction and 41.1% of them were after the closed reduction.
And their incidences by number of treatments were as 46.0% of 23 open-reductions, while 35.0% of 20 closed-reductions.
5. Comparing the progonosis after the management by the level of fractures;
ⅰ) Open reduction of condylar head fractures was followed by 77.7% (7 of 9 cases) of jaw dysfunctions, and closed reduction by only 1 of 2 cases.
ⅱ) Open reduction of condylar neck fractures was followed by 30.0% (3 of 10 cases) of disorders, and closed reduction by 31.2% (5 of 16 cases) of dysfunctions.
ⅲ) There was no complications after the open reduction of subcondylar fractures, and only 1 case of 2 closed-reductions.
6. By the period of intermaxillary fixation, relatively higher incidence of jaw-movement limitation was followed after 4-week-fixation(47.0%) and 6-week-fixation(42.8%) than 2- week-fixation (none of 6 cases) and 3-week-fixation (2 of 8 cases). But 3 of 5 cases of 1 -week-fixation, showed severe complications.
목차
ABSTRACT
I. 緖論
II. 硏究對象 및 方法
III. 硏究成績
IV. 考察
V. 結論
參考文獻
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