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العنوان
Clinical and radiological evaluation of
3 types of plate osteosynthesis for fixation
of subcondylar fractures.
الناشر
Cairo University.
Faculty of Oral and Dental Medicine. Oral and Maxillofacial Surgery Department,
المؤلف
Mohamed, Mahmoud Mohamed Talaat
هيئة الاعداد
مشرف / Ragab Radwan El-Beialy
مشرف / Mohamed, Mahmoud Mohamed Talaat
مشرف / Ashraf abdel Fattah Mahmoud
مشرف / Ragab Radwan El-Beialy
تاريخ النشر
2007
عدد الصفحات
113p
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب (متفرقات)
تاريخ الإجازة
1/1/2007
مكان الإجازة
جامعة القاهرة - الفم والأسنان - Oral and Maxillofacial Surgery
الفهرس
Only 14 pages are availabe for public view

from 136

from 136

Abstract

The condylar region is one of the most common sites of mandibular fracture. It constitutes 21.1% of mandibular fractures in adult patients while it rises to 50% or more in children and teenagers.
The diagnosis of condylar process fracture is based on clinical and radiological findings. Clinical signs such as jaw deviation, limitation during mouth opening, changes in occlusion or extraoral swelling of the preauricular region could be indicative of condylar process fracture. Panoramic radiographs and conventional tomograms are excellent screening films demonstrating displacement of fractured condylar segments in the anterior posterior direction but not in the medial lateral dimension. Panoramic films have many advantages include its broad image, low radiation dose, and ability to be performed on patients who are unable to open their mouths. Other radiographic views are necessary to reconstruct a three dimensional image for diagnostic and therapeutic purposes. The open mouth reverse Towen’s view is a useful adjunctive film since it is demonstrating displacement of fractured condylar segments in the medio-lateral direction.
In contrast to other mandibular fractures condylar process fractures are generally treated by maxillomandibular fixation, duration of immobilization usually ranges from two to six weeks depending on the type of fracture, degree of condylar dislocation and age of the patient early mobilization of the jaw and functional rehabilitation are considered important.