下颌髁突骨折的治疗。一项20年的回顾。
Treatment of mandibular condyle fractures. A 20-year review.
作者信息
Monnazzi Marcelo S, Gabrielli Marisa A C, Gabrielli Mário F R, Trivellato Alexandre E
机构信息
Dental School of Araraquara, UNESP, Araraquara, Brazil.
Periodontology and Maxillofacial Surgery Department, Dental School of Ribeirão Preto, USP, Ribeirão Preto, Brazil.
出版信息
Dent Traumatol. 2017 Jun;33(3):175-180. doi: 10.1111/edt.12326. Epub 2017 Mar 9.
BACKGROUND/AIM: The condylar fracture is among the most frequent facial fractures. Despite all the published studies, its treatment remains controversial. The aim of this retrospective study was to evaluate the epidemiology and complications of mandibular condyle fractures managed by surgical and conservative treatments, over a period of twenty years.
MATERIAL AND METHODS
The files of 262 patients with 318 condyle fractures were included in this study. One hundred and seven patients had conservative management, and 155 had surgical management for the condylar fractures. The outcomes were assessed by reviewing the patient's clinical records.
RESULTS
The prevalence was higher in males and most patients were Caucasians in the third decade of life. The mean age was 30.17 years old. The main causes were motorcycle accidents followed by bike accidents, and the mean follow-up time was 226.5 days. The number of complications found in the two modalities of treatment was low and similar.
CONCLUSION
Both treatments achieved their goals. There was no statistical difference in the complication rate between the two groups.
背景/目的：髁突骨折是最常见的面部骨折之一。尽管已有大量研究发表，但其治疗仍存在争议。本回顾性研究的目的是评估20年间采用手术和保守治疗的下颌髁突骨折的流行病学情况及并发症。
材料与方法
本研究纳入了262例患者的318例髁突骨折病例。107例患者采用保守治疗，155例患者采用手术治疗髁突骨折。通过查阅患者的临床记录评估治疗结果。
结果
男性患病率较高，大多数患者为30岁左右的白种人。平均年龄为30.17岁。主要原因是摩托车事故，其次是自行车事故，平均随访时间为226.5天。两种治疗方式中发现的并发症数量较少且相似。
结论
两种治疗均达到了治疗目的。两组之间的并发症发生率无统计学差异。
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