Dayalan Nandini, Kumari Bhawna, Khanna Shilpa Sunil, Ansari Faisal Mohiuddin, Grewal Ramandeep, Kumar Sanket, Tiwari Rahul V C
Department of Oral and Maxillofacial Surgery, Dr. Syamala Reddy Dental College and Research Center, Bengaluru, Bengaluru, India.
Department of Prosthodontics and Crownn Bridge Inlucding Implantology, Government Medical College, Bettiah, Bihar, India.
J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1633-S1636. doi: 10.4103/jpbs.jpbs_352_21. Epub 2021 Nov 10.
This paper is intended to compare and evaluate the better treatment option in the management of subcondylar fractures of the mandible.
This study included 20 patients who were diagnosed clinically and radiologically to have sustained an isolated subcondylar fracture of the mandible. They were divided into two groups randomly. Group I included 10 patients who underwent treatment by intermaxillary fixation alone followed by active physiotherapy in the form of conservative management. Group II included 10 patients who underwent treatment by surgical intervention for open reduction and internal fixation under general anesthesia following elastic guidance. Factors such as maximal mouth opening, pain scores, and deviation of mandible on mouth opening were taken into consideration and evaluated.
It is observed that the patients in Group I had weight loss and restrictions in their social well-being in the early recovery phase, in addition to delay in return to function. In spite of the early return to function, patients in Group II were subjected to all kinds of surgical complications such as transient facial nerve injury, infection, and unesthetic scar. The maximal mouth opening and deviation of the mandible on mouth opening remained almost the same in both groups.
A regular follow up of operated patients post trauma is essential to obtain morphological and functional recovery. When the respective advantages and disadvantages of both treatment options were compared and evaluated, it was observed that patients treated by closed reduction had a better clinical and psychological outcome.
本文旨在比较和评估下颌骨髁突骨折治疗中更好的治疗选择。
本研究纳入20例经临床和影像学诊断为单纯下颌骨髁突骨折的患者。他们被随机分为两组。第一组包括10例患者，仅接受颌间固定治疗，随后以保守治疗的形式进行积极的物理治疗。第二组包括10例患者，在弹性引导下接受全身麻醉下的手术切开复位内固定治疗。考虑并评估了最大开口度、疼痛评分和开口时下颌偏斜等因素。
观察到，第一组患者在早期恢复阶段除了功能恢复延迟外，还出现体重减轻和社会幸福感受限的情况。尽管第二组患者功能恢复较早，但仍出现了各种手术并发症，如短暂性面神经损伤、感染和不美观的瘢痕。两组患者的最大开口度和开口时下颌偏斜情况几乎相同。
创伤后对手术患者进行定期随访对于获得形态和功能恢复至关重要。比较和评估两种治疗选择各自的优缺点时，发现闭合复位治疗的患者临床和心理结果更好。
