論文

査読有り
2016年3月

Three-dimensional evaluation of healing joint morphology after closed treatment of condylar fractures

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
  • Y. Yamashita
  • ,
  • M. Inoue
  • ,
  • R. Aijima
  • ,
  • A. Danjo
  • ,
  • M. Goto

45
3
開始ページ
292
終了ページ
296
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.ijom.2015.09.019
出版者・発行元
CHURCHILL LIVINGSTONE

Closed treatment for condylar fractures has long been widely accepted. With closed treatment, the deviated bone fragments heal in their new positions, and this may subsequently cause a range of functional impairments. The association between healing morphology and post-treatment functional impairment is unclear. In this study, computed tomography images of 26 patients (35 sides) who had undergone closed treatment for condylar fractures were used to perform a comparative investigation of three-dimensional (3D) bone morphology before and after treatment. As a result, the morphology of the condylar process after treatment was classified into four different patterns: unchanged, spherical, L-shaped, and detached. In terms of the association between fracture types and healing morphology, fractures of the condylar head healed in the spherical pattern, simple fractures of the condylar neck healed in the spherical or L-shaped pattern, and comminuted fractures of the condylar neck healed in the-spherical, L-shaped, or detached pattern. The association between mandibular deviation and healing morphology was also investigated, and it was found that deviation was greater for the spherical and detached patterns than for the L-shaped pattern. The present findings indicate that 3D evaluation of the fractured condylar process is required to elucidate the association with functional impairment after healing.

リンク情報
DOI
https://doi.org/10.1016/j.ijom.2015.09.019
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000371189500004&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.ijom.2015.09.019
  • ISSN : 0901-5027
  • eISSN : 1399-0020
  • Web of Science ID : WOS:000371189500004

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