ABSTRACT
Functional recovery after mandibular condyle fracture was a contradictory result of many authors. The treatment goal of condyle fracture has been directed primarily toward restoration of functional movement of the mandible. We selected some patients who requested functional therapy in many cases of condylar fracture, depend on pattern of fracture, patient's demand, occlusion, age. Without intermaxillary fixation, we induced the patients to rapid healing of temporomandibular function and normal mandibular protrusive, lateral movement as a result of early functional therapy by activator. So, the authors report the cases with review of concerned literature.
Subject(s)
Humans , Mandible , Mandibular CondyleABSTRACT
1.050 patients who visited orthodontic dental department from 1983 to 1994, were surveyed on the yearly tendency of orthodontic patient distribution and state by means of Angle's classification. The results were as follows : 1. There was increased visiting rate of patient per year and higher visiting rate in female than in male. 2. 8-15 age group was 61.4% in total visiting patients and over 20 age group was 18.5%, under 7 age group was 8.1%. 3. Class I malocclusion was 42.2%, class II div 1 was 22.5%, class II-2 was 3.9%, class III was 29.1% and cleft lip & palate was 2.0% in total visiting patient. 4. As showed the living distribution, Namgu and Susunggu's patients were 43.7% of the total patients. 5. There was increased tendency for the number of the patient to be received orthognathic surgery.
Subject(s)
Female , Humans , Male , Cleft Lip , Dentistry , Malocclusion , Orthodontics , Orthognathic Surgery , PalateABSTRACT
This is a case report and review of literature that deals with hemifacial microsomia corrected by costochondral graft, Lefort I osteotomy and bilateral intraoral sagittal split ramus osteotomy. Patient, 23 years old female, had visited to treat the esthetic problem due to a deviation of jaw. On the basis of clinical and radiographic examinations, she was diagnosed as hemifacial microsomia. First, costochondral graft was performed to bridge the defect between glenoid fossa and body of mandible. After 11 months,. Patient was performed a Lefort I osteotomy and bilateral intraoral sagittal split ramus osteotomy to create a symmetric jaw. Patient was satiesfied with final esthetics and there have been no evidence of infection ill now.
Subject(s)
Female , Humans , Esthetics , Goldenhar Syndrome , Jaw , Mandible , Osteotomy , Osteotomy, Sagittal Split Ramus , TransplantsABSTRACT
The author reviewed 15 cases of fracture of tibial condyle treated at the orthopaedic department of Kyungpook National University hospital during the period from January 1963 to June 1970, and analysed as to cause of injury, type of fracture, average duration for treatment, complications and end results. The clinical results were obtained as follows: 1) The cause of injury were mostly traffic accident(46.7%), falling and stumbling(26.6%), coal miner accident(13.3%), direct blow(13.3%). 2) In classification of fracture type, Type I is most common type in this series and fracture of the lateral condyle is more common than medical condyle. 3) Associated ligaments tear is more common is Type III than other type, and medial collateral ligamant is most common. 4) In Type I with cast immobilization for 8 to 10 weeks, and then encouraged knee joint exercise. In Type II one of two cases treated with cast immobilization and with long leg brace after remove of the cast. Other case was treated with open reduction. In Type III 3 of 5 cases treated with bolting and immobilized for 16 weeks. 5) Undesirable sequelas are instability of joint, persistent pain and limitation of joint motion.