Management of disk displacement with condylar fracture / 中华口腔医学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate clinical features of disk displacement during the course of condylar fracture and to explore the techniques of disk reposition and suturation.</p><p><b>METHODS</b>32 patients (10 females and 22 males) who had disk displacements with condylar fractures were followed up. Reduction and reposition of the dislocated disks simultaneously with fixation of fractures were performed. 7 patients underwent intermaxillary fixation with elastic bands for 1 to 2 weeks.</p><p><b>RESULTS</b>The occlusions were satisfactory in all cases but one for the reason of ramus height loss. No TMJ symptom was found when examined 3 months post operation.</p><p><b>CONCLUSIONS</b>Anterior disk displacements were most occurred with high condylar process fractures. Surgical reposition and suturation of disk play an important role for the later TMJ-function.</p>