Comparison of the therapeutic efficacy between surgical treatment and conservative treatment for intracapsular condylar fracture / 实用口腔医学杂志

ABSTRACT

Objective: To compare the therapeutic efficacy between surgical treatment and conservative treatment for intracapsular condylar fracture(ICF). Methods: 37 adult patients with unilateral ICF were recruited from January 2011 to January 2016. 21 patients were treated by surgery and 16 by conservative method. Before and after treatment patients were examined by clinical examinations,CT and MRI. Results: At 6th month follow-up,no occlusal disturbance and trismus was found in all cases. The mouth opening of surgical treatment group was significantly larger than that of the conservative treatment group(P ＜ 0. 05). The incidence of lateral deviation while mouth opening,TMJ discomfort and anterior disc displacement in the conservative treatment group was significantly higher than those in surgical treatment group(P ＜ 0. 01). Conclusion: Surgiry treatment is more effective than conservative method in the treatment of ICF and can improve the TMJ function.