片側性下顎骨関節突起骨折の予後の検討 Clinico-statistical study of unilateral mandibular condylar fractures

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著者

    • 木村 哲雄 KIMURA Tetsuo
    • 大阪警察病院歯科口腔外科 Department of dentistry, oral and maxillofacial surgery, Osaka Police Hospital
    • 小泉 英彦 KOIZUMI Hidehiko
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第一教室) Course for Integrated Oral Sciences and Stomatology, Division of Pathogenesis and Control of Oral Diseases, Osaka University, Graduate School of Dentistry (First Department of Oral Maxillofacial Surgery)
    • 安井 康順 YASUI Yasunobu
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第一教室) Course for Integrated Oral Sciences and Stomatology, Division of Pathogenesis and Control of Oral Diseases, Osaka University, Graduate School of Dentistry (First Department of Oral Maxillofacial Surgery)
    • 茶野 珠里 CHANO Juri
    • 大阪警察病院歯科口腔外科 Department of dentistry, oral and maxillofacial surgery, Osaka Police Hospital
    • 古郷 幹彦 KOGO Mikihiko
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第一教室) Course for Integrated Oral Sciences and Stomatology, Division of Pathogenesis and Control of Oral Diseases, Osaka University, Graduate School of Dentistry (First Department of Oral Maxillofacial Surgery)

抄録

A statistical analysis was performed to determine factors that influence the clinical outcome of unilateral condylar fractures of the mandible. In this study, the fracture location was limited to the condylar neck and base of the condylar process. Twenty-eight patients, 18 males and 10 females, were treated at our clinic between January 1997 and December 2001. The age range was 7 to 79 years, and the average age was 32.6 years. Seventeen cases involved fractures of the condylar neck and 11 cases involved fractures of the base of the condylar process. Fifteen cases were treated conservatively by intermaxillary fixation, and 13 were treated surgically by using a titanium mini-plate or lag screw osteosynthesis system. The clinical outcome was determined according to the classification described by Kamiya 6 months after injury. The outcome was good in 21 cases, whereas 7 cases had restricted mouth-opening or joint sounds during jaw movements. This study revealed that two factors can negatively influence the clinical outcome of unilateral mandibular condylar fractures: one is the type of fracture in all cases and the other is the age of the patient at injury in cases treated conservatively.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 49(5), 355-358, 2003-05-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  10件中 1-10件 を表示

被引用文献:  4件中 1-4件 を表示

各種コード

  • NII論文ID(NAID)
    10012629349
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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