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ORIGINAL RESEARCH
Year : 2010  |  Volume : 1  |  Issue : 1  |  Page : 8-11

Treatment outcome of unilateral condylar fractures surgical versus conservative approach


1 Professor and Head, Dept. of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Chennai, India
2 Associate Professor, Dept. of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Chennai, India

Correspondence Address:
Dr. Vijay Ebenezer
Professor and Head, Dept. of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Pallikaranai, Chennai - 600 100
India
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Source of Support: None, Conflict of Interest: None


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The aim of this study was to compare the outcome of surgical and conservative approaches for the management of displaced unilateral condylar fractures. Twenty-seven patients who reported to our department within a period of two years (2008-2009) were included in our study. All patients selected for the study had unilateral and displaced condylar fractures, with a ramus shortening of more than 3 mm on the fractured side. The 6-month postoperative radiographs were compared and evaluated. Postoperative ascending ramus height was measured on orthopantomograms. The difference obtained between the closed and conservatively treated patient group was evaluated. Occlusion, postoperative mouth opening and lateral excursive movements were included as the other parameters for the comparison. Our small population study concluded that open reduction and fixation of displaced condylar fractures yielded good postoperative results when compared to the conservatively managed patient group.


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