Fortschritte der Kiefer- und Gesichts-Chirurgie最新文献_第2页

[Treatment outcome and complications of surgical and conservative management of mandibular fractures]. [下颌骨折手术与保守治疗的疗效及并发症]。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

E Reinhart, J Reuther, C Michel, N Kübler, H Pistner, J Bill, E Kunkel

{"title":"[Treatment outcome and complications of surgical and conservative management of mandibular fractures].","authors":"E Reinhart, J Reuther, C Michel, N Kübler, H Pistner, J Bill, E Kunkel","doi":"","DOIUrl":"","url":null,"abstract":"Retrospective analysis of 712 patients with 1166 mandibular fractures and follow up-study of 374 patients with 593 fractures was performed for discrimination of differences in wound- and bone-healing as well as late results between operative and conservative fracture treatment. 46.1% (328) of all patients have been treated conservatively, 53.9% (384) have been treated by operation. The follow up was performed on 255 patients with operative fracture treatment and 119 patients with conservative treatment. In 3.0% of the operatively treated patients bacterial infections occurred, in comparison to 8.7% of conservatively treated patients. From the viewpoint of functional aspects, such as occlusion, articulation and mandibular movement as well as radiological signs in the fractured region patients after operative treatment have shown partly significantly better results during the follow up compared to the group of conservatively treated patients. Neurological testings of inferior alveolar nerve and mental nerve have shown significantly better results in the group of conservatively treated patients. Since the functional results are much better after operative treatment, osteosynthesis with miniplates should be performed if there are no contraindications. The more precise reconstruction and stabilization of the fragments shortens time of hospitalization and leads to sooner functionality of the mandible.","PeriodicalId":75863,"journal":{"name":"Fortschritte der Kiefer- und Gesichts-Chirurgie","volume":"41 ","pages":"64-7"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19727711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Therapy of orbital fractures]. 眼眶骨折的治疗。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

U Joos

引用次数: 0

[Differential indications for various therapeutic osteosynthesis concepts in mandibular fractures]. [下颌骨折不同植骨疗法的不同适应症]。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

D Weingart, U Joos

引用次数: 0

[Late outcome and complications of mandibular compression osteosynthesis with intraoral approach--a 10-year study]. [下颌加压口内入路植骨术的晚期预后和并发症——一项为期10年的研究]。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

S Reinert, M Schwarz, R Pourkermani, J Lentrodt

引用次数: 0

[Abnormalities of the orbital area]. [眶区异常]。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

J Mühling, J Zöller

引用次数: 0

[Long-term outcome after intraoral miniplate osteosynthesis in mandibular angle fractures]. [下颌角骨折口内微型钢板内固定术的远期疗效]。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

D Kakoschke, C Mohr, D Schettler

引用次数: 0

[Surgical reposition and fixation of mandibular condyle fractures via intraoral approach]. 下颌髁突骨折经口内入路手术复位固定。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

W Hochban, M Ellers, H E Umstadt, K I Juchems

{"title":"[Surgical reposition and fixation of mandibular condyle fractures via intraoral approach].","authors":"W Hochban, M Ellers, H E Umstadt, K I Juchems","doi":"","DOIUrl":"","url":null,"abstract":"In a case series 54 patients with 61 subcondylar fractures had been treated by surgical repositioning and miniplate-fixation by an intraoral approach. Functional results with special regard to the function of the temporomandibular joint TMJ were registered not earlier than 1 year postoperatively and compared to a case series of 48 patients with 63 conservatively treated subcondylar fractures. Axiographic or pantographic investigation proved higher incidence of TMJ-disorders as it was the case for the common clinical functional examination. TMJ-function was worse in the conservatively treated cases especially in dislocated fractures. Therefore dislocated fractures especially with luxation of the TMJ should be surgically treated. Surgical repositioning and fixation by an intraoral approach is difficult and allows only limited access and view of the fracture, but avoids complications by scaring or facial nerve damage and seems to be sufficient for adequate repositioning. Minor dislocations showed no influence on TMJ-function. Of course surgical repair of disrupted TMJ-ligaments is not possible by an intraoral approach-disrupted TMJ-ligaments in luxated joints seem to be of major importance for the later TMJ-function.","PeriodicalId":75863,"journal":{"name":"Fortschritte der Kiefer- und Gesichts-Chirurgie","volume":"41 ","pages":"80-5"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19727716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Results of follow-up of temporomandibular joint fractures in 30 children]. [30例儿童颞下颌关节骨折的随访结果]。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

M Kellenberger, T von Arx, N Hardt

{"title":"[Results of follow-up of temporomandibular joint fractures in 30 children].","authors":"M Kellenberger, T von Arx, N Hardt","doi":"","DOIUrl":"","url":null,"abstract":"Disturbances of facial growth and occlusion as well as temporomandibular joint dysfunction are possible sequelae of temporomandibular joint fractures in children. In a follow-up study we examined 30 children with conservatively treated condylar fractures of the mandible (age at time of accident from 9 months to 13 years) regarding dysfunction or growth disturbances within the stomatognathic system. The mean interval between the accident and the follow-up was 4 years and 11 months. We found 6 cases with tilted occlusional planes in the 'en face' analysis, 3 of them with bilateral condylar fractures. There was only one case with a facial asymmetry. The interincisive distance was never below 35 mm. Only 3 patients, all of them with bilateral condylar fractures, had a restricted mobility of the mandible. Remodelling of the condylar head was good in 92% of the cases. Two patients with bilateral fractures showed formation of a bifid condyle without ankylosis. Deviation of the ascending ramus in the horizontal plane was observed radiographically in 21% of the cases with unilateral fractures and in 33% with bilateral fractures respectively and always in a medial direction. Measurement of the length of the Processus articularis in the orthopantomogramm showed a shortening in 70% of the cases on the fracture side. The radiographic evaluation of facial asymmetry after Ricketts and Mulick only revealed an angle difference of more than 5 degrees in some cases.","PeriodicalId":75863,"journal":{"name":"Fortschritte der Kiefer- und Gesichts-Chirurgie","volume":"41 ","pages":"138-42"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19727498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Nuclear magnetic resonance tomography study of the position of the discus articularis after dislocation fractures]. 【脱位骨折后铁饼关节位置的核磁共振成像研究】。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

U Eckelt, S Klengel

引用次数: 0

[Lag screw osteosynthesis in median mandibular fractures--technique and outcome]. [拉力螺钉固定术治疗下颌正中骨折-技术和结果]。

Fortschritte der Kiefer- und Gesichts-Chirurgie Pub Date : 1996-01-01

M Roser, M Ehrenfeld, D Ettlin, B Hammer

引用次数: 0