Change of the Inclination Angle in a Greenstick Fracture of the Mandibular Subcondyle Treated With Intermaxillary Fixation in a Child

Hwang, Kun; Hwan, Sung

doi:10.1097/scs.0000000000007461

Journal of Craniofacial Surgery

2021

DOI: 10.1097/scs.0000000000007461

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Change of the Inclination Angle in a Greenstick Fracture of the Mandibular Subcondyle Treated With Intermaxillary Fixation in a Child

Kun Hwang

Sung Hwan

Abstract: A review of the cleft lip/palate literature reveals that differential diagnosis of the facial skeleton and musculature is essential to achieve all treatment goals.

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Cited by 2 publications

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“…Greenstick fractures mostly occur in children and rarely in adults 1–3 . In adult zygomaticomaxillary complex fractures, the greenstick fracture at the root of the zygomatic arch is occasionally encountered.…”

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confidence: 99%

Management of Greenstick Fracture at the Root of Adult Zygomatic Arch

Wu,

Liu,

2023

Journal of Craniofacial Surgery

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Greenstick fractures mostly occur in children and rarely in adults. In adult zygomaticomaxillary complex fractures, the greenstick fracture at the root of the zygomatic arch is occasionally encountered. This makes it difficult to move the fracture segment. Therefore, achieving anatomic reduction is very difficult. Our preoperative 3D repaired model shows that if only the maxilla and zygomatic bones are restored, the patient’s face will still have depression and protrusion. The greenstick fracture segment at the root of the zygomatic arch needs to undergo osteotomy to achieve anatomic reduction and restore facial symmetry. The patient’s facial appearance was restored after the surgery. The postoperative computed tomography scan showed good alignment of the fracture. The authors believe that a fracture at the root of the zygomatic arch can serve as an indication for open reduction and fixation.

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confidence: 99%

Management of Greenstick Fracture at the Root of Adult Zygomatic Arch

Wu,

Liu,

2023

Journal of Craniofacial Surgery

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“…In our previous study, we used an occlusal stop and intermaxillary fixation (IMF) to treat a greenstick subcondylar fracture in a child, and the IFC was straightened 10 . We thought that this outcome was achieved because the occlusal stop increased the vertical dimension, which pulled the distal segment downward.…”

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confidence: 99%

Change of the Inclination Angle in a Pediatric Bilateral Condylar Fracture Treated With Intermaxillary Fixation and an Occlusal Stop

Hwan

Hwang

2021

Journal of Craniofacial Surgery

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This paper presents the outcomes of a pediatric bilateral condylar fracture treated with intermaxillary fixation (IMF) and an occlusal stop.A 6-year-old girl presented with the complaint of pain on her chin. She had fallen down, whereas riding a bicycle and her face hit the road. She had limited mouth-opening (10 mm). Panoramic radiography and computed tomography confirmed a bilateral con-dylar fracture. The inclination of the fractured condyle (IFC) was 39.28 and 42.48 on the left and right sides, respectively. On the third post-trauma day, arch bars were applied and IMF was performed with a prefabricated wafer (occlusal stop) and rubber bands. The rubber bands were changed to wires on post-IMF day (PMF) 4.

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Change of the Inclination Angle in a Greenstick Fracture of the Mandibular Subcondyle Treated With Intermaxillary Fixation in a Child

Abstract: A review of the cleft lip/palate literature reveals that differential diagnosis of the facial skeleton and musculature is essential to achieve all treatment goals.

Cited by 2 publications

References 5 publications

Management of Greenstick Fracture at the Root of Adult Zygomatic Arch

Management of Greenstick Fracture at the Root of Adult Zygomatic Arch

Change of the Inclination Angle in a Pediatric Bilateral Condylar Fracture Treated With Intermaxillary Fixation and an Occlusal Stop

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