Funktionskieferorthopädisch behandelte Kondylusfrakturen—eine klinische und computertomographische Untersuchung

Hirschfelder, Ursula; Müßig, D; Zschiesche, S.; Hirschfelder, H.

doi:10.1007/bf02164023

Cited by 12 publications

(2 citation statements)

References 5 publications

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“…Schon in den friihen Studien wurde vereinzelt fiber moderate bis ausgepr~tgte Deformierungen des aufgerichteten oder neu formierten Kondylus berichtet. Seitdem die computertomographische Untersuchungsmethodik der Kiefergelenke [3,7,8,10,11,17] auch vermehrt in der Frakturdiagnostik Anwendung findet, sind Berichte tiber posttraurnatische Gelenkkopfver~nderungen Ninfig: Hirschfelder hatte bei 61% der Nachuntersuchten atypische Neu-bzw. Umformierungen festgestetlt [9] und nach eigenen CT-Langzeitnachuntersuchungsbefunden wiesen nur 33% der Kondylen eine gute bis sehr gute Remodellierung auf [15].…”

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Eine kritische Bewertung der funktionellen Behandlung von Kollumfrakturen bei Kindern

Kahl-Nieke

Fischbach

1995

Fortschritte der Kieferorthopädie

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In this retrospective follow-up study after 6 months of treatment with functional appliance therapy of 12 children who had suffered condylar fractures, spiral CT was employed for the radiological examination with 2D and 3D reconstructions. Although all patients exhibited restoration of normal function, only 4 showed favorable remodeling. The other patients had developed 5 hypoplastic, 5 moderate and 5 severe deformed condyles. Seven condylar fragments were resorbed; 2 were uprighted; 4 had developed bony spurs and 3 neoarthrosis. The results revealed a fracture dependent remodeling. The authors discuss the etiology of the functional stimulated new bone formation of the condylar process. Excessive bone apposition as a reaction to the anterior shift of the mandible seems to play an important role during the overgrowth of the head of the condyle.

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Eine kritische Bewertung der funktionellen Behandlung von Kollumfrakturen bei Kindern

Kahl-Nieke

Fischbach

1995

Fortschritte der Kieferorthopädie

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“…These appliances, which are fitted loosely in the mouth, stimulate remodelling of bony and soft tissue structures of the TMJ 3 . Numerous authors [4][5][6][7][8][9] have been able to demonstrate that such treatment can influence remodelling of condylar fractures. Following disimpaction with the functional appliance, the condylar process usually assumes an upright position and normal function is re-established.…”

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Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography.

Kahl

Fischbach²,

Gerlach³

1995

Dentomaxillofacial Radiology

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The consequences of treating fractures of the temporomandibular joint in children by means of functional appliance therapy remain controversial. In this retrospective study we evaluated the temporomandibular joint morphology of 19 children and adolescents who had sustained a total of 21 condylar fractures between three and nine years previously and who had been treated in this way. Restoration of function was assessed clinically by measurement of mandibular movements, and palpation and auscultation of the joint. Spiral CT was used for the radiological examination with 2D and 3D reconstructions. Eleven patients with 13 fractures of different types showed restoration of normal function with favourable remodelling. The remaining eight patients had only good function with a deformed condyle and significant asymmetry in condylar angle and length of the condylar neck. Four of these cases had also developed bony spurs, neo-arthrosis and a bifid condyle. On the basis of these results, spiral CT imaging appears to be a valuable diagnostic aid in cases of condyle fractures where severe morphological changes are not recognized in earlier conventional X-ray examinations. The authors recommend a quantitative and qualitative analysis of the temporomandibular joint in order to encourage patients' compliance and, in cases of poor cooperation, to extend the treatment time.

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The influence of the spring activator on the mobility of the lower jaw in traumatically injured patients

Wichelhaus

Haas

Sander

et al. 1998

J Orofac Orthop/Fortschr Kieferorthop

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For functional rehabilitation and improvement of mandibular mobility, 14 patients with dislocated collum or collum fracture dislocations were treated with a spring activator after surgical-conservative treatment. With an interincisal distance of < 12 mm, therapy was started with a loop spring. The average age of the patients was 26.6 years. Eight patients showed additional traumatic injuries, 2 patients were seriously polytraumatically injured. The clinical investigations referring to the maximum mouth opening and maximal interincisal distance resulted in a good to very good functional rehabilitation in all cases. The average maximal interincisal distance of 31.7 mm at the beginning of the spring activator therapy could be increased to 47.3 mm. The largest increase of the maximal interincisal distance was observed after 4 weeks of therapy. The type of reaction, however, differed interindividually. Three patients showed a spontaneous improvement of the interincisal distance within the first 2 to 3 weeks of removal of intermaxillary fixation, whereas 7 patients showed no improvement or only slightly improved values until insertion of the spring activator. An enlargement of the interincisal distance could be achieved in almost every patient within a relatively short period of time despite a drastically reduced mouth opening. Consequently, because of its mode of action in the form of a neuromuscular influence, the spring activator is especially suitable for the functional rehabilitation of patients with fractures of the condylar process.

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Funktionskieferorthopädisch behandelte Kondylusfrakturen—eine klinische und computertomographische Untersuchung

Cited by 12 publications

References 5 publications

Eine kritische Bewertung der funktionellen Behandlung von Kollumfrakturen bei Kindern

Eine kritische Bewertung der funktionellen Behandlung von Kollumfrakturen bei Kindern

Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography.

The influence of the spring activator on the mobility of the lower jaw in traumatically injured patients

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