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Most fractures of the mandible can be managed conservatively. This report is a retrospective evaluation of the clinical and radiological results in 17 patients with 21 dislocated fractures submitted to open reduction and fixation, employing steel wires and maxillomandibular fixation. Follow-up ranged from 7 to 55 months, (mean 29.5). Functional assessment showed good opening movements (mean 41.9 mm). There were no cases of ankylosis, pain, or paralysis of the facial nerve. Radiological assessment was normal when the lateral pterygoid muscle was maintained adherent to the fractured proximal segment. Radiological signs of bone resorption occurred when the fractured segment was detached from the lateral pterygoid muscle. In our opinion, dislocated condylar process fractures can be managed surgically and with steel wire ligatures and maxillomandibular fixation. Whenever possible, the lateral pterygoid muscle should be inserted into the fractured proximal segment, i.e. as an osteomuscular flap.
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
February 1989,
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
January 2001,
Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
January 1979,
Soins; la revue de reference infirmiere,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
January 2001,
Folia medica,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
September 1970,
Polski tygodnik lekarski (Warsaw, Poland : 1960),
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
March 1977,
The British journal of oral surgery,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
August 1988,
Czasopismo stomatologiczne,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
March 1971,
Czasopismo stomatologiczne,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
January 2010,
Stomatologiia,
M D Pereira, and
A Marques, and
M Ishizuka, and
S M Keira, and
E Brenda, and
A B Wolosker
January 2007,
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft,
