Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture
The treatment of condylar fractures has been the subject of debate and controversy. Open reduction and internal fixation, along with closed reduction, are the 2 main treatment modalities when well indicated and performed. In specific situations, however, the success of both treatment modalities can...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Oral and Maxillofacial Surgery Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214541923000111 |
| _version_ | 1797801047846027264 |
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| author | Fabio G. Ritto John R. Zuniga |
| author_facet | Fabio G. Ritto John R. Zuniga |
| author_sort | Fabio G. Ritto |
| collection | DOAJ |
| description | The treatment of condylar fractures has been the subject of debate and controversy. Open reduction and internal fixation, along with closed reduction, are the 2 main treatment modalities when well indicated and performed. In specific situations, however, the success of both treatment modalities can be challenged by local or systemic conditions. Alloplastic total temporomandibular joint replacement (TMJR) with the current systems, Biomet and Stryker, has proven to be successful in the long-term. The authors present 2 cases and propose the consideration of TMJR as a first-line treatment for condylar fractures in the following situations: fractures older than 4 weeks; 2) elderly patients with severely dislocated or displaced condyles; 3) condylar dislocation into the cranial fossa; 4) maxillomandibular fixation is not a viable option. |
| first_indexed | 2024-03-13T04:44:28Z |
| format | Article |
| id | doaj.art-7117def9ac094e769db84282997f8452 |
| institution | Directory Open Access Journal |
| issn | 2214-5419 |
| language | English |
| last_indexed | 2024-03-13T04:44:28Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral and Maxillofacial Surgery Cases |
| spelling | doaj.art-7117def9ac094e769db84282997f84522023-06-19T04:28:13ZengElsevierOral and Maxillofacial Surgery Cases2214-54192023-06-0192100302Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fractureFabio G. Ritto0John R. Zuniga1The University of Oklahoma Health Science Center College of Dentistry, Department of Oral and Maxillofacial Surgery, USA; Corresponding author.Robert V. Walker Chair in Oral and Maxillofacial Surgery, Division of Oral and Maxillofacial Surgery, Department of Surgery and Neurology, University of Texas Southwestern, Dallas, TX, USAThe treatment of condylar fractures has been the subject of debate and controversy. Open reduction and internal fixation, along with closed reduction, are the 2 main treatment modalities when well indicated and performed. In specific situations, however, the success of both treatment modalities can be challenged by local or systemic conditions. Alloplastic total temporomandibular joint replacement (TMJR) with the current systems, Biomet and Stryker, has proven to be successful in the long-term. The authors present 2 cases and propose the consideration of TMJR as a first-line treatment for condylar fractures in the following situations: fractures older than 4 weeks; 2) elderly patients with severely dislocated or displaced condyles; 3) condylar dislocation into the cranial fossa; 4) maxillomandibular fixation is not a viable option.http://www.sciencedirect.com/science/article/pii/S2214541923000111Temporomandibular jointTemporomandibular joint replacementCondylar fracture |
| spellingShingle | Fabio G. Ritto John R. Zuniga Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture Oral and Maxillofacial Surgery Cases Temporomandibular joint Temporomandibular joint replacement Condylar fracture |
| title | Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture |
| title_full | Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture |
| title_fullStr | Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture |
| title_full_unstemmed | Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture |
| title_short | Total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture |
| title_sort | total temporomandibular mandibular joint alloplastic replacement as first line treatment for condylar fracture |
| topic | Temporomandibular joint Temporomandibular joint replacement Condylar fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2214541923000111 |
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