Morphological evaluation of temporomandibular joint after open and closed treatment of type B diacapsular condylar fractures in sheep

被引:7
作者
Meng, Fan-Wen [1 ]
Hu, Kai-Jin [1 ]
Kong, Liang [1 ]
Zhao, Yan-Tao [1 ]
Liu, Yan-Pu [1 ]
Zhou, Shu-Xia [1 ]
机构
[1] Fourth Mil Med Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Xian 710032, Shannxi, Peoples R China
关键词
Diacapsular condylar fracture; Temporomandibular joint; Morphology; Closed treatment; Open reduction and internal fixation (ORIF); MANDIBULAR CONDYLE; INTRACAPSULAR FRACTURES; ANKYLOSIS; FIXATION; MODEL; DISC;
D O I
10.1016/j.aanat.2008.12.002
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
The incidence of diacapsular fracture of the mandibular condyle (DFMC) has increased in recent years. However, the specific modality of treatment which would provide maximum benefit and good results for adult patients of DFMC has been controversial. To evaluate and compare morphological changes of temporomandibular joint (TMJ) after open and closed treatments for DFMC, a sheep model of a type B DFMC was created by osteotomy. Eight sheep models of type B DFMC were randomly divided into 2 groups to receive closed treatment (Group 1) and open reduction and internal fixation (ORIF, Group 2), respectively, and morphological, changes of TMJ were scored according to the radiological and anatomical criteria of scoring and compared between the 2 groups. Compared with Group 1 animals treated by the closed method, Group 2 animals treated with ORIF received significantly tower scores for morphological. changes 12 weeks after treatment. We conclude that ORIF is more efficient than the closed functional treatment in restoring morphology of TMJ to treat type B DFMC. (c) 2009 Elsevier GmbH. All rights reserved.
引用
收藏
页码:288 / 293
页数:6
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