Surgical management of mandibular malposition after malunited condylar fractures in adults.
Fourteen patients who had occlusal disturbance and mandibular malposition following malunited condylar fractures are presented, to demonstrate the variety of surgical corrective procedures used. In order to achieve an anatomically correct mandibular position, a subcondylar osteotomy was performed in 2 patients, and in 11 patients a uni- or bilateral sagittal split osteotomy was carried out. In 1 patient, a Le Fort I osteotomy was the method of choice. In all patients, it was possible to correct the occlusal and mandibular imbalance, as well as to facilitate normal mandibular movement.
Spitzer
W J
WJ
Department of Oral & Cranio-Maxillofacial Surgery, Erlangen-Nuremberg University, Germany.
Vanderborght
G
G
Dumbach
J
J
D000328:Adult; D005260:Female; D005592:Fracture Fixation / Q000009:adverse effects; D017759:Fractures, Malunited / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000209:etiology / Q000601:surgery*; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery*; D008337:Mandibular Fractures / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D012086:Reoperation