[Management of disk displacement with condylar fracture].
OBJECTIVE
To investigate clinical features of disk displacement during the course of condylar fracture and to explore the techniques of disk reposition and suturation.


METHODS
32 patients (10 females and 22 males) who had disk displacements with condylar fractures were followed up. Reduction and reposition of the dislocated disks simultaneously with fixation of fractures were performed. 7 patients underwent intermaxillary fixation with elastic bands for 1 to 2 weeks.


RESULTS
The occlusions were satisfactory in all cases but one for the reason of ramus height loss. No TMJ symptom was found when examined 3 months post operation.


CONCLUSIONS
Anterior disk displacements were most occurred with high condylar process fractures. Surgical reposition and suturation of disk play an important role for the later TMJ-function.
Yu
Shi-bin
SB
Department of Oral and Maxillofacial Surgery, School of Stomatology, Wuhan University, Wuhan 430079, China.
Li
Zu-bing
ZB
Yang
Xue-wen
XW
Zhao
Ji-hong
JH
Dong
Yao-jun
YJ
D000293:Adolescent; D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000601:surgery*; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D019224:Temporomandibular Joint Disc / Q000473:pathology*