CONSERVATIVE MODIFIED METHOD FOR TREATMENT OF RECENT UNILATERAL CONDYLAR FRACTURES
DOI:
https://doi.org/10.33279/jkcd.v6i1.251Keywords:
condylar fracture, unilateral, modified treatment method, pain.Abstract
Objective: The purpose of the present study is to analyze the outcomes of conservative and modified method for the treatment of recent unilateral condylar fractures.
Material and Methods: The study was conducted by the Department of Oral and Maxillofacial Surgery at District Head Quarter hospital, Abbottabad. A total of 28 patients with unilateral condylar fracture was included in this study, where 12 patients are treated with modified method while 10 with conservative method. Moreover, 6 patients dropped out during study period. Post-operative jaw movement, pain and occlusion patency were analyzed as Intra incisal distance in mm, pain was recorded by patient response yes or no.
Results: Modified treatment group revealed that there is notable increase in mouth opening. Mouth opening prior to irrigation lavage of joint was 15-18 mm, which increases to 24-30 mm. A day after irrigation lavage, there is increase in opening at each visit and increase opening incisal edge to incisal edge 42 mm achieved at 6 month after injury. Whereas, in control group mouth opening ranges 11-20 mm, mean opening is 17.5 mm before treatment and 38 mm mean opening ranges from 33-42 mm 6 month after injury. The joint pain considerably decreased in modified treatment group from 96% before start of treatment to 60% at day one after treatment and 34% one month 19.6% and 12% respectively Three and six months after treatment no remarkable difference in pain in conservative treatment group. Ninety three percent experience pain before treatment, after three months of treatment pain decreases in 55% of patients, but there is remarkable difference between pre-treatment and 6 months after treatment, i.e., 34%.
Conclusions: Modified protocol with irrigation and steroid injection is a safe treatment modality for fresh condylar fractures. The final outcome is more or less is same for both groups. However, the modified treatment group shows the early, quick recovery and jaw function as well as decrease pain duration with recent condylar fracture than conventional treatments.
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Copyright (c) 2015 Faisal Pasha, Zahur Qayyum, Mohammad Yousaf
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