EVALUATION OF CONSERVATIVE TREATMENT OUTCOMES FOR TRAUMATIC CONDYLAR FRACTURES OF THE MANDIBLE USING FIXATION ANCHOR SCREWS AT MILITARY HOSPITAL 175

Dan Nguyen Van; Trang Tran Thi Huyen; Tuan Bui Van; Duong Nguyen Thi Thuy; Anh Ho Viet; Tinh Thai Huu; Vu Nguyen Ba Hoang

doi:10.59354/ydth175.2024.264

Keywords:

Mandibular condyle fracture, conservative treatment, intermaxillary anchor screws

Abstract

Objective: To evaluate the outcomes of conservative treatment for traumatic fractures of the mandibular condyle using fixation anchor screws at Military Hospital 175.

Subjects and Methods: This study included 44 patients diagnosed with mandibular condyle fractures and indicated for conservative condyle treatment at the Maxillofacial Department of Military Hospital 175 from January 2022 to December 2023.

Results: Mandibular condyle fractures primarily occurred in males (68.2%), with the most common age group being 19 to 39 years old (72.7%), and an average age was 31.9 ± 12.9. The rate of combined fractures was 65.5%. The typical clinical symptoms of condylar fractures included preauricular pain in 100% of cases, restricted mouth opening in 79.5%, malocclusion in 84.1%, and ear bleeding in 61.4% of cases. On CT scans, the rate of condylar head fractures was 70.4%, and condylar neck fractures were 29.6%. The number of fixation anchor screws used was mainly 6 screws (54.5%). After one month of conservative treatment, 70.5% of patients had good occlusion results, and 86.4% could open their mouths 3-4 cm. After six months, all patients could open their mouths more than 3 cm, with 95.4% having good occlusion.

Conclusion: Conservative treatment of traumatic mandibular condyle fractures using fixation anchor screws had good results for patients with many advantages.

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