Treatment of Diacapitular Condylar Fractures

NCT ID: NCT02466269

Last Updated: 2017-10-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-08-31

Study Completion Date

2015-05-31

Brief Summary

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A new surgical approach, denoted as the supratemporalis approach, was designed to treat diacapitular condylar fractures of the mandibular condyle.This approach prevented facial nerve injury and did not increase the frequency of other complications. Therefore, the investigators suggest this surgical procedure as a routine and safe approach to diacapitular condylar fractures, which can also be applied to temporomandibular joint(TMJ)and to the zygomatic arch.

Detailed Description

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Eighty-four patients (112 sides) with diacapitular condylar fractures were treated surgically. Forty-four patients (64 sides) were treated with the supratemporalis approach, and forty patients (48 sides) were treated with traditional preauricular approach. Data on the surgical procedures and complications were recorded. The follow-up periods were 12 -24months. The evaluated parameters include facial nerve injury,the maximum mouth opening, mandibular movements, occlusion, scar formation,hemorrhage and infection.Seven patients sustained facial nerve paresis in the group treated with the traditional preauricular approach. No case of facial nerve injury was observed in the supratemporalis approach group. No other significant differences were detected between the two groups in the functional and esthetic aspects.

Conditions

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Mandibular Fractures

Keywords

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Facial Nerve Injuries

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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the preauricular approach

A classic preauricular incision was used to treat diacapitular condylar fractures

The supratemporalis approach

Intervention Type PROCEDURE

The supratemporalis approach was applied in treatment of diacapitular condylar fractures

Interventions

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The supratemporalis approach

The supratemporalis approach was applied in treatment of diacapitular condylar fractures

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* clinical and radiographical diagnosis of DFs;

Exclusion Criteria

1. condylar fractures with undisplaced fractures;
2. Fractures without the reduction of the condylar height;
3. A obvious scar at the temporal region, affecting the placement of the original incision.
Minimum Eligible Age

4 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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West China College of Stomatology

OTHER

Sponsor Role collaborator

Hui Li

OTHER

Sponsor Role lead

Responsible Party

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Hui Li

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Lei Li, DMD

Role: STUDY_DIRECTOR

Department of Oral & Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University

References

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Other Identifiers

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hui_owen

Identifier Type: -

Identifier Source: org_study_id