The study was performed to evaluate and compare the results of open and closed treatments of diacapitular @entity174 of the mandible. Following open reduction and internal fixation (ORIF) 14 @entity1 with 15 displaced @entity174 , which had caused a shortening of the mandibular ramus, were examined clinically (Helkimo index), radiologically (Orthopantomogram, Clementschitsch [reversed Towne's] view, Submentovertex view) and axiographically (CARDIAX). These findings were compared to a group of 29 @entity1 with 34 similar @entity174 which had been treated using closed techniques. Following ORIF @entity1 showed better radiological results with regard to the mandibular ramus height, resorption and pathological changes to the condyle, compared to the @entity1 group after closed functional treatment. In both groups some signs of @entity409 persisted, although there were slightly better results in the ORIF group. In 30% of the closed treatment group, lateral deviation during mouth opening, @entity432 were noted. No cases of occlusal disturbance were observed in the ORIF group. The axiographic examinations revealed a significant limitation of movement of the fractured condyle in both groups. However, after open treatment, the temporomandibular joint displayed significantly less irregularities in the condylar paths. In cases of complex reconstruction of the mandibular condyle, ORIF appears to improve the function of fractured condyles, when combined with a postoperative therapeutic exercise regime.

Functional and radiological results of open and closed treatment of intracapsular (diacapitular) XXXX of the mandible.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity409 :: ('MESH:D008107', 'Disease') :: ['dysfunction'] @entity432 :: ('MESH:D001157', 'Disease') :: ['crepitus and occlusal disturbances'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'condylar fractures']
@entity174 :: (MESH:D050723,Disease) :: ['condylar fractures']
