TÌNH HÌNH ĐIỀU TRỊ GÃY CHỎM LỒI CẦU XƯƠNG HÀM DƯỚI TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To describe the features and treatment of patients diagnosed with mandibular condyle head fractures at the Department of Maxillofacial, Plastic and Aesthetic Surgery, Viet Duc University Hospital. Subjects and methods: A cross-sectional study of patients diagnosed with mandibular condyle head fractures and treated at the Department of Maxillofacial, Plastic and Aesthetic Surgery, Viet Duc University Hospital from from Jan 2023 to Dec 2024. We collected data from medical records, re-examination data. Results: 126 patients with 164 mandibular condyle head fractures included in the sample, there was a male predominance at 77.8%; the range of age was from 16 to 73 years old and the mean age was 35.2 ± 14.6.  A majority of mandibular condyle head fractures were caused by road traffic accidents with the incidence of 78.6%. The incidence of right, left and bilateral fractures were 37.3%; 32.5% and 30.2%, respectively. Follow Dongmei He’ classification of the mandibular condyle head fracture were type A 23.8%; type B 43.3%; type C 15.2%; type M 17.7%. All patients underwent conservative treatment by intermaxillary fixation, no significant different was found in the result between four types of fracture. Conclusion: Mandibular condyle head fractures are mainly seen in men, the  most common cause is road traffic accidents. The conservative treatment by intermaxillary fixation revealed no significant different in the result between four types of fracture.