ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BẢO TỒN GÃY LỒI CẦU XƯƠNG HÀM DƯỚI

Abstract

Objectives: To describe the clinical and radiographic characteristics of patients with condylar fractures treated conservatively at Viet Duc Univesity Hospital and the treatment outcomes of this patient group. Methods: Patients with condylar fractures treated conservatively at Viet Duc University Hospital from 2021 to 2023 were included in the study. The study employed a descriptive prospective cross-sectional approach. Results: The male proportion was 74,7%, most patients are under 40 years old and traffic accidents accounted for 93% of total cases. Most patients had fractures at the condylar head (43,9%) and lost vertical apposition (66,7%). After 3 months post-surgery or later, 95,3% of patients reported no pain, 11,6% of patients had a maximum mouth opening less than 30 mm. Successful treatment of non-displaced and partially displaced mandibular condyle fractures (70% and 83.3%) Successful treatment of complete vertical appositionand and partial vertical appositionand mandibular condyle fractures (70% and 83.3%) is high. Conclusions: Condylar fractures occurred more frequently in males than females, primarily due to traffic accidents. The primary location for condylar fractures was at the condylar head. Closed reduction for complete vertical appositionand and partial vertical appositionand mandibular condyle fractures was a simple and easily implementable method, yielding good treatment outcomes