ORIGINAL ARTICLE Temporomandibular Joint Dysfunction After Mandibular Fracture in Children A 10-Year Review Shelby C. Leuin, MD; Emily Frydendall, BA; Dexiang Gao, PhD; Kenny H. Chan, MD Objectives: To collect demographic and clinical data Results: Of the 164 patients, 122 (74.4%) were male (me- on pediatric mandibular fractures and to assess tempo- dian age, 10.4 years; age range, 0.6-19.0 years). Of the 83 romandibular joint (TMJ) dysfunction in patients with patients with C/SC fractures, 61 (73.5%) were male (me- condylar and subcondylar (C/SC) fractures. dian age, 9.1 years; age range, 1.1-18.7 years); 66 (79.5%) had unilateral fractures and 17 (20.5%) had bilateral frac- Design: Retrospective case series of pediatric mandibu- tures. The A distribution of the 45 patients who com- lar fractures (1999-2009) with follow-up telephone ques- pleted the questionnaire was as follows: 15 (33.3%) none, tionnaire of patients with C/SC fractures. Collected data 6 (13.3%) mild, and 24 (53.3%) severe. Females have more included age, gender, unilateral vs bilateral C/SC frac- severe dysfunction than do males (95% confidence inter- ture, presence of concomitant fracture, velocity of in- val, 1.6-140.0; P=.02). No other significant predictors of jury, and treatment modality. treatment modality or TMJ dysfunction were identified. Pa- tients
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Jan 1, 2011
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