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Treatment of Subcondylar Fractures by the Endaural Approach

Treatment of Subcondylar Fractures by the Endaural Approach Abstract The goal in the treatment of all fractures is the readjustment of the fractured parts to their normal alignment, and a maintenance of the parts for a sufficient length of time so that healing may occur. This is not always possible due to the inaccessibility of certain osseous structures. In the spine, for example, accessory external methods are used most frequently to obtain healing in a close to normal position. The surgical difficulty in these cases makes it necessary to rely on other than direct techniques. On the other hand, there are fractures, such as in the radius, tibia, etc., where external fixation is, in the greatest number of cases, perfectly adequate. On the one hand, we have almost insurmountable technical difficulties and, on the other, a situation where direct fixation is unnecessary and where external fixation is adequate for good linear healing. Treatment of subcondylar fractures has been relegated References 1. Bellinger, D. H.; Henry, F. A., and Peterson, L. W.: Fracture of the Mandibular Condyle , J. Oral Surg. 1:48-58 ( (Jan.) ) 1943. 2. MacLennan, W. D.: Consideration of 180 Cases of Typical Fractures of the Mandibular Condylar Process , Brit. J. Plast. Surg. 5:122-128 ( (July) ) 1952.Crossref 3. Chipps, J. E.; Canham, R. G., and Makel, H. P.: Intermediate Treatment of Maxillofacial Injuries , U.S. Armed Forces M. J. 4:951-976 ( (July) ) 1953. 4. McDowell, F.; Brown, J. B., and Fryer, M. P.: Surgery of Face, Mouth, and Jaws , St. Louis, C. V. Mosby Company, 1954. 5. Shapiro, R. N.; O'Brien, G. R., and Wilkie, C.: Treatment of Jaw Fractures , A.M.A. Arch Otolaryng. 60:548-556 ( (Nov.) ) 1954.Crossref 6. Chalmers J. Lyons Club: Fractures Involving the Mandibular Condyle , J. Oral Surg. 5:45-73 ( (Jan.) ) 1947. 7. Ivy, R. H., and Curtis, L.: Fractures of the Mandible , Dent. Cosmos 68:439-446, 1926. 8. Gerry, R. G.: Traumatic Injuries of the Temporomandibular Joint , J. Oral Surg. 13:232-243 ( (July) ) 1955. 9. Thoma, K. T.: Treatment of Condylar Fractures , J. Oral Surg. 12:112-120 ( (April) ) 1954. 10. Blair, V. P.: Consideration of Contour as well as Function in Operation for Organic Ankylosis of Lower Jaw , Surg. Gynec. & Obst. 46:167-179 ( (Feb.) ) 1928. 11. Wakeley, C. P. G.: Surgery of Temporomandibular Joint , Surgery 5:697-706 ( (May) ) 1939. 12. Dingman, R. O., and Moorman, W. C.: Meniscectomy in Treatment of Lesions of Temporomandibular Joint , J. Oral Surg. 9:214-224 ( (July) ) 1951. 13. Henny, F. A.: Technic for Open Reduction of Fractures of Mandibular Condyle . J. Oral Surg. 9:233-237 ( (July) ) 1951. 14. Richardson, F. H., and Cohen, B. M.: Fractures of the Mandibular Condyle , J. Oral Surg. 6:1149-1164 ( (Oct.) ) 1953. 15. Rongetti, J. R.: Meniscectomy: A New Approach to the Temporomandibular Joint , A.M.A. Arch. Otolaryng. 60:566-572 ( (Nov.) ) 1954. 16. Lempert, J.: Improvement of Hearing in Cases of Otosclerosis , Arch. Otolaryng. 28:42-97 ( (July) ) 1938. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

Treatment of Subcondylar Fractures by the Endaural Approach

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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1956.03830160072010
Publisher site
See Article on Publisher Site

Abstract

Abstract The goal in the treatment of all fractures is the readjustment of the fractured parts to their normal alignment, and a maintenance of the parts for a sufficient length of time so that healing may occur. This is not always possible due to the inaccessibility of certain osseous structures. In the spine, for example, accessory external methods are used most frequently to obtain healing in a close to normal position. The surgical difficulty in these cases makes it necessary to rely on other than direct techniques. On the other hand, there are fractures, such as in the radius, tibia, etc., where external fixation is, in the greatest number of cases, perfectly adequate. On the one hand, we have almost insurmountable technical difficulties and, on the other, a situation where direct fixation is unnecessary and where external fixation is adequate for good linear healing. Treatment of subcondylar fractures has been relegated References 1. Bellinger, D. H.; Henry, F. A., and Peterson, L. W.: Fracture of the Mandibular Condyle , J. Oral Surg. 1:48-58 ( (Jan.) ) 1943. 2. MacLennan, W. D.: Consideration of 180 Cases of Typical Fractures of the Mandibular Condylar Process , Brit. J. Plast. Surg. 5:122-128 ( (July) ) 1952.Crossref 3. Chipps, J. E.; Canham, R. G., and Makel, H. P.: Intermediate Treatment of Maxillofacial Injuries , U.S. Armed Forces M. J. 4:951-976 ( (July) ) 1953. 4. McDowell, F.; Brown, J. B., and Fryer, M. P.: Surgery of Face, Mouth, and Jaws , St. Louis, C. V. Mosby Company, 1954. 5. Shapiro, R. N.; O'Brien, G. R., and Wilkie, C.: Treatment of Jaw Fractures , A.M.A. Arch Otolaryng. 60:548-556 ( (Nov.) ) 1954.Crossref 6. Chalmers J. Lyons Club: Fractures Involving the Mandibular Condyle , J. Oral Surg. 5:45-73 ( (Jan.) ) 1947. 7. Ivy, R. H., and Curtis, L.: Fractures of the Mandible , Dent. Cosmos 68:439-446, 1926. 8. Gerry, R. G.: Traumatic Injuries of the Temporomandibular Joint , J. Oral Surg. 13:232-243 ( (July) ) 1955. 9. Thoma, K. T.: Treatment of Condylar Fractures , J. Oral Surg. 12:112-120 ( (April) ) 1954. 10. Blair, V. P.: Consideration of Contour as well as Function in Operation for Organic Ankylosis of Lower Jaw , Surg. Gynec. & Obst. 46:167-179 ( (Feb.) ) 1928. 11. Wakeley, C. P. G.: Surgery of Temporomandibular Joint , Surgery 5:697-706 ( (May) ) 1939. 12. Dingman, R. O., and Moorman, W. C.: Meniscectomy in Treatment of Lesions of Temporomandibular Joint , J. Oral Surg. 9:214-224 ( (July) ) 1951. 13. Henny, F. A.: Technic for Open Reduction of Fractures of Mandibular Condyle . J. Oral Surg. 9:233-237 ( (July) ) 1951. 14. Richardson, F. H., and Cohen, B. M.: Fractures of the Mandibular Condyle , J. Oral Surg. 6:1149-1164 ( (Oct.) ) 1953. 15. Rongetti, J. R.: Meniscectomy: A New Approach to the Temporomandibular Joint , A.M.A. Arch. Otolaryng. 60:566-572 ( (Nov.) ) 1954. 16. Lempert, J.: Improvement of Hearing in Cases of Otosclerosis , Arch. Otolaryng. 28:42-97 ( (July) ) 1938.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Oct 1, 1956

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