Does Intraoperative Navigation Improve the Anatomical Reduction of Intracapsular Condylar Fractures?

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Chaoying HanLei Liu

Abstract

Accurate reduction of intracapsular condylar fractures is the key to successful reconstruction of the temporomandibular joint and remains a challenge for oral and maxillofacial surgeons. The aim of the study was to evaluate quantitatively the effect of surgical navigation on the accuracy of reduction of intracapsular fractures. In this prospective randomized nonblinded controlled clinical trial, patients diagnosed with intracapsular condylar fractures who were scheduled for surgical treatment were included and randomized to open treatment with or without surgical navigation. The primary predictor variable was surgical navigation. The primary outcome variable was the average distance (AD) between preoperative and postoperative computed tomographic measurements. The second outcome variable was the rate of anatomic reduction. The χ2 test and independent-samples t test were used for statistical analyses. Twenty patients (33 sides) with intracapsular condylar fractures were enrolled and treated with open surgery (13 male, 7 female; mean age, 28.65 yr; range, 13 to 54 yr). Of these, 10 patients (16 sides) and 10 patients (17 sides) were treated, respectively, with and without surgical navigation technology. All patients underwent fol...Continue Reading

Citations

Jul 16, 2019·The Journal of Craniofacial Surgery·Lindsey N Teal, Kristopher M Day
Jun 29, 2021·Plastic and Reconstructive Surgery·Kristopher M DayJamie P Levine
Jul 3, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Wenyu ChuoMingliang Yang
Sep 24, 2020·Journal of Oral Biology and Craniofacial Research·Tetiana PavlychukAndrii Kopchak

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