Page 29 - Open versus closed Mandibular condyle fractures

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Chapter 2.1 Closed
The degree of mouth opening considered to constitute a ‘good’ outcome differed, with some authors reporting this to be more than 30 mm, some using a threshold of more than 35 mm, and others using a threshold of more than 40 mm. Overall, ‘good opening’ of the mouth was reported in 86% of the cases in the studies included in the final review, and an unlimited ROM was reported in 84%. No cases of ankylosis were reported.
The reported incidence of pain at rest ranged from 0% to 16%. A mean of 92% of patients were free of pain.
Table 6. Overview of outcome measures a
Andersson et al.19 Dijkstra et al.20
Knak and Stoehr27 Krause and Bremerich30 MacLennan29
Marker et al.21 Murakami et al.22 Niezen et al.23 Niezen et al.25 Oikarinen et al.26 Rahn et al.31
Rutges et al.28 Silvennoinen et al.24 Silvennoinen et al.5 Smets et al.11 Yamamoto et al.32
- +
- -
- +
+ +
+? - + + + + + + - + - + + + + + + + + + + + + +
- VAS + - VAS - + + + + + - + + - +? + + +- - + + + -- -
+ (+) (+) ++- ++ - (+) + + +- - + (+) (+) + (+) (+)
- - - - + + - - + - + - + + + - - - - - + - - - + - + - + - + -
- +
- +, MFIQ - +
- +
+ -
- +
- -
- +, MFIQ - -
- +, Helkimo index - +
- +, Helkimo index - +
- + + + - +
ROM, range of motion of the mandible; MFIQ, Mandibular Function
analogue scale.
a +, outcome was measured in the study; -, outcome was not measured in the study, (+), measured as part of ‘function’; +?, not described as a self-contained measurement.
Impairment Questionnaire; VAS, visual
Occlusion
Mouth opening
ROM
Pain
Sounds
Deviation
Bite force
Facial deformity
Function
/ overall complaints (Helkimo/ MFIQ)