PEDİATRİK HASTADA UNİLATERAL KONDİL KIRIĞI TEDAVİSİ: OLGU SUNUMU

Yıl 2023, , 306 - 310, 15.06.2023

Cemil Sayın , Zekeriya Tosun , Murat Selim Botsalı

https://doi.org/10.15311/selcukdentj.1239366

Öz

Pediatrik hastada mandibula kondil kırıkları ciddi komplikasyonlara neden olabilen maksillofasiyal yaralanmalardır. Kondil kırıkları, mandibulanın en sık görülen kırıklarıdır. Tedavide açık ve kapalı yöntemler kullanılmaktadır. Özellikle pediatrik hastalarda kapalı yöntem, açık yönteme oranla daha çok tercih edilmektedir. Bu olgu sunumunun amacı, travma sonucu unilateral kondil kırığı olan hastanın kapalı yaklaşımla tedavi öncesi ve sonrası erken dönem klinik ve radyolojik bulgularının değerlendirilmesidir. Bu olgu sunumunda, masadan düşme sonucu kliniğimize başvuran ( 2, ♂ ) hastada unilateral kondil kırığının alt çeneye uygulanan oklüzyonu yükseltilmiş sert plak ve Barton bandajıyla tedavisi ele alındı. Haftalık yapılan kontroller sonucu 1.ay sonunda semptomlarda iyileşme ve kırık bölgesinde kallus oluşumu izlendi.
Anahtar Kelimeler: Kondil kırığı, Mandibula, Pediatrik Hasta

Anahtar Kelimeler

Kondil kırığı, Mandibula, Pediatrik Hasta, Kondil kırığı, Mandibula, Pediatrik Hasta

Kaynakça

• 1. Ghasemzadeh A, Mundinger GS, Swanson EW, et al. Treatment of pediatric condylar fractures: a 20-year experience. Plastic and reconstructive surgery 2015; 136: 1279.
• 2. ŞENEN D, Songül E, ORHAN E, et al. MANDİBULA KIRIKLARINA KLİNİK YAKLAŞIMLARIMIZ. Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi 2006; 14: 102-104.
• 3. Proffit W, Fields H, Ackerman J, et al. Contemporary Orthodontics. Mosby-Year Book. Inc, St Louis 1993: 12.
• 4. Kalia V and Singh A. Greenstick fracture of the mandible: A case report. Journal of Indian Society of Pedodontics and Preventive Dentistry 2008; 26: 32.
• 5. Özgenel GY, Özbek S, Kahveci R, et al. PEDİATRİK MANDİBULA KIRIKLARI. Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi 2004; 12: 21-24.
• 6. Marano R, de Oliveira Neto P, Sakugawa KO, et al. Mandibular fractures in children under 3 years: a rare case report. Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial 2013; 54: 166-170.
• 7. Spiessl B. Gesichtsschadel. Spezielle Frakturen-und Luxationslehre 1972.
• 8. Zachariades N, Mezitis M, Mourouzis C, et al. Fractures of the mandibular condyle: a review of 466 cases. Literature review, reflections on treatment and proposals. Journal of Cranio-Maxillofacial Surgery 2006; 34: 421-432.
• 9. Valiati R, Ibrahim D, Abreu MER, et al. The treatment of condylar fractures: to open or not to open? A critical review of this controversy. International journal of medical sciences 2008; 5: 313.
• 10. Zhao Y-m, Yang J, Bai R-c, et al. A retrospective study of using removable occlusal splint in the treatment of condylar fracture in children. Journal of Cranio-Maxillofacial Surgery 2014; 42: 1078-1082.
• 11. Kocaaslan ND, Ünal BK, Özkan MÇ, et al. Comparison of different treatment techniques in the mandibular condyle fracture. Turkish Journal of Trauma and Emergency Surgery 2022; 28: 99.
• 12. Silvennoinen U, Lindqvist C and Oikarinen K. Dental injuries in association with mandibular condyle fractures. Dental Traumatology 1993; 9: 254-259.
• 13. Farronato G, Grillo ME, Giannini L, et al. Long‐term results of early condylar fracture correction: case report. Dental Traumatology 2009; 25: e37-e42.
• 14. KISA Hİ, TATLI U and Kürkcü M. Mandibular kondil kırıkları ve tedavi yöntemleri. Arşiv Kaynak Tarama Dergisi 2014; 23: 659-672.
• 15. Zhao Y and Zhang Y. Condylar fracture in children: Current knowledge and considerations. JSM Dent 2016; 4: 1059.
• 16. Büyükakyüz N, Merve Ö, Uyumaz N, et al. ALT ÇENE KONDİL KIRIKLARI VE TEDAVİ YÖNTEMLERİ. Journal of Istanbul University Faculty of Dentistry 2010; 44: 55-61.
• 17. Arita K. Functional treatment of condylar process fractures in children. Journal of Hard Tissue Biology 2005; 14: 51-52.
• 18. Strobl H, Emshoff R and Röthler G. Conservative treatment of unilateral condylar fractures in children: a long‐term clinical and radiologic follow‐up of 55 patients. International Journal of Oral & Maxillofacial Surgery 1999; 28: 95-98.
• 19. Gupta M, Iyer N, Das D, et al. Analysis of different treatment protocols for fractures of condylar process of mandible. Journal of oral and maxillofacial surgery 2012; 70: 83-91.
• 20. Lekven N, Neppelberg E and Tornes K. Long-term follow-up of mandibular condylar fractures in children. Journal of oral and maxillofacial surgery 2011; 69: 2853-2859.
• 21. Dahlström L, Kahnberg K-E and Lindahl L. 15 years follow-up on condylar fractures. International journal of oral and maxillofacial surgery 1989; 18: 18-23.
• 22. Balaji S. Modified endaural approach for the treatment of condylar fractures: A review of 75 cases. Indian Journal of Dental Research 2016; 27: 305.
• 23. Sudheesh K, Desai R, Siva Bharani KS, et al. Evaluation of the mandibular function, after nonsurgical treatment of unilateral subcondylar fracture: A 1-year follow-up study. Craniomaxillofacial Trauma & Reconstruction 2016; 9: 229-234.
• 24. Wu Y, Long X, Deng M, et al. Screw-based intermaxillary traction combined with occlusal splint for treatment of pediatric mandibular condylar fracture. Zhongguo xiu fu Chong Jian wai ke za zhi= Zhongguo Xiufu Chongjian Waike Zazhi= Chinese Journal of Reparative and Reconstructive Surgery 2015; 29: 397-401.
• 25. Xu Y, Gong S-G, Zhu F, et al. Conservative orthodontic fixed appliance management of pediatric mandibular bilateral condylar fracture. American Journal of Orthodontics and Dentofacial Orthopedics 2016; 150: 181-187.
• 26. Li Z, Zhang W, Li ZB, et al. Mechanism in favorable prognosis of pediatric condylar fractures managed by closed procedures: an experimental study in growing rats. Dental Traumatology 2010; 26: 228-235.