Nhận xét đặc điểm lâm sàng và X-quang gãy lồi cầu xương hàm dưới tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To describe the clinical and radiographic features of patients with mandibular condyle fracture. Subject and method: Applying a cross-sectional study on 95 patients suffering from mandibular condyle fracture, were treated at Centre for Craniofacial and Plastic Surgery - 108 Military Central Hospital from January 2018 to December 2021. The patients were analysed medical pre-history, provided clinical examination, and taken X-ray to recognise the study indicators. Result: The study subjects with an everage age of 31.5 years old, with a male/female ratio of 3.5, the main cause of traffic accidents accounted for 85.9%. Clinical symptoms of swelling, deformity and restriction of mouth opening were found in 100% of patients, followed by malocclusion (74.7%); loss of condyle movement (65.3%); ear pain (58.9%); and external ear canal bleeding (15.8%). Taking CT scanner and panorama films accurately determined the fracture location, low condylar neck fracture accounted for 46.1%; condyle head fracture accounted for 23.5%; high condylar neck fracture accounted for 19.1%; subcondylar fracture was 11.3%. Simple condylar fracture was 22.1%, combined fracture was 77.9%. The ratio of one-sided/two-sided condylar fracture was 3.5/1. Conclusion: Mandibular condyle fractures are most common in young men between the ages of 19 and 39, with traffic accidents being the leading cause. Clinical symptoms are frequently diverse and fully detectable on CT scanner and panorama films. The most common fracture positions are at the low condylar neck fracture. Ratio of condyle fractures associated with other injuries is quite high.