Müge Çina Aksoy

Unusual Unilateral Fracture of the Condylar and Coronoid Processes of the Mandible

The incidence of condylar fracture is very high and most are not caused by direct trauma. On the other hand, fracture of the coronoid process is reported less often than fracture of other parts of the mandible. We report a case of right subcondylar and coronoid fractures without any evidence of direct trauma to the zygomatic area or an indirect trauma to the mandibular corpus or sypmheseal region. The possible cause was identified as acute reflex contraction of the temporalis muscles leading to coronoid and condylar stress fractures.

MANDİBULER RAMUS LEZYONLARININ CERRAHİ ZORLUKLARI

The mandible ramus lesions are more difficult to access in surgical procedures than mandible corpus lesions because of surrounding vital tissues of the mandible ramus. In our study, 22 patients with cysts and tumors who were treated between the years 2000-2011 at Suleyman Demirel University, Faculty of Dentistry, Oral and Maxillofacial Surgery Department, were examined prospectively in terms of transportation difficulties mandible ramus . 19 patients were treated with enucleation and curettage, enucleation was applied after the marsupialization and decompression treatment to the two patient. One patient was treated with partial resection because of the Ameloblastoma . Nerve damage after the surgery was identified as the most common complication in patients. In located ramus of lesions, utilization of the tomographic imaging methods and very good knowledge of the anatomical structure of the region or at least used a hand tool, make the process more convenient .