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Effectiveness of treatment by coronoidectomy and active rehabilitation in Langenbeck or Jacob diseases. A retrospective study of 20 cases.
Domart, Manon; Nicot, Romain; Mattei, Léa; Cloître, Alexandra; Lesclous, Philippe; Bertin, Hélios; Corre, Pierre.
Afiliación
  • Domart M; Nantes University, CHU Nantes, Department of Oral Surgery, Nantes, France. Electronic address: m.domart@ch-saintnazaire.fr.
  • Nicot R; Lille University, CHU Lille, Department of Oral and Maxillofacial Surgery, Lille, France; INSERM U1008 - Controlled Drug Delivery Systems and Biomaterials, Lille, France.
  • Mattei L; Lille University, CHU Lille, Department of Oral and Maxillofacial Surgery, Lille, France.
  • Cloître A; Nantes University, CHU Nantes, Department of Oral Surgery, Nantes, France; INSERM U1229 - Regenerative Medicine and Skeleton RMeS, Nantes, France.
  • Lesclous P; Nantes University, CHU Nantes, Department of Oral Surgery, Nantes, France; INSERM U1229 - Regenerative Medicine and Skeleton RMeS, Nantes, France.
  • Bertin H; Nantes University, CHU Nantes, Department of Oral and Maxillofacial Surgery, Nantes, France; CRCI2NA INSERM-CNRS-Nantes University - Angers University, France.
  • Corre P; INSERM U1229 - Regenerative Medicine and Skeleton RMeS, Nantes, France; Nantes University, CHU Nantes, Department of Oral and Maxillofacial Surgery, Nantes, France.
J Stomatol Oral Maxillofac Surg ; 124(1S): 101351, 2023 02.
Article en En | MEDLINE | ID: mdl-36496122
BACKGROUND: The objective of this study was to evaluate the mouth opening (MO) in patients with Langenbeck or Jacob diseases after a multimodal treatment combining the coronoidectomy and a self or assisted postoperative rehabilitation. METHODS: This observational retrospective study included patients who had clinically impacted MO limitation. All patients underwent unilateral or bilateral coronoidectomy and then physical therapy for at least 3 months. MO measurements were compared between the preoperative time (M0), the immediate postoperative time (M1) and the last follow-up (M2). Other data regarding the surgical procedure and the postoperative rehabilitation were collected. RESULTS: Twenty patients were included. The MO was significantly improved from 19.15 ± 7.02 mm at M0 to 38.00 ± 7.62 mm at M1 (p = 0.0002). After a mean follow-up of 21.5 ± 40.5 months, the mean MO was 32.85 ± 5.69 mm (M2). All patients underwent coronoidectomy through an intraoral approach except for one patient who was given a combined extra-oral approach for a recurrent disease. Rehabilitation protocol included assisted physiotherapy and self-rehabilitation in 7 patients as well as just self-rehabilitation in 13 patients. No patient showed worsening or stagnation of MO. CONCLUSIONS: The multimodal treatment combining the surgical removal of the coronoid process and an active rehabilitation performed by the patient himself or assisted by a physiotherapist seems effective in Langenbeck or Jacob diseases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Orales / Osteotomía Mandibular Tipo de estudio: Guideline / Observational_studies Límite: Humans Idioma: En Revista: J Stomatol Oral Maxillofac Surg Año: 2023 Tipo del documento: Article Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
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PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Orales / Osteotomía Mandibular Tipo de estudio: Guideline / Observational_studies Límite: Humans Idioma: En Revista: J Stomatol Oral Maxillofac Surg Año: 2023 Tipo del documento: Article Pais de publicación: Francia