Fracturas do côndilo mandibular
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As fracturas do c�ndilo mandibular s�o frequentes (21% das fracturas mandibulares) e afectam principalmente homens jovens (MVA) e crian�as (quedas do queixo). O seu diagn�stico sistem�tico em caso de traumatismo facial � crucial. A tomografia computorizada 3D � o exame imagiol�gico de refer�ncia para avaliar a localiza��o e a desloca��o da fratura, bem como para selecionar o protocolo de tratamento numa fase posterior. O tratamento � essencialmente conservador (ortop�dico/funcional), sobretudo nas crian�as. A cirurgia (osteoss�ntese em placa) est� indicada para as fracturas subcondilianas baixas muito deslocadas no adulto. A via de redu��o mais utilizada pela nossa equipa � a via de Risdon. O tratamento das fracturas capitais continua a ser funcional. A evolu��o pode ser marcada por sequelas (anquilose, SADAM, assimetria). O progn�stico depende do local (alto = mais grave), da desloca��o e da qualidade do tratamento. A preven��o atrav�s da seguran�a rodovi�ria e dom�stica � essencial.
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