Effectiveness of treatment by coronoidectomy ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Effectiveness of treatment by coronoidectomy and active rehabilitation in Langenbeck or Jacob diseases. A retrospective study of 20 cases.
Author(s) :
Domart, Manon [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Nicot, Romain [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Mattei, Léa [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Cloître, Alexandre [Auteur]
Regenerative Medicine and Skeleton [RMeS]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Lesclous, Philippe [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Regenerative Medicine and Skeleton [RMeS]
Bertin, Hélios [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Corre, Pierre [Auteur]
Regenerative Medicine and Skeleton [RMeS]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Nicot, Romain [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Mattei, Léa [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Cloître, Alexandre [Auteur]
Regenerative Medicine and Skeleton [RMeS]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Lesclous, Philippe [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Regenerative Medicine and Skeleton [RMeS]
Bertin, Hélios [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Corre, Pierre [Auteur]
Regenerative Medicine and Skeleton [RMeS]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Journal title :
Journal of Stomatology, Oral and Maxillofacial Surgery
Abbreviated title :
J Stomatol Oral Maxillofac Surg
Volume number :
124
Pages :
101351
Publisher :
Elsevier
Publication date :
2022-12-12
ISSN :
2468-7855
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
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 ...
Show more >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.Show less >
Show more >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.Show less >
Language :
Anglais
Audience :
Internationale
Administrative institution(s) :
Université de Lille
Inserm
CHU Lille
Inserm
CHU Lille
Collections :
Submission date :
2022-12-14T00:52:36Z
2023-03-01T08:50:50Z
2023-03-01T08:50:50Z