2019•Japanese Journal of Oral & Maxillofacial SurgeryOpen access

Five cases of fracture of the mandibular coronoid process

Kensuke Naganawa, Haruki Sato, Taihei Hayakawa, Haruna Noda, Shoya Ono, Ichiro Oh‐iwa

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Abstract

Fracture of the mandibular coronoid process is rare and account for only 1% of all mandibular fractures. The aim of this study was to assess the characteristics of patients with coronoid process fractures. Five cases of fractures of the mandible coronoid process were retrospectively studied from among 193 maxillofacial fractures occurring from 2009 to 2014. Five patients (3 males, 2 females) with 5 coronoid process fractures were admitted. The median age was 59 years. The fractures were mainly the result of stumbles. All patients had concomitant zygomatic fractures. Two patients with trismus were treated by concurrent open reduction and internal fixation of the coronoid processes and zygomatic fractures. The coronoid process was treated conservatively in 3 patients without trismus. Follow-up results showed significant improvement in mouth opening and pain in all patients.

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Fracture of the mandibular coronoid process is rare and account for only 1% of all mandibular fractures. The aim of this study was to assess the characteristics of patients with coronoid process fractures. Five cases of fractures of the mandible coronoid process were retrospectively studied from among 193 maxillofacial fractures occurring from 2009 to 2014. Five patients (3 males, 2 females) with 5 coronoid process fractures were admitted. The median age was 59 years. The fractures were mainly the result of stumbles. All patients had concomitant zygomatic fractures. Two patients with trismus were treated by concurrent open reduction and internal fixation of the coronoid processes and zygomatic fractures. The coronoid process was treated conservatively in 3 patients without trismus. Follow-up results showed significant improvement in mouth opening and pain in all patients.

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Available abstract

Fracture of the mandibular coronoid process is rare and account for only 1% of all mandibular fractures. The aim of this study was to assess the characteristics of patients with coronoid process fractures. Five cases of fractures of the mandible coronoid process were retrospectively studied from among 193 maxillofacial fractures occurring from 2009 to 2014. Five patients (3 males, 2 females) with 5 coronoid process fractures were admitted. The median age was 59 years. The fractures were mainly the result of stumbles. All patients had concomitant zygomatic fractures. Two patients with trismus were treated by concurrent open reduction and internal fixation of the coronoid processes and zygomatic fractures. The coronoid process was treated conservatively in 3 patients without trismus. Follow-up results showed significant improvement in mouth opening and pain in all patients.

Key concepts: Trismus, Coronoid process, Medicine, Dentistry, Internal fixation, Orthodontics, Surgery, Elbow

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