Long-Term Follow-Up of Mandibular Condylar Fractures in Children

Lekven, Njål; Neppelberg, Evelyn; Tornes, Knut

doi:10.1016/j.joms.2011.03.019

Cited by 50 publications

(24 citation statements)

References 25 publications

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“…In a cohort of pediatric patients treated with nonsurgical therapy, Lekven et al found that all patients with an unfavorable outcome had a unilateral condylar fracture. 11 They speculated that bilateral fractures might have been treated more extensively, which protected against an unfavorable outcome. However, Levken et al made no mention of the presence or absence of associated mandibular arch fractures with those injuries.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Pediatric Condylar Fractures

Ghasemzadeh

Mundinger

Swanson

et al. 2015

Plastic and Reconstructive Surgery

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Background The purpose of this study was to define patterns of injury and treatment for condylar and subcondylar fractures and evaluate short-term outcomes in the pediatric population. Methods A retrospective chart review was performed on pediatric patients with mandibular condylar fractures who presented between 1990 and 2010. Computed tomographic imaging was reviewed for all patients to assess fracture characteristics. Mandibular fractures were codified using the Strasbourg Osteosynthesis Research Group and Lindahl classification methods. Results Sixty-four patients with 92 condylar fractures were identified. Of these patients, 29 had isolated condylar fracture and 35 had a condylar fracture associated with an additional mandibular arch fracture. The most common fracture patterns were diacapitular fracture in the Strasbourg Osteosynthesis Research Group system (n = 46) and vertical condylar head fracture in the Lindahl system (n = 14). Condylar fracture with additional mandibular arch fractures were treated with maxillomandibular fixation more often than patients with condylar fracture [n = 40 (74.1 percent) versus n = 14 (25.9 percent); p = 0.004]. No condylar fracture was treated in an open fashion. Forty-three patients returned for follow-up. The median follow-up period was 81 days (interquartile range, 35 to 294 days). Ten patients had complications (23.3 percent). The most common complication was malocclusion (n = 5). Nine of 10 patients with complications had condylar fracture with an additional mandibular arch fracture. Conclusions Closed treatment of condylar fractures yields satisfactory results in pediatric patients. Pediatric patients with condylar fractures combined with additional arch fractures experience a higher rate of unfavorable outcomes.

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Section: Discussionmentioning

confidence: 99%

Treatment of Pediatric Condylar Fractures

Ghasemzadeh

Mundinger

Swanson

et al. 2015

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…Therefore, several European centres that had already shown research experience in maxillofacial trauma decided to collaborate on a prospective multicentre study on facial fracture epidemiology in Europe (Skjelbred, 1992;Uglesi c et al, 1993;Tamme et al, 2004;Vesnaver et al, 2005;Holmes et al, 2006;Bakardjiev and Pechalova, 2007;Galteland and Skjelbred, 2007;Malanchuk and Kopchak, 2007;Key et al, 2008;Laverick et al, 2008;Vesnaver, 2008;Gerbino et al, 2009a,b;Laverick et al, 2009;Konstantinovi c et al, 2010;Brajdi c et al, 2011;Holmes, 2011;Lekven et al, 2011;van den Bergh et al, 2011van den Bergh et al, , 2012aAhmad et al, 2012;Al-Qamachi et al, 2012;Dediol, 2012;Kokemueller et al, 2012;Vesnaver et al, 2012;Boffano et al, 2013a,b, Boffano et al, 2014aCorre et al, 2013;McAllister et al, 2013). The purpose of this study was to analyse the demographics, causes and characteristics of maxillofacial fractures managed at several European departments of oral and maxillofacial surgery.…”

Section: Introductionmentioning

confidence: 99%

European Maxillofacial Trauma (EURMAT) project: A multicentre and prospective study

Boffano

Roccia

Zavattero

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…22,32Y34 Conservative management of condylar fractures has been reported on extensively in the literature. Lekven et al 35 in a long-term follow-up study of mandibular condylar fractures in children that ended at 2011 concluded that nonsurgical treatment of mandibular unilateral condylar fractures may lead to a significant increase in unfavorable clinical outcomes. Gilhuus-Moe (1969) had reported earlier that 14 of 15 patients in his study showed unfavorable clinical results after unilateral fractures when treated conservatively.…”

Section: Conservative Treatment Versus Surgical Interventionmentioning

confidence: 99%