Management of mandibular condylar fractures in patients with atrophic edentulous mandibles

Brucoli, Matteo; Boffano, Paolo; Romeo, Irene; Corio, Chiara; Benech, Arnaldo; Ruslin, Muhammad; Forouzanfar, Tymour; Rodríguez-Santamarta, Tanía; Vicente, Juan Carlos de; Tarle, Marko; Dediol, Emil; Pechalova, Petia; Павлов, Н. В.; Daskalov, Hristo; Doykova, Iva; Kelemith, Kadri; Tamme, Tiia; Копчак, Андрій; Shumynskyi, Ievgen; Corre, Pierre; Bertin, Hélios; M, Bourry; Guyonvarc'h, Pierre; Dovšak, Tadej; Vozliè, D; Birk, Anže; Anièiæ, B; Konstantinović, Vitomir S.; Starch‐Jensen, Thomas

doi:10.1016/j.jormas.2019.10.004

Cited by 6 publications

(11 citation statements)

References 22 publications

(13 reference statements)

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“…Brucoli et al 1 their study did not show in significant difference in terms of timing of intervention, treatment, co morbidities, and concomitant injuries. Brucoli et al 19,20 did not find any significant relationship of co morbidities or timing of intervention on outcome. Timing of Intervention.…”

Section: Key Resultsmentioning

confidence: 91%

“…13 However, a number of authors have reported good success with the use of smaller dimension plates. 14-20 Batbayar et al 21 used both load bearing and load sharing fixation according to the degree of atrophy, continuity defects, displacement, and associated fractures. 21…”

Section: Introductionmentioning

confidence: 99%

“…13 However, a number of authors have reported good success with the use of smaller dimension plates. [14][15][16][17][18][19][20] Batbayar et al 21 used both load bearing and load sharing fixation according to the degree of atrophy, continuity defects, displacement, and associated fractures. 21 The most important decision to choose a load bearing or load sharing fixation is the degree of atrophy and other factors as addressed by Batbayar et al…”

Section: Introductionmentioning

confidence: 99%

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Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Bera

Tiwari

2022

Craniomaxillofacial Trauma & Reconstruction

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Study Design Retrospective chart review Objective Injury and trauma scores are the mainstay of predicting outcomes of trauma patients. ZS (Zeeshan and Simon) maxillofacial trauma score is based on 4 previous facial trauma scores and is user friendly, app-based visually coded facial trauma scoring system. Our study was designed to seek the application of an app-based ZS maxillofacial trauma score to predict the operative time, intensive care unit (ICU) need and length of stay. Methods We performed a retrospective chart review of patients who presented to a university medical college teaching hospital with maxillofacial fractures from October 2018 until October 2019. ZS maxillofacial trauma scoring app was used to calculate the ZS maxillofacial trauma severity score, which was our primary predictor variable. Our primary outcome of interest was operative time. Our secondary outcome of interest was ICU need and length of stay. Correlation analysis, linear regression and logistic regression were performed for statistical analysis. A statistical P-value of .05 was considered significant at a 95% confidence interval. Results There were 95 male and 5 female patients included in the study. The age ranged from 3 to 84 years with a mean of 30.76 (SD = 14.04). A statistically significant correlation between the ZS score and operative time ( r = 0.67, P < .001) was observed. ZS score predicted operative time ( b 1 = 7.67, P < .001) in our study sample . Increasing ZS trauma score was also significantly associated with ICU requirement ( X 2(3) = 13.682, P = .003), but the length of stay could not be predicted based on ZS score. Conclusions: ZS maxillofacial trauma score can predict the operative time, and an association was seen with the need for ICU with increasing ZS score, but could not predict the length of stay or the ICU need. It has potential for future integration with electronic health record systems.

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Section: Key Resultsmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Bera

Tiwari

2022

Craniomaxillofacial Trauma & Reconstruction

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“…However, according to the AO/ASIF (Association for the Study of Internal Fixation) guidelines for the treatment of condyle fractures, open treatment, namely open reduction and internal fixation, has become the first choice of many surgeons 12. Especially, for some patients with alveolar bone atrophy and edentulous jaws, their subcondylar or condylar neck fractures, open reduction, and internal fixation are the best treatment options 13. We believe that the current treatment of condyle neck and subcondylar fractures is mainly open surgery, because this type of fracture will cause the height of the ascending artery to decrease.…”

Section: Discussionmentioning

confidence: 99%

Clinical Application of Digital Joint Guide in the Fracture of the Condyle Neck

Gao

Wang

Han

et al. 2022

Journal of Craniofacial Surgery

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Purpose: The purpose of this study is to use a digital guide plate for joint positioning to assist the reduction of condylar neck fractures and evaluate the accuracy of the reduction after surgery. Materials and Methods: In this study, 20 patients were selected from January 2016 to October 2020, and the reduction of the mandibular condyle neck fracture was designed virtual and digital based on the computed tomography data of the patients, based on the position of the condyle in the articular socket, the height of the ascending mandibular ramus, and the joints. The average value of the anterior space and the posterior space of the joint is these indicators, the position of the condyle is reconstructed, and the fracture reduction finger guide plate is designed. During the operation, the digital guide plate is used to assist the reduction of the condyle neck fracture. The postoperative follow-up was 4 to 12 months to check the accuracy of the reduction. Results: A total of 20 patients, all fractures achieved complete bone healing, the patients’ mouth opening was normal, no obvious complications were found, and none of the patients had facial paralysis. In the postoperative evaluation and preoperative virtual design plan, the chromatographic error was within 2 mm, and the magnetic resonance of the temporomandibular joint showed no displacement of the articular disc. Conclusion: The digital joint guide can reduce the fracture of the condyle neck while ensuring the position of the condyle in the joint socket, which is beneficial to reduce the occurrence of subsequent temporomandibular joint complications.

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“…In traditional transparotid retromandibular approach, there is a high probability of injury to the branches of the facial nerve and retromandibular vein in the parotid gland. A possible salivary fistula developing after the operation is possible because the access passes through the parotid gland [14][15] . The anterior parotid transmasseteric technique, which involves retromandibular incision, eliminates complications related to this access.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Preauricular Approach Versus Retromandibular Approach in Management of Condylar Fractures

Rahim¹,

Ali²,

Nauman³

et al. 2021

PJMHS

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Objectives: Surgical treatment of patients with multiple mandibular fractures involving condylar segments may be a difficult proposition for a maxillofacial surgeon. These fractures can be double or triple fractures of the lower mandible and can also be associated with other fractures of the face. While many authors have suggested that the conventional approach to reducing and stabilizing a mandibular symphysis / para-symphysis fracture is appropriate before addressing a fractured condyle, there is another school of thought that suggests that the condylar segment should be reduced and repaired first. This article aims to review the results of operations where the reduction and fixation of a fractured condyle is performed prior to other associated mandible fractures, and to explore the effectiveness of various surgical methods including preauricular and retromandibular proposed in this case. Place and Duration: In the Oral and Maxillofacial surgery department of Faryal Dental College, Lahore for two-years duration from Jan 2018 to Jan 2020. Material and methods: The study included 60 surgically treated patients with multiple mandible fractures (double / triple), including the condyle component. For treatment of the fractured condylar segments, the preauricular and retromandibular (anterior parotid-transmasseteric) approach was used. Results: Condyle fracture was the first segment to be managed during sequencing of surgical treatment, regardless of the method used. First, good reduction and stabilization have been achieved with limited complications in treating a condyle fracture. Conclusion: While it is the surgeon's prerogative to sort multiple mandible fractures, addressing the condylar segment first provides the operator with a viable alternative to the conventional technique. Key words: condylar fractures, multiple mandibular fractures, preauricular approach, retromandibular approach

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Management of mandibular condylar fractures in patients with atrophic edentulous mandibles

Cited by 6 publications

References 22 publications

Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Clinical Application of Digital Joint Guide in the Fracture of the Condyle Neck

Comparison of Preauricular Approach Versus Retromandibular Approach in Management of Condylar Fractures

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