Mandibular Condylar Fracture in a Professional Soccer Goalkeeper: How to Achieve Early Return-to-Play—A Case Report

Sasaki, Ryo; Tominaga, Kohei; Okamoto, Toshihiro

doi:10.1177/24727512211022595

Cited by 2 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although he had a weight loss of 2.2 kg 1 week after surgery, his weight was regained at 4 weeks after surgery. 39 Moreover, a 27-year-old woman had a unilateral condylar base fracture due to a fall, 5 days before her wedding. She decided to undergo internal fixation by this procedure and completed the wedding on schedule 4 days after surgery.…”

Section: Discussionmentioning

confidence: 99%

Innsbruck-style Retromandibular Anterior Trans-parotid Approach for Condylar Fractures: A Retrospective Review of 39 Fractures

Sasaki

Watanabe

Miyamoto

et al. 2023

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

The optimal surgical treatment of mandibular condylar fractures remains controversial 1-6 because (1) surgical treatment is difficult owing to poor visualization during surgery, (2) it may cause postoperative complications including facial palsy, 7 and (3) closed reduction can also achieve good occlusion. [8][9][10] The Innsbruck-style retromandibular anterior trans-parotid (RAT) approach and a triangular-positioned double mini-plate osteosynthesis (TDO) technique have been reported by Dalla Torre et al. from Innsbruck, Austria. This technique allows direct visualization and is associated with lower incidence of facial palsy. 11 This study reviewed the details of mandibular condylar neck and base fractures treated using the Innsbruckstyle RAT approach and TDO technique. MATERIALS AND METHODSA retrospective review of the records, radiographs, and computed tomography scans of patients who had undergone surgery using the RAT approach and the TDO technique between May 2016 and March 2020 was conducted at the department of oral and maxillofacial surgery, Tokyo Women's Medical University Hospital (TWMU), and department of plastic and reconstructive surgery, Tokyo Metropolitan Police Hospital (TMPH) in Tokyo. All cases Craniofacial/Pediatric Original artiCleBackground: The retromandibular anterior trans-parotid (RAT) approach and a triangular-positioned double mini-plate osteosynthesis (TDO) technique have been reported from Innsbruck Medical University. This minimally invasive technique involves direct visualization of the condyle and is associated with lower incidence of facial palsy. Methods: A retrospective review was performed on the RAT approach and TDO technique conducted by a surgeon and team at two hospitals in Tokyo during a period of 3 years and 10 months. Results: This technique was performed on 35 patients with 39 condylar fractures. Sixty-nine percent of cases were due to accidental fall, 17% to traffic accidents, and 9% to sports. Furthermore, 92% cases were condylar base fractures. Nighty-seven percent of cases achieved good occlusion. The mean maximum mouth opening was 49 ± 1.3 mm. Postoperatively, facial palsy developed in three patients (7.7%), and two of them developed Frey syndrome at approximately 2.5 years postoperatively (5.1%). All patients completely recovered within 3 months postoperatively. One case each of salivary fistula, visible scar, and condylar resorption was found (2.6%). No case of massive bleeding during surgery, hematoma, or TMJ pain after surgery was found. Conclusion:This technique could achieve good occlusion with low incidence of complications and could contribute to early social reintegration among patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Innsbruck-style Retromandibular Anterior Trans-parotid Approach for Condylar Fractures: A Retrospective Review of 39 Fractures

Sasaki

Watanabe

Miyamoto

et al. 2023

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

show abstract

“…She had no history of the orthodontic treatment. An internal fixation using retromandibular anterior trans-parotid approach [5][6][7] were performed under general anesthesia at 12 days after injury. Each fractures of condyles were fixed by 2 four-hole-miniplates (none-locking 2.0 mm titanium miniplate and 5 mm or 7 mm screws) on ideal lines of the osteosynthesis (Figure 3).…”

Section: Case Reportmentioning

confidence: 99%

Unilateral Severe Condylar Resorption Following Internal Fixation in Bilateral Mandibular Condylar Fracture

Sasaki,

Sangu Miyamoto,

Okamoto

2023

Craniomaxillofacial Research & Innovation

Self Cite

View full text Add to dashboard Cite

Study Design Case Report Objective: A severe condylar resorption following internal fixation of the mandibular condylar fracture is rarely reported. Methods A 35-year-old female caused bilateral condylar base fracture due to fall. She had no connective tissue autoimmune disease, no temporomandibular joint (TMJ) problems, and no history of the orthodontic treatment. Each fractures of condyles were fixed by 2 none-locking titanium miniplates on ideal lines of the osteosynthesis. Results: 6 months after surgery, although patient showed no malocclusion and no TMJ pain, panoramic X-ray showed left side condylar head resorption. Twelve months after surgery, bilateral plate removal was performed. Twenty-six months after internal fixation, panoramic X-ray showed bone formation at the left side of the condylar head. Magnetic resonance imaging of the TMJ showed left TMJ disc displacement without reduction and severe deformity of the left condylar head. Conclusions The condylar resorption might be caused by increasing functional loading due to new position of the condyle following osteosynthesis. Possible contributors for condylar resorption following osteosynthesis were: (1) internal fixation in bilateral condylar fracture, (2) disc displacement without reduction, and (3) female patient (hormonally-mediated theory, eg estrogen). However, the mechanize of condylar resorption was unclear and the further studies were necessary.

show abstract

Mandibular Condylar Fracture in a Professional Soccer Goalkeeper: How to Achieve Early Return-to-Play—A Case Report

Cited by 2 publications

References 15 publications

Innsbruck-style Retromandibular Anterior Trans-parotid Approach for Condylar Fractures: A Retrospective Review of 39 Fractures

Innsbruck-style Retromandibular Anterior Trans-parotid Approach for Condylar Fractures: A Retrospective Review of 39 Fractures

Unilateral Severe Condylar Resorption Following Internal Fixation in Bilateral Mandibular Condylar Fracture

Contact Info

Product

Resources

About