Mandibular Condylar Fractures

Mooney, Sean; Gulati, Rahul; Yusupov, Steve; Butts, Sydney C.

doi:10.1016/j.fsc.2021.08.007

Cited by 10 publications

(5 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Condylar fractures (CFs), instead, account for 17.5% to 52% of all mandibular fractures [2][3][4] (Figure 1). The relative frequency of such fractures is determined by the particular morphology of the condyle, which makes it the most fragile point of the mandibular bone [5,6]. On the one hand, its slenderness tends to make it more fragile and more prone to fracture, but on the other hand, fracturing and disrupting the propulsive forces allows it to protect the glenoid cavity and skull bones [7,8].…”

Section: Introduction 1incidence and Pathogenesismentioning

confidence: 99%

Analysis of Mandibular Muscle Variations Following Condylar Fractures: A Systematic Review

Inchingolo,

Patano,

Inchingolo

et al. 2023

JCM

View full text Add to dashboard Cite

This review analyzes muscle activity following mandibular condylar fracture (CF), with a focus on understanding the changes in masticatory muscles and temporomandibular joint (TMJ) functioning. Materials and Methods: The review was conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. A search was performed on online databases using the keywords “masticatory muscles” AND (“mandibular fracture” OR “condylar fracture”). The eligibility criteria included clinical trials involving human intervention and focusing on muscle activity following a condylar fracture. Results: A total of 13 relevant studies were reviewed. Various studies evaluated muscle activity using clinical evaluation, bite force measurement, electromyography (EMG), magnetic sensors and radiological examinations to assess the impact of mandibular fractures on masticatory muscles. Conclusions: Mandibular condylar fractures can lead to significant changes in muscle activity, affecting mastication and TMJ functioning. EMG and computed tomography (CT) imaging play crucial roles in assessing muscle changes and adaptations following fractures, providing valuable information for treatment planning and post-fracture management. Further research is required to explore long-term outcomes and functional performance after oral motor rehabilitation in patients with facial fractures. Standardized classifications and treatment approaches may help improve the comparability of future studies in this field.

show abstract

Section: Introduction 1incidence and Pathogenesismentioning

confidence: 99%

Analysis of Mandibular Muscle Variations Following Condylar Fractures: A Systematic Review

Inchingolo,

Patano,

Inchingolo

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…The reason behind this phenomenon could be that as most fractures arise from blunt trauma forces to the anterior of the mandible, these forces are transmitted to the condylar area. The movement of this area is limited posteriorly by the temporomandibular joint (TMJ) capsule, the lateral pterygoid muscles, and the glenoid fossa 5–7 …”

Section: Introductionmentioning

confidence: 99%

“…The movement of this area is limited posteriorly by the temporomandibular joint (TMJ) capsule, the lateral pterygoid muscles, and the glenoid fossa. [5][6][7] Condylar fractures can clinically present as limited ability to open the mouth, malocclusion, facial deformity, and TMJ disorders. In conjunction with these clinical signs and symptoms, a diagnosis can be confirmed by X-ray.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Conservative management and follow‐up of bilateral condylar fractures in pediatric patients: A case report

Nourwali,

Aljohani

2023

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessageConservative treatment of bilateral condylar fractures, including intermaxillary fixation using arch bars and elastic bands, yields satisfactory results in pediatric patients. Therefore, the conservative approach should be considered the first line of treatment for bilateral condylar mandibular fractures in pediatric patients.AbstractRoad traffic accidents (RTAs) are considered the leading cause of mortality and morbidity of children and adults in Saudi Arabia. Head injuries and fractures are the most common form of injuries resulting from RTAs, with mandibular fractures being the most common head injury; condylar fractures are the most frequent type of mandibular fracture. A review of the literature reveals diverse opinions about the best approach for treating bilateral condylar fractures in pediatric patients. The findings of the literature review are reported in this study. The case presented here shows the result of adopting a conservative approach to treating a bilateral extracapsular displaced condylar fracture. An elastic band was fixed onto intermaxillary fixation (IMF) screws at the midline upper and lower jaws; the patient was followed up for almost 3 years. The conservative approach yielded excellent results, as both condyles were fully repositioned and healed, without causing any deviation or limitation of the mouth opening. The results of this case support considering the conservative approach as the first line of treatment for bilateral condylar mandibular fractures in pediatric patients.

show abstract

“…Condyle fractures are the second most common in the cranio-facial region [ 1 ] and usually occur as an indirect fracture with mandible injuries [ 2 ]. Condyle fractures are treated with open reduction and internal fixation (ORIF), or conservative treatment [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Condyle Fracture Fixed with Custom-Made Titanium Mesh and a Miniplate: A Case Report

Kawai,

Kawamata,

Suzuki

et al. 2023

Am J Case Rep

View full text Add to dashboard Cite

Patient: Male, 20-year-old Final Diagnosis: Condyle fracture Symptoms: Deviation of mandible Clinical Procedure: — Specialty: Dentistry Objective: Unusual or unexpected effect of treatment Background: Open reduction and internal fixation of condyle fractures are sometimes difficult for the upper region. This report presents a case of condyle fracture at the upper neck region treated with a custom-made titanium mesh and a titanium miniplate, which makes it easy to reposition the fragment and keep it in place. Case Report: A 20-year-old man was injured during a soccer match and was referred to our hospital with the symptom of trismus and deviation of the mandible to the left with an opened mouth. Fracture of the right condyle neck region was diagnosed; open reduction and internal fixation was planned under general anesthesia. A custom-made titanium mesh was prepared to make it easy to reposition the fragment and keep it in place because the reduction and fixation were expected to be difficult. The fracture region was exposed using the modified Risdon-Strasbourg approach. The segments were gripped with custom-made titanium mesh, and the condyle head was reduced easily. The segments were fixed with titanium mesh, a miniplate, and screws. Nine months after the operation, the mouth opening was good at 40 mm, there was no deviation of the mandible, and there was no breakage on the titanium mesh or plate. Conclusions: This report presents a case of condyle fracture at the upper neck region reduced and fixed with a custom-made titanium mesh and a titanium miniplate, which make it easy to reposition the fragment and keep it in place.

show abstract

Mandibular Condylar Fractures

Cited by 10 publications

References 47 publications

Analysis of Mandibular Muscle Variations Following Condylar Fractures: A Systematic Review

Analysis of Mandibular Muscle Variations Following Condylar Fractures: A Systematic Review

Conservative management and follow‐up of bilateral condylar fractures in pediatric patients: A case report

Condyle Fracture Fixed with Custom-Made Titanium Mesh and a Miniplate: A Case Report

Contact Info

Product

Resources

About