Nonsurgical management of condylar fractures in children: A 15-year clinical retrospective study

Theologie-Lygidakis, Nadia; Chatzidimitriou, Konstantina; Tzerbos, Fotios; Gouzioti, Aikaterini; Iatrou, Ioannis

doi:10.1016/j.jcms.2015.11.011

Cited by 29 publications

(28 citation statements)

References 45 publications

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“…Open reduction is contraindicated the condylar head is fractured, in medical condition or systemic injury add undo risk to general anesthesia (15) . The management of these fractures in children is usually closed reduction (17) despite encountered postsurgical radiographic abnormalities, Condylar neck and subcondylar fractures are the most common mandibular fractures in adults. Subcondylar fractures are below the condylar neck.…”

Section: Discussionmentioning

confidence: 99%

Magnetic Resonance Examination of TMJS Following Open Reduction and Internal Fixation Using Rhombus and Two Miniplates in Management of Unilateral Subcondylar Fracture

Helmy

Selim

2017

Egyptian Dental Journal

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The objective of this study was to present a prospective study to investigate TMJ following open of unilateral subcondylar fracture using MRI. 30 adult male patients with recent history of unilateral mandibular subcondylar fractures were included. Three groups based on the method management of the subcondylar fracture mandibular fracture. Group 1 comprised patients who had unilateral condylar fractures treated by open reduction and internal fixation of subcondylar fracture using 3D rhombus plate (Orthomed) Group 2 patients were treated by open reduction and internal fixation of subcondylar fracture using 2 mini plates. Group 3 Control group were treated patients had a unilateral condylar fracture treated by closed reduction. Magnetic resonance imaging was performed on the patients within 10 days from the primary injury. The same clinical examination, radiographic and magnetic resonance imaging were performed six months later. The result of this study demonstrate that,there was no statistically significant differences observed between the three treatment groups for parameters like age, gender, type and side of the fracture, mechanism of injury and incidence of associated injuries, post-operative occlusion and need for IMF There was a no statistically significant difference between the MRI findings in all groups.

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Section: Discussionmentioning

confidence: 99%

Magnetic Resonance Examination of TMJS Following Open Reduction and Internal Fixation Using Rhombus and Two Miniplates in Management of Unilateral Subcondylar Fracture

Helmy

Selim

2017

Egyptian Dental Journal

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“…One can speculate that inter-population difference in the sites of maxillofacial fractures partly related to the diverse etiologic factors involved. Zhou HH et al [26] observed similar results Several studies have suggested that mandibular fractures can be treated by closed reduction and I.M.F [19,20]. Olson et al [21] and Hill et al [22] concluded that most mandibular fractures were amenable to management by Closed Reduction.…”

Section: Discussionmentioning

confidence: 78%

The Pattern of Maxillofacial Trauma & its Management

Shah¹

2016

JDODT

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Purpose: The descriptive study was undertaken to determine the pattern and different methods of treatment of maxillofacial fractures. Materials and Methods: Three hundred and twenty consecutive patients with maxillofacial trauma were treated in a tertiary care hospital in last three years. A review of patients' records and radiographs was conducted. Data regarding age, gender, cause of fracture, anatomic site and treatment modalities were reviewed. Results: The age range was 2-76 years (25±8) with peak frequency occurring in age group 21-30 years. The male to female ratio was 5.4: 1. The study indicated that (n=206; 64.7%) resulted from road traffic accidents (rtas) followed by fall (n=60; 18.8%), assault (n=26; 8.1%), sports (n=17; 5.3%), firearm injury [FAI (n=3; 0.9%)], industrial trauma (n=2; 0.6%) while 5cases (1.65%) were associated with other causes such as bomb blast, animal injury etc. The mandible was the most commonly involved (69.7%) followed by zygomatic complex [ZC (8.4%)], maxilla (5.3%), nasal bone (1.3%) and nasoethmoidal fractures (0.9%); in 14.4% of cases, more than one facial bone fracture occurred. Of mandibular fractures, body (30.3%) was the most common site followed by condylar region (24.2%). In midface fractures the ZC was the most susceptible area (48.2% of midface); of maxillary fractures, Le Fort I was the most common fracture (34.5%); the frequency of nasal (7.1%) & nasoethmoidal (5.4%) remained low. Most patients with mandibular fractures were treated by closed reduction surgery [eyelet wiring, arch bars with inter maxillary fixation (IMF) &splint fixation], only 18.9% of patients were treated with open reduction surgery (Interosseous &miniplates fixation). The maxillary fractures were mostly treated with suspension wiring while in ZC fractures Gillies' approach (37.9%) was the common method of management. Conclusion: This study reflects trauma patterns within the community and, as such, can provide a guide to the design of programs geared toward prevention and treatment.

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“…The study included 22 2, http://links.lww.com/SCS/E87]. The mean follow-up period was 80 weeks (1-3 years) at the last follow-up visit after surgery, the facial deformities were corrected in all cases postoperatively: the average relative distance of PO-ZM and ANS-ZM was 1.3 ± 0.6 mm (P = 0.22) and 1.2 ± 0.5 mm (P = 0.19), and there was no significant difference between the bilateral [Supplementary Digital Content, Table 3, http://links.…”

Section: Resultsmentioning

confidence: 99%

Bioresorbable Implants in Reduction of Paediatric Zygomaticomaxillary Complex Fractures Concurrent With Internal Orbital Reconstruction

Zhao

Sun

et al. 2022

Journal of Craniofacial Surgery

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Purpose: To evaluate the clinical effectiveness and safety of bioresorbable implants for treating paediatric zygomaticomaxillary complex (ZMC) fractures with concomitant orbital floor defects. Methods: A retrospective review of paediatric patients who underwent ZMC repair with concomitant orbital floor fractures with bioresorbable implants in Shanghai Ninth People’s Hospital from July 2015 to June 2019 was performed. The primary outcome measures included ocular motility, diplopia, enophthalmos, facial deformities, and restricted mouth opening, as well as complication rates. Pre- and post-operative computed tomography scans were obtained for clinical diagnosis and surgical effectiveness. Results: Twenty two children were included in this study. Facial deformities were corrected in all 22 cases by surgical reconstruction postoperatively, and the average relative distance of Portals point-Zygomaxillare and Anteriornasalspine-Zygomaxillare were 1.3 ± 0.6mm (P = 0.22) and 1.2 ± 0.5mm (P = 0.19). The eye movement restored to normal in 13 patients. The mean amount of relative enophthalmos was 1.0 ± 0.4 mm (P = 0.12). 12 cases had complete resolution of diplopia postoperatively at the extremes of the gaze, and 1 case presented persistent diplopia on the down gaze as before, but from level III to level I. Facial numbness was resolved completely in 6 cases, and 2 cases presented with persistent numbness but relieved significantly. The average Hounsfield units of RapidSorb plates and OrbFloor PI were 154 ± 5 and 99 ± 4 respectively on computed tomography image obtained 1 week postoperatively, which showed no obvious difference compared with 0.5 year postoperatively (P > 0.1). Hounsfield units of implants gradually declined around 1 year postoperatively. Hounsfield units of RapidSorb plates (20 ± 1) were consistent with periorbital tissue during postoperative 2-year follow-up, and Hounsfield units of OrbFloor PI (19 ± 1) were consistent with periorbital tissue during postoperative 1.5-year follow-up. No patients had severe sequelae or implant related complications postoperatively. None of bone nonunion, malunion, infection or rejection occurred during the follow-up periods. Conclusions: Open reduction and internal fixation for the treatment of ZMC fracture have achieved significant improvement in functional and cosmetic outcomes postoperatively. Bioresorbable materials have been proved to be effective and safe in the treatment of children’s ZMC and orbital wall fractures.

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Nonsurgical management of condylar fractures in children: A 15-year clinical retrospective study

Cited by 29 publications

References 45 publications

Magnetic Resonance Examination of TMJS Following Open Reduction and Internal Fixation Using Rhombus and Two Miniplates in Management of Unilateral Subcondylar Fracture

Magnetic Resonance Examination of TMJS Following Open Reduction and Internal Fixation Using Rhombus and Two Miniplates in Management of Unilateral Subcondylar Fracture

The Pattern of Maxillofacial Trauma & its Management

Bioresorbable Implants in Reduction of Paediatric Zygomaticomaxillary Complex Fractures Concurrent With Internal Orbital Reconstruction

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