Open reduction and internal fixation obtains favorable clinical and radiographic outcomes for pediatric mandibular condylar fractures

Management of Mandibular Condyle Fractures in Paediatric Patients: a Systematic Review

“…Data from extraction of the included 20 reports is displayed in Table 2 [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. Of these 20 papers, all were retrospective case series with the exception of [14], a retrospective cohort study, and one prospective cohort study [27].…”

“…The upper age limit set by different papers varied from < 12 years [9,11,13,14,17,18,22,24] compared to the remainder which extended up to 16 years. All papers included unilateral condylar fractures, information regarding bilateral condylar fractures was less clear with [8,12,14,15,[17][18][19][20][21][22] explicitly mentioning them. Certain papers only included displaced [10,11,18,25] or dislocated [11,18,23,26] condylar fractures.…”

“…Certain papers only included displaced [10,11,18,25] or dislocated [11,18,23,26] condylar fractures. Non-surgical management was used in papers [8,9,[12][13][14][15][16][17][18][19][20][21][22]24,26,27] and surgical management in [10,11,[13][14][15]20,23,25,27]. Non-surgical management involved conservative management with soft diet, and/ or physiotherapy, and/or intermaxillary fixation for varying lengths of time as per Table 2 and occlusal splints [17,18,19,22].…”

“…Non-surgical management involved conservative management with soft diet, and/ or physiotherapy, and/or intermaxillary fixation for varying lengths of time as per Table 2 and occlusal splints [17,18,19,22]. Surgical management involved a variety of techniques including open reduction internal fixation of the condyle with titanium plates [10,[13][14][15]20,25,27], Kirschner wire (K-wire) fixation [11] and bioabsorbable plate fixation [23]. Clinical and radiographic follow-up was carried out in all cases with only [8,16,27] having < 100% follow-up.…”

Tratamento De Fraturas Condilares

“…Dentro das fraturas faciais pediátricas, as fraturas do côndilo mandibular são comuns e, durante o desenvolvimento ósseo, podem inibir o crescimento vertical da face, resultando em uma má oclusão, assimetria mandibular e desvio maxilar, além de anquilose da articulação temporomandibular (MCGOLDRICK et al, 2019;MI-LORO et al, 2020). A literatura ainda apresenta uma controvérsia entre o tratamento fechado e aberto para esse público, em especial pelas complicações que surgem após o procedimento (MCGOLDRICK et al, 2019;ZHANG et al, 2021). Em um estudo realizado por GHASEMZADEH et al, 2015, dos 43 pacientes com fratura condilar tratados de maneira conservadora e que voltaram para o acompanhamento em um período de 81 dias, 10 tiveram complicações, sendo a mais comum a má oclusão.…”