Open reduction of subcondylar fractures

Preliminary functional results of endoscope-assisted transoral treatment of displaced bilateral condylar mandible fractures

“…To avoid these complications in displaced fractures, surgical treatment with anatomic reduction is performed [4][5][6]8,24,25 . Superior functional results are reported in displaced condyle fractures following open reduction and fixation compared to the more widely performed non-surgical treatment 4,8,22,23,25 .…”

“…Superior functional results are reported in displaced condyle fractures following open reduction and fixation compared to the more widely performed non-surgical treatment 4,8,22,23,25 . Possible complications of the surgical approach, such as damage of the facial nerve and creation of visible scars, mean that the indication for surgical reduction versus non-surgical treatment of displaced condylar fractures remains controversial in maxillofacial surgery 4,6,8,23,24,25 . Complications such as malocclusion, open-bite deformity and loss of chin projection are more likely to occur in bilateral condyle fractures 6 .…”

“…Superior functional results for displaced condylar fractures are described following open reduction compared to non-surgical treatment 5,8,12,24,25 . Possible surgical complications, such as risk of facial nerve injury and creation of visible scars, mean that closed reduction is still more widely employed 4,8,22,23 .…”

Erratum to: Extraoral and intraoral endoscopically assisted treatment of condylar mandible fractures

“…Aufgrund der forcierten Adaption bei veränderter Kiefergelenkmorphologie zeigte sich in klinischen Langzeituntersuchungen nach konservativer Therapie eine Limitation bei der Mundöffnung mit Deviation und kompensatorisch habitueller Kiefergelenkluxation der kontralateralen Seite. Zur Vermeidung dieser Komplikationen wird die operative Frakturversorgung mit anatomisch regelrechter Reposition angestrebt [3,4,5,7,9,22,23]. Die Indikationen für die offene oder geschlossene Behandlung von dislozierten Kollumfrakturen werden in der Mund-, Kiefer-und Gesichtschirurgie kontrovers diskutiert, da bei der offenen Frakturreposition als Komplikation eine Schädigung des N. facialis und Narben im sichtbaren Bereich beschrieben sind [4,7,20,22,23].…”

Mandi̇bula Kondi̇l Kiriklari Ve Tedavi̇ Yaklaşimlari

“…Eğer fraktür angüle olmuş ama displase olmamış ise, kondil başı-nın deviasyonu 45°'den daha az ise klinik önemi pek yoktur (5). Kırk beş dereceden fazla olan deviasyonlarda kapalı redüksiyon daha zordur ve açık redüksiyon ve fiksasyon gerekir (9). Doksan derecelik deviasyon hemen daima açık redüksiyon ile tedavi edilir (7).…”