Open versus closed treatment of fractures of the mandibular condylar process–a prospective randomized multi-centre study

Eckelt, Uwe; Schneider, Matthias; Erasmus, Francois; Gerlach, Klaus; Kuhlisch, Eberhard; Loukota, R.A.; Rasse, Michael; Schubert, Johannes; Terheyden, Hendrik

doi:10.1016/j.jcms.2006.03.003

Cited by 285 publications

(194 citation statements)

References 35 publications

Supporting

Mentioning

153

Contrasting

Unclassified

Order By: Relevance

“…Many studies have reported that surgical treatment with open reduction and rigid fixation leads to significantly better results than conservative management of condylar fractures [6][7][8][9][10][11][12][13]. With the exception of undisplaced, intracapsular fractures and fractures in pediatric patients younger than 12 years of age [14][15], most mandibular condylar fractures should be treated with open reduction and rigid fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Undiagnosed or incorrectly treated condylar fractures can lead to severe functional impairment, including malocclusion, reduced mouth opening associated with deviation of jaw and limited lateral mandibular movements [2,3]. A number of reports have suggested that the treatment of condylar fractures by open reduction and rigid fixation offers much better anatomic results [6][7][8][9][10][11][12][13]. Conservative treatment is still the choice of treatment for intracapsular or comminuted fractures and fractures in pediatric patients [14,15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Retro Mandibular Approach to Open Reduction and Internal Fixation of Condylar Fractures: A Cross-sectional Study

Rao

Gehlot

Siwach

2013

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Purpose The present study was carried out to evaluate the usefulness of mini retromandibular approach on accessibility, scarring and stability in open reduction and internal fixation of sub condylar fractures. Materials and MethodsFifteen patients underwent open reduction and rigid fixation of middle and low subcondylar fractures, with mini-retro mandibular approach.Results No signs of infection were observed in any patient postoperatively. Surgical scar was imperceptible and esthetically acceptable in all the cases. Out of 15 patients, only one patient had discrepancy in occlusion and after 2 months satisfactory centric occlusion was achieved. Salivary fistula (parotid fistula) was observed in 3 cases within 1 week postoperatively, which was treated spontaneously with the use of hypertonic saline. Transient facial nerve weakness was observed in 2 patients, in one patient it resolved in 4 weeks postoperatively and in second patient 3 months postoperatively. Mouth opening increased in all the patients with time. Average mouth opening at 1 week interval was 19.6 mm, at 2 months interval 28.2 mm, and after 6 months 38.33 mm suggesting that mouth opening gradually increased with time. At the end of 2 months postoperatively none of the patients had any restriction in lateral movements. At 2 months postoperatively 4 patients had deviation but none of the patients had any deviation 6 months postoperatively. Conclusion It is evident from the results of our study that open reduction and internal fixation using mini-retromandibular approach is good treatment option in management of mandibular condylar fractures.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of Retro Mandibular Approach to Open Reduction and Internal Fixation of Condylar Fractures: A Cross-sectional Study

Rao

Gehlot

Siwach

2013

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

show abstract

“…The treatment of mandibular condyle fractures is still controversial. There is no general consensus with regard to which fractures should be treated by closed or open approach (3,21,25). Condyloid process fractures have been managed by closed techniques with a period of maxillomandibular fi xation (MMF) or functional therapy using guiding elastics to maintain proper occlusion.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of condylar head fractures, the way to minimize the postraumatic TMJ ankylosis

Hirjak¹,

Machoň²,

Beňo³

et al. 2017

BLL

View full text Add to dashboard Cite

Management of condylar head fractures (CHF) of the temporomandibular joint (TMJ) remains a source of controversy. Based on established literature, group of CHFs and conservative treatment connected with period of maxillomandibular fi xation (MMF) increases the risk for TMJ ankylosis. This paper presents anatomical and functional results of surgical treatment of condylar head fractures in a group of 24 patients (29 joints). Fractures were diagnosed based on conventional radiographs and computed tomography (CT) scans. Utilising an intraoperative arthroscopy authors evaluated actual intraarticular posttraumatic changes. This study presents acceptable functional and radiological results of surgical treatment of condylar head fractures with more than 3-year follow-up. The authors believe that re-establishing the pretraumatic anatomic position of the TMJ components (fragment and the disc) and early postoperative rehabilitation are inevitable to minimize the risk of postraumatic TMJ ankylosis (Tab. 2, Fig. 8, Ref. 31). Text in PDF www.elis.sk.

show abstract

“…Consequently, several publications have emphasized the acceptable functional results of conservative treatment in contrast to the risks of surgery. [5] Long-term follow up studies on condylar fractures treated conservatively have shown that growth disturbances or dysfunction of the masticatory system in young people. In meta analysis study conducted by Essam Ahmed and Edward Ellis in 2014, they confirmed that open and internal fixation of condylar fractures have superior functional clinical outcome subjectively and objectively in comparison to conservative management.…”

mentioning

confidence: 99%

Mini - Retromandibular Approach for Open Reduction and Internal Fixation of Condylar Fractures by Delta Plates: An Exploratory Study.

Shetty¹

2017

IJAR

View full text Add to dashboard Cite

Background:The main objective of our study is to evaluate the new delta condylar plate for condylar fracture with mini retromandibular approach. Materials and methods: 20 patients with displaced condylar fracture were treated with delta condylar plate using mini retromandibular approach. Patients were evaluated on the basis of pre op and post op parameters and X-rays. Patients were followed for 18 months. Results: In 20 patients, there was high male predominance (75%) to female (25%). The mean mouth opening is 44.85mm (40-50mm). The duration of surgery varied from minimum of 40 min to maximum of 65 min (mean= 52.95 min ). In this study excellent access was achieved in 14 cases (70%), access was good in 5 cases (25%) & fair in 1 case (5%). Post operative complications like infection at surgical site (25%) is in 5 cases &sialocele (15%) in 3 case. We didn't encounter any facial nerve palsy. All 20 patients (100%) had inconspicuous scar which was well camouflaged. Conclusion:The mini retromandibular approach is easy and fast to perform and carries low risk of damaging the facial nerve while leaving a barely noticeable scar . Delta shaped plate for condylar fractures aids in neutralization of changing strains and the plate can be easily place at the constricted condylar neck region. We concluded that surgical treatment of the fractured, displaced condyle using the mini retromandibular approach for anatomic reduction using delta condylar plates is excellent.

show abstract

Open versus closed treatment of fractures of the mandibular condylar process–a prospective randomized multi-centre study

Cited by 285 publications

References 35 publications

Evaluation of Retro Mandibular Approach to Open Reduction and Internal Fixation of Condylar Fractures: A Cross-sectional Study

Evaluation of Retro Mandibular Approach to Open Reduction and Internal Fixation of Condylar Fractures: A Cross-sectional Study

Surgical treatment of condylar head fractures, the way to minimize the postraumatic TMJ ankylosis

Mini - Retromandibular Approach for Open Reduction and Internal Fixation of Condylar Fractures by Delta Plates: An Exploratory Study.

Contact Info

Product

Resources

About