Surgical versus non-surgical treatment of mandibular condylar fractures: a meta-analysis

Chrcanovic, Bruno Ramos

doi:10.1016/j.ijom.2014.09.024

Cited by 72 publications

(82 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results of the present study showed no direct correlation between TMJ pain and the presence of MRI changes. There is debate about whether closed reduction or open reduction and internal fixation is the ideal treatment for fractures of the mandibular condyle, as reported in metaanalysis reviews (23,24) . In 2016 Nabil (25) evaluated the effect the effect of different mandibular fractures on the temporomandibular joint using magnetic resonance imaging after five years, he found that trauma caused more delayed TMJ derangement on the non-fractured side than on the fractured side of the mandible.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…En base a las características de los casos previamente expuestos, el tratamiento Ortopédico parece ser una alternativa viable para el tratamiento de fractura de cóndilo siempre y cuando se cumpla ciertas indicaciones tales como; estabilidad oclusal, máxima inter-cuspidación dental, poseer remanente dentario, conservación de la dimensión vertical, fracturas con poco desplazamiento, fracturas no conminutadas y que fracturas concomitantes sean reducidas y estabilizadas (Sing et al 2010). Si bien los resultados de este tratamiento parecen ser favorables a corto plazo, se debe de realizar un seguimiento continuo de estos pacientes a largo plazo debido a que las complicaciones en este tipo de fracturas pueden expresarse hasta un período de 10 años (Chrcanovic et al, 2015).…”

Section: Discussionunclassified

Tratamiento Ortopédico de las Fracturas de Cóndilo Mandibular A Propósito de Tres Casos

Valladares-Pérez

Bustamante-Correa²,

Sepúlveda-Troncoso³

2019

Int. J. Odontostomat.

View full text Add to dashboard Cite

RESUMEN: Las fracturas de cóndilo mandibular son frecuentes en el trauma maxilofacial. Pueden tratarse ortopédicamente o en forma quirúrgica, dependiendo principalmente de las características morfológicas y funcionales del caso, y también de la experiencia del cirujano y los recursos disponibles. En los últimos años se ha establecido una corriente proclive al tratamiento quirúrgico, basada en la rápida recuperación del enfermo y la disminución de las secuelas funcionales y estéticas. Sin embargo, el tratamiento ortopédico bien indicado y ejecutado, puede ser una buena alternativa de tratamiento y que debe ser considerada dentro de las propuestas terapéuticas. El Objetivo de este estudio, es presentar una serie de tres casos de pacientes afectados por fracturas de cóndilo mandibular, tratados en forma ortopédica, en el Hospital El Carmen Dr. Luis Valentín Ferrada, Santiago -Chile. Además, se presentará una revisión de las dos tendencias de tratamiento con énfasis en las indicaciones y protocolo adecuado de tratamiento ortopédico.PALABRAS CLAVE: cóndilo de la mandíbula, fractura, tratamiento.

show abstract

“…Managment of mandibular fractures, especially condylar, are still a debateble issue for maxillofacial surgeons [1][2][3]. Some researches have prooved that surgical management have better outcomes than non-invasive treatment.…”

Section: Epidemiological Informationmentioning

confidence: 99%

“…Masticatory function in patients who underwent treatment by means of plates and screws were better. Nevertheless, in surgically treated patients choosing of particular plates in open reduction and condylar osteosynthesis is not clear because there are no guidelines in the literature [2][3][4][5][6][7][8][9]. Mandibular fractures are a part of the great majority of facial traumas.…”

Section: Epidemiological Informationmentioning

confidence: 99%

Mechanical Evaluation of Titanium Plates for Osteoesynthesis High Neck Condylar Fracture of Mandible

et al. 2020

View full text Add to dashboard Cite

Background: In the literature no information about plates for the high-neck mandibular condylar osteosynthesis could be found despite that 30 plate designs have been published. The main course consider the basal condylar or diacapitular fractures. The aim of the study was to test mechanically all available designs (only 4 of 30 was proper) on polyurethane mandibles using an individually designed clamping system. Methods: Forces required for a 1 mm displacement of fixed fracture fragments and incidents of screw loosening were recorded. Results: It has occured that dedicated plates for fixation are much weaker than set of two straight plates (p < 0.0001). General observation is the bigger plate and more screws, the better rigid stable osteosynthesis of mandibular condyle, however, there are limitations in plates design for high-neck fractures resulted in restricted operation field. Conclusion: Double straight plates occured to be the best mechanical fixation for high-neck fractures of the mandibular condyle. Maybe other existing plates could be used but only after prebending or that fracture required novel dedicated plates design.

show abstract

Surgical versus non-surgical treatment of mandibular condylar fractures: a meta-analysis

Cited by 72 publications

References 61 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

Tratamiento Ortopédico de las Fracturas de Cóndilo Mandibular A Propósito de Tres Casos

Mechanical Evaluation of Titanium Plates for Osteoesynthesis High Neck Condylar Fracture of Mandible

Contact Info

Product

Resources

About