Transoral miniplate osteosynthesis of condylar neck fractures

Undt, Gerhard; Kermer, Christian; Rasse, Michael; Sinko, Klaus; Ewers, Rolf

doi:10.1016/s1079-2104(99)70082-x

Cited by 65 publications

(37 citation statements)

References 14 publications

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“…Inadequate restoration of vertical height, which is often seen after conservative treatment like long-term intermaxillary fixation, may cause malocclusion or loading of the contralateral condyle, with resultant occlusal and adaptive changes. Open reduction and internal fixation allow good anatomical repositioning and immediate functional movement [1].…”

Section: Introductionmentioning

confidence: 99%

“…In 1964, following Obwegeser's principles of avoiding visible scars and using his approach to the mandibular ramus, Steinhauser described transoral open reduction and wire osteosynthesis of low condylar neck fractures. Pape et al and Horch et al were the first to report greater series of intraoral reduction and miniplate osteosynthesis [1].…”

Section: Introductionmentioning

confidence: 99%

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Management of Subcondylar Fracture through Intraoral Approach with Rigid Internal Fixation

Patil

Gudi

2011

J. Maxillofac. Oral Surg.

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Background In Oral and Maxillofacial Surgery, the majority of the condylar fractures are treated by closed reduction with generally satisfactory long term results. But in such cases of closed reduction, patient will be uncomfortable owing to long term application of inter maxillary fixation (IMF). Where as, Disadvantages of extra oral open reduction and fixation of condylar fracture includes facial nerve damage, facial scars etc. which are surely eliminated by the intraoral reduction and rigid fixation. Aims and Objectives The present study was conducted to determine the efficacy of reduction and fixation of low sub-condylar fractures through intra-oral approach. Methodology In this study, ten patients with low sub-condylar fracture, reported to department of Oral and Maxillofacial Surgery. P.M.N.M. Dental College and Hospital Bagalkot were included. These patients were treated by open reduction and internal fixation through intra-oral approach. All the patients were evaluated post-operatively for mouth opening, occlusion and mandibular deviation with regular radiographic examination for 6 weeks. Results All operated patients followed for 6 weeks, maximum mouth opening was more than 40 mm in seven patients (range from 40 to 50 mm) and less than 40 mm in three patients. Occlusion was satisfactory in all and none of the patients showed deviation of mandible on mouth opening. Statistical analysis showed that postoperative mouth opening was significant ('t' value = 7.88, 'P' = (0.000) \ 0.05) and the test result was significant (S) at 5% level of significance. Statistical analysis of deviation of mouth opening was nonsignificant ['t' value = 1.96, 'P' value (0.081), 0.05]. For occlusion standard photographs were obtained at sixth week and found minor occlusal corrections in two patients are treated by elastic traction for few days. Discussion and Conclusion Open reduction with internal fixation through intraoral approach has proved to be safe for early function and also effective by avoiding the patient discomfort due to long term intermaxillary fixation, psychological effect, facial nerve damage, facial scar and weight loss.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of Subcondylar Fracture through Intraoral Approach with Rigid Internal Fixation

Patil

Gudi

2011

J. Maxillofac. Oral Surg.

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“…Problems with proper reduction and fixation of condylar fractures using a single miniplate have been discussed by various authors [5][6][7]. Hammer et al [2] reported that plate failure or screw loosening was observed in more than one third (35%) of the group stabilized with a single adaptation miniplate.…”

Section: Discussionmentioning

confidence: 99%

“…The results of this study confirmed that two miniplates were better than a single miniplate for a fixation with less complication. Different approaches such as preauricular incision, endaural incision, a Risdon's incision, a submandibular incision, a retromandibular incision, the rhytidectomy approach, or an intraoral incision were mentioned in the literature, for exposing the condyle [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Comparison of post operative outcomes in mandibular condylar fractures treated with single versus double non-compression mini plates

Malhotra¹,

Borle²,

Bhola³

et al. 2014

IOSRJDMS

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“…Conservative treatment is still the choice of treatment for intracapsular or comminuted fractures and fractures in pediatric patients [14,15]. Though closed reduction is a simple and easy method of treatment of condylar fractures but long-term complications like pain, arthritis, open bite, inadequate restoration of vertical height of the ramus leading to malocclusion and ankylosis do exist with closed reduction method [16]. A number of approaches to condylar fracture are reported which can be divided into intraoral and extraoral techniques.…”

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.

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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.

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Transoral miniplate osteosynthesis of condylar neck fractures

Cited by 65 publications

References 14 publications

Management of Subcondylar Fracture through Intraoral Approach with Rigid Internal Fixation

Management of Subcondylar Fracture through Intraoral Approach with Rigid Internal Fixation

Comparison of post operative outcomes in mandibular condylar fractures treated with single versus double non-compression mini plates

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

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