Osseous Changes Associated with Closed vs Open Treatment of Intracranial Intrusion Injuries of the Mandibular Condyle

2020 ◽  
Vol 78 (10) ◽  
pp. e102
Author(s):  
A.D. Congiusta ◽  
A. Champion
Keyword(s):  
Mandibular Condyle ◽  
Open Treatment ◽  
Osseous Changes

Open treatment of unilateral mandibular condyle fractures in adults: a systematic review

2017 ◽  
Vol 46 (10) ◽  
pp. 1257-1266 ◽  
Author(s):  
A. Rozeboom ◽  
L. Dubois ◽  
R. Bos ◽  
R. Spijker ◽  
J. de Lange
Keyword(s):  
Systematic Review ◽  
Mandibular Condyle ◽  
Open Treatment

scholarly journals Open Treatment of Mandibular Condyle by Direct Transparotid Approach: Our Experience

2020 ◽  
Vol 13 (2) ◽  
pp. 109-114
Author(s):  
Mohammed Salman Basha ◽  
Hussain AlAithan ◽  
Nyer Firdoose
Keyword(s):  
Surgical Technique ◽  
Facial Nerve ◽  
Nerve Injury ◽  
Mandibular Condyle ◽  
Surgical Practice ◽  
Salivary Fistula ◽  
Facial Nerve Injury ◽  
Major Complications ◽  
Open Treatment ◽  
Condyle Fracture

The fractures of the mandibular condyle are commonly encountered in maxillofacial surgical practice. The controversies to open or not to open are still ongoing. We have used both techniques, to successfully manage our patients. Open treatment of condyle fracture with or without dislocation is technically challenging. We used a “Direct Transparotid” approach in treating 13 condyle fractures over a period of 4 years. The patients were evaluated for facial nerve injury, salivary fistula, scar, function, and occlusion over a period of 12 months. There were no major complications with acceptable scar, both intraoperatively and postoperatively. The script aims at presenting our experience of direct transparotid approach surgical technique.

scholarly journals Current Opinions on Surgical Treatment of Fractures of the Condylar Head

2014 ◽  
Vol 7 (2) ◽  
pp. 92-100 ◽  
Author(s):  
Paolo Boffano ◽  
Rodolfo Benech ◽  
Cesare Gallesio ◽  
Francesco Arcuri ◽  
Arnaldo Benech
Keyword(s):  
Surgical Treatment ◽  
Temporomandibular Joint ◽  
Current Knowledge ◽  
Mandibular Condyle ◽  
Bone Screws ◽  
Functional Movement ◽  
Anatomical Position ◽  
Open Treatment ◽  
Condylar Head

Treatment of mandibular condyle fractures is still controversial, with surgical treatment slowly becoming the preferred option. However, fractures of the condylar head (diacapitular fractures) are still treated conservatively at many institutions. Recently, more and more surgeons have begun to perform open treatment for diacapitular fractures because it allows to restore the anatomical position of the fragments and disc, it allows an immediate functional movement of the jaw, and avoid the ankylosis of the temporomandibular joint induced by the trauma. Several techniques have been proposed to reduce and fix fractures of the condylar head, such as standard bone screws, resorbable screws, resorbable pins, and cannulated lag screws. Therefore, the aim of this article is to review the literature about the surgical treatment of fractures of the condylar head to resume the current knowledge about open treatment of such fractures.

scholarly journals Fixação interna estável de fratura condilar: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 541-545
Author(s):  
Janaina Soares Silva ◽  
Rejane Kelly Andrade Beiriz ◽  
Marcus Antônio Brêda Júnior ◽  
Ricardo Viana Bessa-Nogueira ◽  
Marcelo Marotta Araujo ◽  
...  
Keyword(s):  
Critical Review ◽  
Rio De Janeiro ◽  
Mandibular Condyle ◽  
Surgical Approaches ◽  
Condylar Fracture ◽  
Condylar Process ◽  
Fracture Management ◽  
Open Treatment ◽  
Condyle Fracture ◽  
Condylar Fractures

As fraturas mandibulares são o segundo tipo de fraturas mais comum que acomete a face, e elas podem ter um impacto negativo na estética e anatomia facial, bem como causar problema em atividades cotidianas como falar e mastigar. Este artigo tem por objetivo relatar o caso clínico de um paciente vítima de agressão física, que apresentou uma fratura unilateral de côndilo associada à fratura oblíqua de sínfise. Paciente do gênero masculino, 32 anos, leucoderma, através das radiografias PA de mandíbula e Towne foram constatadas fratura da região de sínfise mandibular e côndilo do lado esquerdo. A escolha para o tratamento desta fratura, foi o tratamento cirúrgico com fixação interna da fratura condilar com sistema 2.0mm. Após sete dias foi iniciada a fisioterapia com espátulas de madeira para o restabelecimento de adequada abertura bucal, apresentando ao final uma recuperação satisfatória, sem intercorrências. O uso de placas e parafusos para o tratamento cirúrgico de fraturas de côndilo mandibular e sínfise se mostrou eficaz, resultando no sucesso cirúrgico com um pós-operatório sem complicações e no reestabelecimento funcional e da oclusão. Descritores: Fraturas Mandibulares; Côndilo Mandibular; Fixação de Fratura. Referências Bastos EO, Goldenberg DC, Alonso N. Acesso retromandibular transparotídeo: uma via simples, eficaz e segura para tratamento das fraturas de côndilo mandibular. Rev Soc Bras Cir Craniomaxilofac. 2009;12(1):10-5. Araújo CFSN, Braga PLS, Ferreira JDB. Tratamento tardio de fratura condilar: Relato de caso. Rev cir traumatol buco-maxilo-fac. 2013;13(3):17-24. Gois Filho DM, Amarante AS, Moura RQ, Dultra JA, Carneiro Júnior B. Uso do acesso retromandibular para tratamento de fratura bilateral de côndilo mandibular: relato de caso. Rev cir traumatol buco-maxilo-fac. 2013;13(1):29-34. Rodrigues CMC, Santos DM, Oliveira MMM, Silva MCP, Furtado LM. Tratamento conservador de fratura condilar alta: relato de caso. Rev Odontol Bras Central. 2019;28(85):87-90. Mendonça JCG, Bento LA, Freitas GP. Tratamento das fraturas de côndilo mandibular: revisão da literatura. Rev Bras Cir Craniomaxilofac. 2010;13(2):102-6. Ellis E 3rd, Throckmorton G. Facial symmetry after closed and open treatment of fractures of the mandibular condylar process. J Oral Maxillofac Surg. 2000;58(7):719-28;729-30. Dantas BPSS, Fialho PV, Fernandes ACF, Silva DT, Queiroz CS. Fratura complexa de mandíbula: relato de caso. Rev Odontol Araçatuba. 2017;38(3):43-8. Trento G, Corso PFCL, Scariot R, Kluppel LE, Costa DJ, Rebellato NLB. Tratamento cirúrgico de fratura da cabeça de mandíbula com parafusos bicorticais: relato de caso. Arq bras odontol. 2014;10(2):12-9. Bagheri SC, Bell RB, Khan HA. Terapias atuais em cirurgia bucomaxilofacial. Rio de Janeiro: Elsevier; 2013. Manganello LC, Silva Alexandre AF. Fraturas do Côndilo Mandibular: classificação e tratamento. Rev Bras Otorrinolaringol. 2002;68(5):249-55. Vieira WM, Siqueira OV, Scherma AP, Miranda LR. Fratura bilateral de côndilo mandibular: tratamento tardio e complicações. Rev Bras Cir Craniomaxilofac. 2011;14(2):115-18. Rampaso CL, Mattioli TMF, Andrade Sobrinho J, Rapoport A. Avaliação da prevalência do tratamento das fraturas de côndilo mandibular. Rev Col Bras Cir. 2012;39(5):373-76. Pogrel MA, Kahnberg KE, Andersson MA. Cirugia Bucomaxilofacial. Rio de Janeiro: Santos; 2016. Alencar MGM, Rebelo HL, Silva EZ, Breda Junior MA, Medeiros Junior MD. Tratamento de fratura complexa de mandíbula por abordagem transcervical: Relato de caso. Rev cir traumatol buco-maxilo-fac. 2015; 15(4):43-8. Rampaso CL, Mattioli TMF, Sobrinho JA. Rapoport Estudo epidemiológico das fraturas do côndilo da mandíbula. Rev Bras Cir Cabeça Pescoço. 2009;38(1):19-21. Ramalho RA, Farias Junior ON, Cardoso AB. Tratamento cirúrgico de fratura bilateral de côndilo associada à fratura de corpo mandibular: relato de caso. Rev cir traumatol buco-maxilo-fac. 2013;13(2):69-73. Kumaran S, Thambiah LJ. Analysis of two different surgical approaches for fractures of the mandibular condyle. Indian J Dent Res. 2012;23(4):46-68. Valiati R, Ibrahim D, Abreu ME, Heitz C, de Oliveira RB, Pagnoncelli RM, Silva DN. The treatment of condylar fractures: to open or not to open? A critical review of this controversy. Int J Med Sci. 2008;5(6):313-18. Choi KY, Yang JD, Chung HY, Cho BC. Current concepts in the mandibular condyle fracture management part I: overview of condylar fracture. Arch Plast Surg. 2012;39(4):291-300. Ellis E, Throckmorton GS. Treatment of mandibular condylar process fractures: biological considerations. J Oral Maxillofac Surg. 2005;63(1):115-34.  Iwaki Filho L, Pavan AJ, Camarini ET, Tondin GM. Tratamento das fraturas de côndilo mandibular: cirúrgico ou conservador? Rev cir traumatol buco-maxilo-fac. 2005;5(4):17-22.

scholarly journals Retromandibular Approach as a Method for Open Reduction and Internal Fixation of Mandibular Condyle Fractures. Experience in the Regional Hospital 1º de Octubre, ISSSTE and Literature Review

2021 ◽  
Vol 7 (7) ◽  
Author(s):  
González MGR ◽  
Munguía AMN ◽  
González CASJ ◽  
Tellez EB ◽  
Montes IDG
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Surgical Techniques ◽  
Mandibular Condyle ◽  
Middle Cranial Fossa ◽  
Sufficient Evidence ◽  
Mandibular Fractures ◽  
Open Treatment ◽  
Condylar Fractures

Mandibular condyle fractures constitute 17.5% to 52% of mandibular fractures. Open reduction with internal fixation and closed reduction are described for their treatment. Fonseca describes the absolute indications for open treatment when there is displacement of the mandibular condyle to the middle cranial fossa, foreign body invasion, extra capsular displacement of the condyle, and/or malocclusion not susceptible to closed reduction. It includes indications with vast evidence for open treatment of bicondyle fractures, condylar displacement greater than 45 degrees, reduction in the height of the mandibular ramus greater than or equal to 2mm, fractures associated with fractures of the middle third and when there is unstable occlusion. The above establishes sufficient evidence to perform open treatment in various situations of condylar fractures. Regarding the approach of the mandibular condyle region there are different surgical techniques, such as, the preauricular, retroauricular, submandibular, retromandibular, and rhytidectomy approaches.

TMJ Arthritis Imaging: Conventional Radiograph vs. CT Scan - Is CT Actually Needed?

2019 ◽  
Vol 15 (2) ◽  
pp. 135-140
Author(s):  
Richa Modgil ◽  
Karandeep Singh Arora ◽  
Abhishek Sharma ◽  
Lalit Singh Negi ◽  
Shreeyam Mohapatra ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Ct Scan ◽  
Imaging Modality ◽  
Age Groups ◽  
Mandibular Condyle ◽  
Clinical History ◽  
Conventional Technique ◽  
Radiographic Examination ◽  
Conventional Radiograph ◽  
Osseous Changes

Objective: The present study was conducted to evaluate the efficacy of conventional TMJ imaging in depicting osseous changes in mandibular condyle and glenoid fossa in patients with rheumatoid arthritis (RA) and osteoarthritis (OA) by comparing the finding against CT and with an objective that if conventional TMJ imaging modality can appreciate the osseous changes in RA and OA then what is the need for CT scan. Thus further reducing the patient’s radiation dose. Materials and Methods: A total of 70 patients (40 Rheumatoid Arthritis; 30 Osteoarthritis) were taken in the study aged between 40 - 60 years and divided in to age groups. Then according to clinical history they were divided according to being symptomatic and asymptomatic. Further radiographic examination was carried out. First the trans-cranial view was obtained (conventional view left and right TMJ) and subsequently a CT scan was obtained and the interpretation was carried out to note the osseous changes like erosion, flattening, sclerosis and osteophyte formation. Results: After comparison of the two radiographic methods it was observed that both were equally efficacious in evaluating the osseous changes in arthritic patients. Conclusion: Thus, it was concluded that when both the radiographic methods (conventional and CT scan) are equally efficacious in evaluating the osseous degenerative changes of TMJ in arthritis. Thus we should prefer the conventional technique so that the patient in not exposed to unnecessary radiation dosage.

scholarly journals The Use of 3D Titanium Miniplates in Surgical Treatment of Patients with Condylar Fractures

2020 ◽  
Vol 9 (9) ◽  
pp. 2923 ◽  
Author(s):  
Maciej Sikora ◽  
Maciej Chęciński ◽  
Marcin Sielski ◽  
Dariusz Chlubek
Keyword(s):  
Three Dimensional ◽  
Mandibular Condyle ◽  
Rigid Fixation ◽  
Good Reliability ◽  
Open Treatment ◽  
The Stability ◽  
Condylar Fractures ◽  
Affect Bone Healing ◽  
Observation Period

The aim of this study was to evaluate the effectiveness of open treatment of mandibular condyle fractures using 3D miniplates. A group of 113 patients has been chosen for evaluation, including 100 men and 13 women. After hospitalization, each patient underwent a 6-month postoperative follow-up. The material chosen for the analysis consisted of data collected during the patient’s stay in the hospital as well as the postoperative outpatient care. A single 4-hole Delta Condyle Compression Plate (4-DCCP) was used in 90 out of 113 (79.6%) cases. In 16 out of 113 (14.2%) patients, the Trapezoid Condyle Plate (4-TCP or 9-TCP) was used. The remaining cases required more than one miniplate. No 3D miniplate fractures were found in the study subjects during the analyzed observation period. Loosening of one or more osteosynthesis screws was observed in 4 out of 113 (3.5%) patients. Screw loosening was a complication that did not affect bone healing in any of the patient cases. The conducted research confirms that titanium 3D mini-plates are easy to adjust and take up little space, therefore they can easily be used in cases of mandibular condyle base and lower condyle neck fractures. The stability of the three-dimensional miniplates for osteosynthesis gives very good reliability for the rigid fixation of the fractured mandibular condyle.

Clinical Experience with Osteosynthesis of Subcondylar Fractures of the Mandible using Delta Plate

2016 ◽  
Vol 6 (1) ◽  
pp. 63-66
Author(s):  
Shailesh Nareshkumar Kokal ◽  
Suraj Arjun Ahuja ◽  
Nareshkumar T Kokal ◽  
Haemant A Baonerkar
Keyword(s):  
Clinical Experience ◽  
Mandibular Condyle ◽  
Rigid Fixation ◽  
Controversial Issues ◽  
Facial Skeleton ◽  
Present Case Report ◽  
The Past ◽  
Subcondylar Fracture ◽  
Open Treatment ◽  
Fixation Techniques

ABSTRACT Mandibular condyle fractures are one of the most frequent injuries of the facial skeleton. The option for open treatment of mandibular condyle fractures has become more favorable since osteosynthesis materials were developed in the past few decades. However, the rigid fixation techniques of treating condyle fractures remain one of the controversial issues in maxillofacial trauma. Several techniques and plate types such as adaption miniplates, minidynamic compression plates, resorbable plates, and double plates have been evaluated biomechanically in various experimental and clinical studies. The present case report is to evaluate the clinical use of indigenously developed titanium delta-shaped miniplate in open reduction and internal fixation of subcondylar fracture. How to cite this article Kokal SN, Ahuja SA, Kokal NT, Baonerkar HA. Clinical Experience with Osteosynthesis of Subcondylar Fractures of the Mandible using Delta Plate. J Contemp Dent 2016;6(1):63-66.

scholarly journals Study of open versus closed reduction of mandibular condyle fractures

2021 ◽  
Vol 8 (11) ◽  
pp. 3402
Author(s):  
Nagaraj Gareikpatii
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Maxillofacial Surgery ◽  
Mandibular Condyle ◽  
Adult Males ◽  
Combined Approach ◽  
Open Treatment ◽  
Open Versus ◽  
Condylar Fractures ◽  
Suitable Technique

Background: Condylar fractures of the mandible are a commonest occurrence in maxillofacial surgery. Many surgeons prefer closed therapy with maxillomandibular fixation, while open treatment with rigid internal fixation has become more common in recent years. This study provides a comparative evaluation of open and closed reduction of the mandibular condyle.Methods: The 50 patients with condylar fractures were treated with open and closed reduction as per the requirement.Results: A higher incidence of unilateral segmented condylar fractures were seen in young adult males. Open reduction and internal fixation (ORIF) with a combined approach was the preferred treatment of choice with fewer post-op complications.Conclusions: ORIF is a suitable technique in the treatment of condylar fractures as it promises few complications.

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