scholarly journals Diagnosis and Management of Mandibular Condyle Fractures

Author(s):  
Kasi Ganesh Sriraam ◽  
K. Rajendran Arun Vignesh

In the maxillofacial region, mandibular condyle fracture accounts for about 10–40% of the trauma spectrum. This chapter deals with the etiology, classification, clinical features, diagnosis, and contemporary management of mandibular condyle fractures. Along with the regular management strategies, treatment protocols for geriatric and pediatric patients have also been discussed. The indications and contraindications of closed as well as open reduction and fixation of condyle fractures are analyzed in detail.


2012 ◽  
Vol 39 (4) ◽  
pp. 301 ◽  
Author(s):  
Kang-Young Choi ◽  
Jung-Dug Yang ◽  
Ho-Yun Chung ◽  
Byung-Chae Cho


2017 ◽  
Vol 5 (1) ◽  
pp. 52
Author(s):  
Deepak Passi ◽  
Ritu Gupta ◽  
Lokesh Chandra ◽  
Abhishek Singh ◽  
Prarthana Sharma ◽  
...  

Mandibular condyle fracture is one of the most frequent injuries of the facial skeleton. The treatment ofmandibular condyle is either closed reduction or open reduction with internal fixation. The open reduction of mandibular condyle fractures has become more favorable and gaining popularity since various osteosynthesis materials and techniques were developed in the past few decades. These include fixation with Kirschner wires, intraosseous wiring, miniplates, and lag screw fixation. In response to a increased number of needs for improved treatment in this region, a variable morphological plates have been developed with specific designs to treat such fractures. We present a case series of use of new condylar trapezoidal plate (condylar fragment plate) in the treatment of mandibular condyle fractures.





2020 ◽  
Vol 27 (10) ◽  
pp. 2176-2181
Author(s):  
Zunair Memon ◽  
Samreen Naz ◽  
Abdul Ghani Shaikh ◽  
Zahid Hussain Siyal ◽  
Salman Shams

Objectives: To compare the outcome of two protocols (open reduction and closed reduction) in the treatment of mandibular condyle fracture. Study Design: Comparative study. Setting: Department of Oral & Maxillofacial Surgery, Institute of Dentistry, Liaquat University of Medical and Health Sciences Jamshoro. Period: January 2016 to September 2016. Material & Methods: After selection of patient into either group, for closed reduction technique, maxillomandibular fixation was applied for 4-6 weeks. For open reduction, a preauricular incision was given and fracture was reduced and fixed with miniplates after achieving the normal occlusion. Post operatively, patients of both the group were recalled after one, two and three months for the assessment of the functional effects such as occlusion and range of motion in both groups. Results: Mean age of the patients was29.80+4.42 years in group 1 (open reduction group), while mean age of the group 2 (closed reduction group) was 23.95+6.63 years. Male were in the majority in both groups 17 in group 1 and 16 in group 2. Out of 20 patients in group 1, 11 patients had condylar neck fracture and 9 had subcondyle fracture. While in group 2, 13 patients had subcondyle fracture and 7 had condylar neck fracture. In both groups again no significant difference was found according to location of the fracture (p-value 0.20). Group 1 (open reduction) had better functional results in terms of occlusion and range of motion after 3 months as compared to the group 2 (closed reduction). P-value 0.19. Conclusion: In dealing with mandibular condyle fractures it was concluded that open reduction and internal fixation is a better technique as compared to the closed reduction with maxillomandibular fixation.



2017 ◽  
Vol 13 (3) ◽  
pp. 73-81
Author(s):  
Pradip Acharya ◽  
G Ren ◽  
MR Jaisani ◽  
A Dongol ◽  
RP Yadav ◽  
...  

 Background: Cone beam computed tomography (CBCT) provides precise imaging of temporomandibular joint anatomy without superimposition and distortion. CBCT is relatively a new imaging modality and used commonly in dental practice.Objective: The aim of this study is to present detailed imaging of   emporomandibular joint in case of condyle fracture using CBCT for its use in diagnosis, surgical planning and evaluation of treatment.Method: In our study, we evaluated 3D - CBCT (three dimensional Cone beam computed tomography) examinations of 18 patients with mandibular condyle fractures. All of the fractures in our cases were overlooked on CBCT, thus providing axial, coronal and para-sagittal imaging of condylar head including 3D dimensional volumetric images of the condyle and surrounding structures.Result: Out of 18 condylar fracture patient’s CBCT, 8 radiographs showed condylar head (intracapsular) fracture, 2 condylar neck, 8 subcondylar fracture. 13 condylar fractures were unilateral and 5 were bilateral fracture. 9 of the condylar fractures were not associated with the mandible fracture. Out of the 9 associated condylar fractures; 3 were associated with symphysis fracture, 4 associated with parasymphysis fracture, 1 associated with body fracture and remaining 1 associated with mandibular angle fracture. 6 of the condylar fracture showed no signs of displacement of the fractured part and among 12 displaced condylar fracture parts 8 medially and 4 laterally displaced recorded in CBCT. All of the patients were given treatment on the basis of CBCT diagnosis and the results obtained from it was clinical satisfactory without complaints.Conclusion: We concluded that CBCT is the latest sophisticated technology which provides clear image of condylar head without superimposition of other structures, presented supplementary information for a more effective diagnosis and management of mandibular condyle fractures. Health Renaissance 2015;13 (3): 73-81



2019 ◽  
Author(s):  
Nadezhda Makazan ◽  
Elizaveta Orlova ◽  
Maria Kareva ◽  
Anna Kolodkina ◽  
Natalia Kalinchenko ◽  
...  




RSBO ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 50
Author(s):  
Guilherme Dos Santos Trento ◽  
Paola Cotait de Lucas Cors ◽  
Naylin Danyelle de Oliveira ◽  
Leandro Eduardo Klüppel ◽  
Delson João da Costa ◽  
...  


2020 ◽  
Vol 16 ◽  
Author(s):  
Saadia Ghafoor

Background:: Prelabor rupture of membrane (PROM) refers to the breakage of fetal membranes before the onset of labor, resulting in the leakage of amniotic fluid. PROM affects approximately 3% and 8% of preterm and term pregnancies. Because of associated high maternal and perinatal mortality, correct and timely diagnosis together with effective management is highly recommended to prevent adverse fetal and maternal outcomes. Objective:: To provide an overview of the novel concepts in the understanding of PROM including etiology, pathophysiology, risk factors, complications, assessment, diagnostic modalities, and contemporary management strategies for PROM at preterm and term. Methodology:: This narrative literature review was conducted through a literature search using the Cochrane library and electronic databases including PubMed, Web of Science, Medline, Scopus, Crossref, Google Scholar, Wiley online library, ScienceDirect with specific search terms in scientific publications published from March 1980 to March 2020. Main Body:: Preterm PROM has the potential to cause prenatal morbidity and mortality. It is imperative to monitor the signs and symptoms of an impending infection due to the risk of infectious morbidity with PROM at preterm and preterm. PROM at preterm and term requires prompt diagnosis followed by an appropriate management strategy. Conclusion:: The correct and timely diagnosis of PROM is essential for efficacious management. Furthermore, it can reduce avoidable emergent health care visits and related costs in a clinical setting subjected to pregnancy with suspected PROM. Further studies are needed to fill the gaps in identifying better diagnostic predictive tools in high- risk pregnancies.





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