scholarly journals Current Concepts in the Mandibular Condyle Fracture Management Part II: Open Reduction Versus Closed Reduction

2012 ◽  
Vol 39 (4) ◽  
pp. 301 ◽  
Author(s):  
Kang-Young Choi ◽  
Jung-Dug Yang ◽  
Ho-Yun Chung ◽  
Byung-Chae Cho
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Mandibular Condyle ◽  
Fracture Management ◽  
Condyle Fracture

scholarly journals Treatment of mandibular condyle fracture - a comparison of two protocols.

2020 ◽  
Vol 27 (10) ◽  
pp. 2176-2181
Author(s):  
Zunair Memon ◽  
Samreen Naz ◽  
Abdul Ghani Shaikh ◽  
Zahid Hussain Siyal ◽  
Salman Shams
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Mandibular Condyle ◽  
P Value ◽  
Reduction Group ◽  
Neck Fracture ◽  
Group 2 ◽  
Condyle Fracture ◽  
Condylar Neck Fracture ◽  
Group 1

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.

scholarly journals Current Concepts in the Mandibular Condyle Fracture Management Part I: Overview of Condylar Fracture

2012 ◽  
Vol 39 (4) ◽  
pp. 291 ◽  
Author(s):  
Kang-Young Choi ◽  
Jung-Dug Yang ◽  
Ho-Yun Chung ◽  
Byung-Chae Cho
Keyword(s):  
Mandibular Condyle ◽  
Condylar Fracture ◽  
Fracture Management ◽  
Condyle Fracture

Mandible Fractures

2021 ◽  
Author(s):  
John J. Chi ◽  
Emily Konkus
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Penetrating Trauma ◽  
Mandibular Fracture ◽  
Facial Fractures ◽  
Surgical Interventions ◽  
Maxillomandibular Fixation ◽  
Mandible Fracture ◽  
Fracture Management ◽  
Mandible Fractures

Mandible fractures are often caused by blunt or penetrating trauma and are one of the most common facial fractures. It is critical to understand facial and mandibular anatomy to best evaluate, classify, and treat mandible fractures. The primary goal of treatment is to restore the jaw to the preinjury occlusion. This can be achieved through open reduction with internal fixation or closed reduction with maxillomandibular fixation (MMF) in conjunction with dietary changes and/or physiotherapy. The main risks and concerns in mandible fracture management are infection, malunion, airway compromise, pain, and temporomandibular joint (TMJ) dysfunction. This chapter will provide a brief overview of facial and mandibular anatomy as well as common treatment methods and surgical interventions.  This review contains 17 figures, 2 tables, and 43 references Key words: Mandibular fracture, maxillomandibular fixation, occlusion, malunion, closed reduction, open reduction, TMJ dysfunction

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.

scholarly journals Closed reduction of a mandibular condyle fracture under fluoroscopy.

1996 ◽  
Vol 42 (1) ◽  
pp. 109-111
Author(s):  
Hiroyuki SAKAMAKI ◽  
Masakazu AKIBA ◽  
Mutsuhiro SEKI ◽  
Hiroaki KUJIRAOKA ◽  
Hidefumi AOKI ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Mandibular Condyle ◽  
Condyle Fracture

scholarly journals Newer condylar trapezoidal plate in treatment of mandibular condyle fractures : short clinical study

2017 ◽  
Vol 5 (1) ◽  
pp. 52
Author(s):  
Deepak Passi ◽  
Ritu Gupta ◽  
Lokesh Chandra ◽  
Abhishek Singh ◽  
Prarthana Sharma ◽  
...  
Keyword(s):  
Clinical Study ◽  
Open Reduction ◽  
Screw Fixation ◽  
Mandibular Condyle ◽  
Case Series ◽  
Facial Skeleton ◽  
Kirschner Wires ◽  
The Past ◽  
Trapezoidal Plate ◽  
Condyle Fracture

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.

scholarly journals ANTERIOR MANDIBLE AND CONDYLAR FRACTURE;

2019 ◽  
Vol 26 (01) ◽  
Author(s):  
Soonhan Abdullah ◽  
Muhammad Shahzad ◽  
Syed Fida Hussain Shah ◽  
Syed Ghazanfar Hassan ◽  
Suneel Kumar Panjabi
Keyword(s):  
Range Of Motion ◽  
Closed Reduction ◽  
Open Reduction ◽  
Mouth Opening ◽  
Mean Deviation ◽  
Group A ◽  
Group B ◽  
Condyle Fracture ◽  
Anterior Mandible ◽  
Good Range

ABSTRACT… Objectives: To compare the outcome of two treatment protocols (open and closed reduction) in the management of Anterior mandible and condyle fracture in our center. Study Design: Comparative cross sectional study. Place and Duration of Study: Department of Oral & Maxillofacial Surgery, Liaquat University of Medical & Health Sciences, Jamshoro, Hyderabad. This study was conducted from April 2017 to September 2017. Methodology: This study was consisted of total 48 patients which were equally divided into two groups Group-A(Closed Reduction that is Eyelet or Arch Bar) and Group-B(Open Reduction) having anterior mandible were included. For closed reduction technique, maxillomandibular fixation was applied for 4-6 weeks. For open reduction, fracture was fixed with miniplates after achieving the normal occlusion. Post operatively, occlusal disturbances was considered having poor occlusion and patient with maximum intercuspation was considered as good occlusion. Mouth opening more than 25mm was considered as good mouth opening. Results: In group-A 23(95.8%) patients at 3rd month were found with good occlusion. In group-B, good occlusion was found in 21(87.5%) patients at 3rd month. In group-A 22(91.7%) subjects at 3rd month were found with good range of motion and in group-B good range of motion was found in 20(83.3%) subjects at 3rd month.In group-A, mean deviation was 0.54±0.72 mm at 3rd month while in group-B, mean deviation was 1.12±1.65 mm at 3rd month. Conclusion: Open reduction with two correctly positioned plates for the stabilization of anterior mandibular and condylar fractures yielded better function compared to closed reduction.

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