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. 2018 Jan-Jun;8(1):19-27.
doi: 10.4103/ams.ams_133_17.

Condylar Fractures: Review of 40 Cases

Mohamed Ali Mahgoub  1 , Ahmed Hassan El-Sabbagh  1 , Ehab Atef Abd El-Latif  2 , Mohamed Radwan Elhadidy  1
Affiliations

Condylar Fractures: Review of 40 Cases

Mohamed Ali Mahgoub et al. Ann Maxillofac Surg. 2018 Jan-Jun.

Abstract

Purpose: To put an algorithmic approach for the treatment of condylar fractures according to the condition of occlusion.

Patients and methods: This study had been carried out between May 2016 and April 2017. Forty patients were included (6 females and 34 males) with their ages ranged between 3 and 60 years. Patients were managed through two approaches as follows: maxillomandibular fixation (MMF) only regimen and MMF with open reduction and internal fixation regimen. The operated cases were 12 with bilateral condylar/subcondylar fractures, and the rest were unilateral 28 cases.

Results: Data were assessed demographically, time lapse before the intervention, surgically, functionally, and radiologically. In general, there were no significant differences between closed and open methods.

Conclusion: Retromandibular approach was convenient for internal fixation of condylar fracture with a good outcome. In our work, there were no significant differences between closed and open methods in the treatment of condylar fractures.

Keywords: Closed method; condylar fracture; open method; trauma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Exposure of vein through retromandibular incision. (b) marginal mandibular nerve through retromandibular incision. (c) wire insertion through retromandibular incision. (d) two plates fixation through retromandibular incision. (e) insertion of cable as trocar through retromandibular incision. (f) Manipulation of plate through silk suture through retromandibular incision
Figure 2
Figure 2
Gender distribution
Figure 3
Figure 3
Age distribution
Figure 4
Figure 4
Etiology distribution
Figure 5
Figure 5
Elapsed time between injury and operation
Figure 6
Figure 6
The average values (vertical axis) of preoperative, 3 months postoperative and 6 months postoperative incisal openings (1, 2, and 3 in the horizontal axis) in both methods of management, Maxillo mandibular fixation only and Maxillo mandibular fixation with open reduction and internal fixation
Figure 7
Figure 7
(a) Preoperative view of angles of coronal displacement of the fractured side.(b) immediate postoperative view of angles of coronal displacement of the fractured side. (c) 6 months postoperative view of angles of coronal displacement of the fractured side
Figure 8
Figure 8
(a) Preoperative view of angles of coronal displacement of the fractured side. (b) immediate postoperative view of angles of coronal displacement of the fractured side. (c) 6 months postoperative view of angles of coronal displacement of the fractured side
Figure 9
Figure 9
Algorithmic approach for condylar fracture
See this image and copyright information in PMC

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