Intra-Articular Condylar Fractures: Is Necessary Surgical Treament?

Authors

  • Giuseppe Consorti Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona - Umberto I. Unit of Cranio Maxillo Facial Surgery, Ancona, Italy
  • Lisa Catarzi Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona - Umberto I. Unit of Cranio Maxillo Facial Surgery, Ancona, Italy
  • Davide Valassina Maxillo-Facial Surgery Unit, Azienda Ospedaliera S. Anna, Como, Italy
  • Alessandro Bardazzi Maxillo-Facial Surgery Unit, ASST Papa Giovanni XXIII Piazza OMS, 1 Bergamo, Italy
  • Enrico Betti Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona - Umberto I. Unit of Cranio Maxillo Facial Surgery, Ancona, Italy
  • Paolo Balercia Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona - Umberto I. Unit of Cranio Maxillo Facial Surgery, Ancona, Italy

DOI:

https://doi.org/10.31907/2414-2093.2021.07.03

Keywords:

Mandibular Fracture, Condylar Fracture, Trauma.

Abstract

The surgical treatment of mandibular condylar fractures represents one of the most discussed topics in maxillofacial trauma surgery. Over the years the literature has documented an increasing attitude towards open reduction and internal fixation (ORIF) of these fractures. Some authors have recently increased the indications for ORIF to include intra-articular fractures, which have historically been managed conservatively1,2,3. The authors present their experience in the surgical treatment of intra-articular condylar fractures over a period of five years, from 2009 to 2014. Surgical techniques, early and delayed complica-tions, clinical and radiological outcomes and comparison with conservative treatment are discussed.

References

He D, Yang C, Chen M, Jiang B, Wang B. Intracapsular condylar fracture of the mandible: our classification and open treatment experience. J Oral Maxillofac Surg. 2009;67(8): 1672-9. https://doi.org/10.1016/j.joms.2009.02.012

Neff A, Kolk A, Deppe H, Horch HH. [New aspects for indications of surgical management of intra-articular and high temporomandibular dislocation fractures]. Mund Kiefer Gesichtschir. 1999;3(1): 24-9.

Kolk A, Neff A. Long-term results of ORIF of condylar head fractures of the mandible: A prospective 5-year follow-up study of smallfragment positional-screw osteosynthesis (SFPSO). J Craniomaxillofac Surg. 2015; May 43(4): 452-61. https://doi.org/10.1016/j.jcms.2015.02.004

Ellis E III, Moos K, El-Attar A. Ten years of mandibular fractures: an analysis of 2137 cases. J Oral Surg. 1985;59: 120. https://doi.org/10.1016/0030-4220(85)90002-7

Biglioli F, Colletti G. Mini-retromandibular approach to condylar fractures. Journal of Cranio-Maxillofacial Surgery. 2008;36: 378- 383. https://doi.org/10.1016/j.jcms.2008.05.001

Neff, A, Chossegros C, Blanc JL, Champsaur P, Cheynet F, Devauchelle B, Eckelt U, Ferri J, Gabrielli MF, Guyot L, Koppel DA, Meyer C, Müller B, Peltomäki T, Spallaccia F, Varoquaux A, Wilk A, Pitak-Arnnop P. Position paper from the IBRA Symposium on Surgery of the Head-- the 2nd International Symposium for Condylar Fracture Osteosynthesis, Marseille, France 2012. J Craniomaxillofac Surg. 2014;42(7): 1234-49.

Al-Moraissi EA, Ellis E III. Surgical treatment of adult mandibular condylar fractures provides better outcomes than closed treatment: a systematic review and meta-analysis. J Oral Maxillofac Surg. 2015; Mar 73(3): 482-9.

Chrcanovic BR. Open versus closed reduction: diacapitular fractures of the mandibular condyle. Oral Maxillofac Surg. 2012;16: 257-65. https://doi.org/10.1007/s10006-012-0337-6

MacLennan WD. Consideration of 180 cases of typical fractures of the mandibular condylar process. Br J Plast Surg. 1952;5: 122-8. https://doi.org/10.1016/s0007-1226(49)80020- 8

Rozeboom AVJ, Dubois L, Bos RRM, Spijker R, De Lange J. Closed treatment of unilateral mandibular condyle fractures in adults: a systematic review. Int. J. Oral Maxillofac. 2016; dec 7:. doi: 10.1016/j.ijom.2016.11.009. [Epub ahead of print] https://doi.org/10.1016/j.ijom.2016.11.009

Neff, A, Kolk A, Neff F, Horch HH. [Surgical vs. conservative therapy of diacapitular and high condylar fractures with dislocation. A comparison between MRI and axiography]. Mund Kiefer Gesichtschir. 2002; Mar 6(2): 66- 73.

Lin Y, Cheng Z, Zhan SL, Ye JQ, Fan TH, Liu WD, Jiang YH. [Mandibular condyle ectomy for the treatment of comminuted condylarfracture]. Shanghai Kou Qiang Yi Xue. 2012;21(5): 591- 5.

Becker WH. Condylectomy of a comminuted condylar fracture and treatment of an associated fracture of the right lower jaw on a child 11 years of age. Oral Surg Oral Med Oral Pathol. 1954; 7(5): 460-3.

Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013;57(3): 465-79. https://doi.org/10.1016/j.cden.2013.04.006

Downloads

Published

2021-04-20

Issue

Vol. 7 No. 1

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.