A Retrospective Study of Condylar Fracture Management in a Tertiary Care Hospital—A 10-Year Experience

Menon, Suresh; Kumar, Veerendra; Shrivastava, Archana; Nath, Priyangana; Shivakotee, Satyapriya

doi:10.1007/s12663-019-01257-2

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…In some other studies, maxillomandibular fixation was performed in those patients who presented with a significant malocclusion. 29 Some other orthopedic treatments with functional appliances were also indicated in growing-age patients. 30 Nevertheless, surgical intervention using ORIF has also yielded favorable outcomes in certain cases 31,32 ; however, it is important to note that complications such as mandibular growth disturbance, facial nerve damage, and salivary fistulas have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…In this retrospective study, 188 of the 189 pediatric patients were managed non‐surgically, including soft diet, initial period of limited mouth opening for a period of 1–2 weeks, functional exercise, and removable occlusal splint. In some other studies, maxillomandibular fixation was performed in those patients who presented with a significant malocclusion 29 . Some other orthopedic treatments with functional appliances were also indicated in growing‐age patients 30 .…”

Section: Discussionmentioning

confidence: 99%

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Characteristics of pediatric mandibular condylar fractures in Southwest China: A single‐center and 12‐year retrospective study

Chen,

Liao,

Huo

et al. 2024

Dental Traumatology

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Background/AimMandibular condylar fractures in pediatric patients may exhibit distinct epidemiological characteristics attributed to their unique growth and development phase, as well as various anatomical, physiological, biomechanical, and behavioral factors that differentiate them from adults. This study aimed to investigate the demographics, injurious factors, classifications, clinical manifestations, and treatments of pediatric mandibular condylar fractures, as well as the concomitant injuries in maxillofacial and other body parts.Materials and MethodsThis retrospective study analyzed the clinical data of 189 pediatric patients with mandibular condylar fractures between 2011 and 2022. Variables investigated included age, gender, timing of onset, causes, classification of condylar fracture, concomitant injuries, clinical manifestations, and treatment modalities.ResultsA total of 189 patients, a higher proportion of boys compared to girls was observed, with the highest incidence rate in children aged 1–3 years. They occurred primarily in July, June, and September as well as on Saturdays and Sundays. The most prevalent cause of mandibular condylar fractures was falls from heights in 73 patients (38.62%). Pediatric patients exhibited a higher susceptibility to condylar head fractures. A significant majority (81.48%) of these fractures were accompanied by soft tissue injuries in the maxillofacial region, with the chin being particularly vulnerable to injury. In addition, 61.90% of pediatric patients experienced fractures in other areas of the maxillofacial region, with the mandibular symphysis being the most commonly affected site. Dental trauma predominantly occurred in the anterior region (44.97%). Notably, a substantial proportion (28.04%) of cases also presented with multiple systemic injuries.ConclusionsThe characteristics of pediatric mandibular condylar fractures exhibit distinct features in terms of age, gender, timing of onset, etiology, location and type, the presence of concomitant maxillofacial soft/hard tissue injuries and multiple systemic injuries, as well as clinical manifestations and treatment modalities. Therefore, clinicians should pay special attention to the diagnosis and treatment of pediatric condylar fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Characteristics of pediatric mandibular condylar fractures in Southwest China: A single‐center and 12‐year retrospective study

Chen,

Liao,

Huo

et al. 2024

Dental Traumatology

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Assessment of condylar fractures associated with mandibular fossa and/or tympanic plate fractures

Villafort¹,

Martins²,

Daruge³

et al. 2022

British Journal of Oral and Maxillofacial Surgery

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Condylar fracture in a paediatric patient undergoing conservative and functional treatment: Case report

Gomes

Correia

Freitas

et al. 2021

RSD

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Trauma to the jaw can lead to fracture of the mandibular condyle. Prevalence in children is low and treatment should focus on possible long-term effects on facial bone and soft tissue growth. Trauma can result in dysfunction, facial asymmetry, mandibular retraction, dysfunction and stiffness of the temporomandibular joint. Clinical examination and imaging tests are essential to obtain an accurate diagnosis and an effective treatment to avoid possible complications. Treatment can be surgical or non-surgical, but non-surgical treatment is the method of choice in most cases. The aim of this study is to report a case of mandibular condylar fracture in a pediatric patient who underwent conservative and functional care who, with adequate monitoring by the Maxillofacial Surgery and Traumatology team and family, showed complete remodeling of the fractured bone and total recovery of the dental occlusion. Treatment in pediatric patients through conservative management allows an adequate range of mandibular movement and remodeling at the fracture site, but patient and family adherence to treatment is very important to obtain good results.

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A Retrospective Study of Condylar Fracture Management in a Tertiary Care Hospital—A 10-Year Experience

Cited by 4 publications

References 21 publications

Characteristics of pediatric mandibular condylar fractures in Southwest China: A single‐center and 12‐year retrospective study

Characteristics of pediatric mandibular condylar fractures in Southwest China: A single‐center and 12‐year retrospective study

Assessment of condylar fractures associated with mandibular fossa and/or tympanic plate fractures

Condylar fracture in a paediatric patient undergoing conservative and functional treatment: Case report

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