Analysis of Different Treatment Protocols for Fractures of Condylar Process of Mandible

Surgical versus non-surgical treatment of mandibular condylar fractures: a meta-analysis

“…12,16, All e-mails were sent within a period of 24 h. The authors of six (18%) studies replied. [29][30][31]33,38,52 Five RCTs, [42][43][44][45]51 13 CCTs, 12,25,28,29,32,[35][36][37]40,41,46,47,49 and 18 retrospective studies 16,[20][21][22][23][24]26,27,30,31,33,34,38,39,48,50,52,53 were included in the meta-analysis.…”

“…12,29,35,37,[40][41][42][43] Ten studies did not report the inclusion criteria. 20,22,27,28,30,33,36,47,48,53 The classification of Spiessl and Schroll 54 for MCFs was used in 11 articles. 12,25,[33][34][35][36][37]40,41,46,48 In total 1982 patients were enrolled in the 36 studies, with 1094 MCFs in the surgical treatment group and 1307 MCFs in the non-surgical treatment group.…”

“…The presence of associated MFs was reported in 19 studies, but only seven studies reported the precise location of the (11) Pre-auricular (11) (2), others (7) Intraoral (14), preauricular (3) (25), body (10) angle (9) 2.0-mm titanium miniplate (48) Retro-mandibular fractures. 24,32,33,38,47,50,53 The most prevalent associated MF was fracture of the symphysis/parasymphysis region, with 78.3% (227/290) of the reported associated MFs of known location. Fourteen studies reported the aetiology of the MCFs; traffic accident (including motor vehicle and bicycle accidents) was the most prevalent aetiology in 11 studies, 25,28,30,31,33,38,43,45,47,50,53 fall was the most prevalent aetiology in two studies, 26,52 and assault/altercation was the most prevalent in one study.…”

“…42,45,50,51 Four studies did not report the follow-up period. 22,36,39,53 Concerning the surgical treatment group, 22 studies performed the fixation using one 2.0-mm miniplate in one or more patients, 12,16,20,[24][25][26]28,30,32,33,35,38,40,[42][43][44][45]47,48,[50][51][52] and five studies used two 2.0-mm miniplates, 12,35,43,48,52 whereas one study used a locking 2.0-mm miniplate, 48 five studies used 1.2-mm microplates, 12,28,37,40,41 six studies used wire osteosynthesis, 20,21,23,28,33,38 two studies used mini-dynamic compression Plates, 22,…”

Comparison Between Two Techniques for the Treatment of Mandibular Subcondylar Fractures: Closed Treatment Technique and Transoral Endoscopic-Assisted Open Reduction

“…Presently closed treatment is the most widely used method even for treatment of dislocated condylar fractures because experimental studies have shown that the conservative method of treating these fractures is apparently complication free and has satisfactory results [1,3,8].…”