Condylar fractures: Review of 40 cases

Mahgoub, Mohamed Ali; El-Sabbagh, Ahmed Hassan; El-Latif, Ehab Atef Abd; El-Hadidy, Mohamed Adel

doi:10.4103/ams.ams_133_17

Cited by 12 publications

(9 citation statements)

References 32 publications

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“…In a study performed by Mahgoub et al ., condylar fractures were associated with anterior mandibular fractures in 52.5%, angle 12.5%, body fractures 10%, and isolated condylar fracture in 25% of the cases. [ 21 ] In the present study, 75% of condylar fractures were associated with parasymphysis or mandibular body fractures and 20% of the cases experienced isolated condylar fracture. Unilateral condyle fractures are seldom associated with fractures of the zygomatic complex which was observed in one (5%) case, this can be explained due to direct lateral traumatic force and fracture of slender condylar neck.…”

Section: Discussionmentioning

confidence: 46%

Analysis between retromandibular and periangular transmasseteric approach for fixation of condylar fracture - A prospective study

Gupta

Bansal

Mowar

et al. 2020

Ann Maxillofac Surg

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Introduction: Condylar fractures make up for an average of 17.5%–52% of all mandibular fractures. The aim of the present study was to compare the ease, success, and complications between retromandibular and periangular transmasseteric approaches when used for open reduction and internal fixation of condylar fractures. Materials and Methods: A total 20 cases with condylar fracture, ten each for retromandibular and periangular transmasseteric approach, were included in the study. Patients were evaluated at 1 week, 1 month, 3 months, and 6 months. Postoperative occlusion, maximum mouth opening, range of movement, facial nerve function, visibility, convenience of plating, and time taken for exposure, fixation, and closure were recorded. Incidence of complications such as wound dehiscence, wound infection, hematoma, sialocele formation, Frey's syndrome, and hypertrophic scars were also evaluated. Results: The mean exposure time in the retromandibular approach was 10 min 31 s and 9 min 17 s in the periangular transmasseteric approach. The incidence of facial nerve injury was 2 of 10 patients in the retromandibular group and 3 of 10 patients in the periangular transmasseteric group, all of which resolved within 6 months. The incidence of sialocoele was 2 of 10 in the retromandibular group. The time taken for exposure of the fracture site was statistically significant between the two approaches ( P = 0.048) with longer time required for retromandibular approach. Discussion: It can be summarized that both the approaches are comparable and well suited for surgical management of condylar fractures. It was observed that in displaced condylar neck fractures, greater difficulty was experienced in the periangular transmasseteric approach than the retromandibular approach.

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Section: Discussionmentioning

confidence: 46%

Analysis between retromandibular and periangular transmasseteric approach for fixation of condylar fracture - A prospective study

Gupta

Bansal

Mowar

et al. 2020

Ann Maxillofac Surg

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“…However, we believe that this method may fail due to the variation in the direction of the facial nerve. For the posterior mandibular approach proposed by some scholars, they believe that the internal fixation of condyle fractures can be conveniently performed and the effect is good 18. However, we have found in clinical work that the posterior mandibular approach is still difficult to expose for subcondylar fractures and high-level fractures of the condyle neck.…”

Section: Discussionmentioning

confidence: 93%

Clinical Application of Digital Joint Guide in the Fracture of the Condyle Neck

Gao

Wang

Han

et al. 2022

Journal of Craniofacial Surgery

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Purpose: The purpose of this study is to use a digital guide plate for joint positioning to assist the reduction of condylar neck fractures and evaluate the accuracy of the reduction after surgery. Materials and Methods: In this study, 20 patients were selected from January 2016 to October 2020, and the reduction of the mandibular condyle neck fracture was designed virtual and digital based on the computed tomography data of the patients, based on the position of the condyle in the articular socket, the height of the ascending mandibular ramus, and the joints. The average value of the anterior space and the posterior space of the joint is these indicators, the position of the condyle is reconstructed, and the fracture reduction finger guide plate is designed. During the operation, the digital guide plate is used to assist the reduction of the condyle neck fracture. The postoperative follow-up was 4 to 12 months to check the accuracy of the reduction. Results: A total of 20 patients, all fractures achieved complete bone healing, the patients’ mouth opening was normal, no obvious complications were found, and none of the patients had facial paralysis. In the postoperative evaluation and preoperative virtual design plan, the chromatographic error was within 2 mm, and the magnetic resonance of the temporomandibular joint showed no displacement of the articular disc. Conclusion: The digital joint guide can reduce the fracture of the condyle neck while ensuring the position of the condyle in the joint socket, which is beneficial to reduce the occurrence of subsequent temporomandibular joint complications.

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“…The most common cause for the fracture was Road Traffic Accidents, similar to that published by other papers. 1,17 In our study for conservative treatment all the patients were treated under Local anaesthesia. For conservative treatment arch bars, Ivy loops were used.…”

Section: Stability Of Fractured Fragment and Osteosynthesis Devicementioning

confidence: 99%

“…The retromandibular approach provides a very satisfactory exposure for most condylar fractures. 1,13,18 Retromandibular approach was the choice of approach in our study as operating site is at a much shorter distance from the incision to the condyle. We found this approach to be more suitable to other approaches (preauricular, submandibular, intraoral, and rhytidectomy) due to following reasons: shorter working distance from the incision to the condylar region, greater access availability as the tissue can be retracted till the level of sigmoid ach, excellent exposure even on a face with marked edema, negligible chances of damage to the TMJ capsule, and the facial scar in less conspicuous location.…”

Section: Stability Of Fractured Fragment and Osteosynthesis Devicementioning

confidence: 99%

“…Condylar fracture is not an uncommon site for mandibular fracture as it constitutes about one-third of all mandibular fractures. 1 Signs and symptoms associated with condylar fracture are pain, reduction in mouth opening, mandibular deviation; may worsen with suboptimal treatment leading to temporomandibular joint (TMJ) ankylosis; and internal derangement may occur. 2 There are various guidelines regarding the management of condylar fractures of the mandible by open or closed treatment.…”

Section: Introductionmentioning

confidence: 99%

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Comparative evaluation of open reduction and internal fixation using delta plate versus conservative treatment in management of mandibular subcondylar fractures in adults

Bhavsar

Patel²,

Pandya³

et al. 2023

JOOO

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The aim of the evaluative study was to compare the efficacy of standard conservative treatment and the open reduction internal fixation (ORIF) using the delta titanium plates in the mandibular subcondylar fractures in adults. Patients who diagnosed with mandibular subcondylar fracture in the department from January 2018 up to September 2019 were recruited into the study. The patients satisfying the inclusion criteria were randomly assigned to two groups in a 1:1 ratio (10 in each group). Group A comprised patients treated using delta titanium plates through open reduction and internal fixation and Group B comprised patients treated with closed reduction. Informed consent was taken for all the patients. All the patients of Group A underwent ORIF under GA via retromandibular approach. Pain was significantly higher in 1 and 3 month follow up in group B compared to group A. Comparison of mouth opening in both the groups show statistically significant difference at 3 and 6 month compared to baseline mouth opening. Deviation was more prevalent at 1 and 3 month follow up in group B compared to group A. Presence of mandibular deviation at 1, 3 and 6 month was statistically insignificant for both the groups.Our experience with 3D stable delta plate provides better treatment outcomes in terms of easy adaptation to the anatomy of the fracture site, better 3D stability and functional osteosynthesis.

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Condylar fractures: Review of 40 cases

Cited by 12 publications

References 32 publications

Analysis between retromandibular and periangular transmasseteric approach for fixation of condylar fracture - A prospective study

Analysis between retromandibular and periangular transmasseteric approach for fixation of condylar fracture - A prospective study

Clinical Application of Digital Joint Guide in the Fracture of the Condyle Neck

Comparative evaluation of open reduction and internal fixation using delta plate versus conservative treatment in management of mandibular subcondylar fractures in adults

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