Fractures of the condylar process: Surgical versus nonsurgical treatment

Santler, Gert; Kärcher, Hans; Ruda, C.; Kole, E.A.

doi:10.1016/s0278-2391(99)90276-8

Cited by 91 publications

(71 citation statements)

References 21 publications

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“…Our study correlates with that of Nicholas Zachariadei et al 31 in conservative management of Sub-condylar fractures. Marker et al found that conservative closed reduction for the treatment of condylar fractures is safe, cost effective, nontraumatic and reliable.…”

Section: Discussionsupporting

confidence: 92%

A Retrospective Study of Epidemiology Fractures of Mandible in Tertiary Care Teaching Hospital Over a Period of a Decade

Rangaswamy¹,

Kumar²,

Manjula³

et al. 2016

jemds

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Mandible is the lower facial bone that plays an important role in complex function of chewing, deglutition, speech, supports Tongue and forms contour of lower third of Face. Rapid urbanization has resulted in increase in the number of road traffic accidents with fractures of the Facial bones. Mandible is the second most common facial bone to get fractured. Fractures of the Mandible need intervention at the earliest. AIMTo retrospectively analyse the cause, age and sex incidence, sites of fracture of mandible, combination of fractures, various diagnostic and treatment modalities that were used. METHOD AND MATERIALSThe study includes 1087 patients with isolated fractures of the mandible treated in the Department of Plastic Surgery at Gandhi Hospital between the years 2005 to 2014. The patterns of the history, clinical examination, diagnostic tests done were assessed. Age, sex, aetiology, method of management were the variables analysed. The statistical analysis was done using SPSS (Statistical Package for Social Sciences 0 Version 15.0 Statistical analysis software). The values are represented in frequencies and percentages. RESULTS1087 patients with isolated fractures of the mandible were studied. Steep rise in the incidence from 8.98% in 2005 to 18% in 2014 was noted. Males were more frequently involved (92.64%) in comparison to females. The commonly involved age group was between 21-30 years (54.55%). Most of the patients sustained injury due to road traffic accidents (75.9%) of which majority were two wheeler accidents (45.81%). Parasymphysis was fractured in 41.39%. X-rays were used as the diagnostic modality between the years 2004 to 2010. Later digital X-rays and 3D Computerized Tomography have replaced it. Closed reduction was done in 57.22%. Complications (1.1%) in the form of infection and mal-occlusions were noted. DISCUSSION AND CONCLUSIONSThe commonest aetiology was road traffic accidents and sense of public awareness is to be created about traffic rules and regulations. Males, age group between 21-30 and parasymphysis were commonly involved. Class I occlusion was achieved with closed method of Maxillomandibular fixation in 57.22% and open reduction was done in cases where closed reduction was not possible and they amounted to 42.77%. KEYWORDSMandible Fracture, RTA, Parasymphysis, Closed Reduction, Open Reduction, MMF, Class I Occlusion. HOW TO CITE THIS ARTICLE:Rangaswamy G, Kumar AS, Manjula G, et al. A retrospective study of epidemiology fractures of mandible in tertiary care teaching hospital over a period of a decade.

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Section: Discussionsupporting

confidence: 92%

A Retrospective Study of Epidemiology Fractures of Mandible in Tertiary Care Teaching Hospital Over a Period of a Decade

Rangaswamy¹,

Kumar²,

Manjula³

et al. 2016

jemds

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“…Management of the condylar fractures has been controversial. But as proved in previous studies, the problems resulting from treatment by closed reduction are not only early dysfunction but also the arthritic changes that can occur 10-15 years following the closed reduction [10][11][12]. Moreover it was found that bioresorbable osteosynthesis is capable of withstanding the masticatory loads that is 1.5 times the amount of the load measured at the operated site, which leads to the confusion that they do withstand the forces of mastication and provide adequate fixation that needs to be achieved.…”

Section: Discussionmentioning

confidence: 77%

Setbacks of Bio-Resorbable Plates and Screws in the Management of Condylar Fractures: Our Experience

Chaithanyaa

Kumar

et al. 2011

J. Maxillofac. Oral Surg.

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“…In einem vergleichbaren Kollektiv operativ und konservativ versorgter Gelenkfortsatzfrakturen bei mehr als 150 Patienten fanden Santler et al [14] keine nennenswerten Unterschiede bezüglich der Kiefergelenkfunktion, jedoch signifikant erhöhte sensorische Störungen in der rein operativ versorgten Patientengruppe. Die Autoren folgerten daraus, dass nur die erheblich dislozierten Gelenkhalsfrakturen einer operativen Versorgung zugeführt werden sollten.…”

Section: Kollumfrakturenunclassified

Behandlung von Unterkieferfrakturen im Kindesalter

Smolarz-Wojnowska

Klein

2009

Monatsschr Kinderheilkd

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Die Versorgung von Frakturen des Gesichtsschädels gehört zu den Kernaufgaben einer Klinik für Mund-, Kiefer-und Gesichtschirurgie. Etwa 5% aller Betroffenen sind jünger als 15 Jahre [11, 16]. Am häufigsten treten bei Jugendlichen Frakturen des Unterkiefers auf, je nach Studie in 60-89,4% der Fälle [11, 18]. Im Gegensatz zum adulten Skelett weist der jugendliche Knochen zwar noch Wachstumszentren und Zahnanlagen auf, die eine Fraktur komplizieren kön-nen, andererseits reduzieren das dickere Periost sowie die höhere Elastizität des Knochens das Risiko einer Fraktur. Dank der juvenilen Regenerationsfähigkeit des Gewebes findet eine schnellere Frakturheilung statt. Je jünger das Kind desto seltener treten mandibuläre Frakturen auf.

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Fractures of the condylar process: Surgical versus nonsurgical treatment

Cited by 91 publications

References 21 publications

A Retrospective Study of Epidemiology Fractures of Mandible in Tertiary Care Teaching Hospital Over a Period of a Decade

A Retrospective Study of Epidemiology Fractures of Mandible in Tertiary Care Teaching Hospital Over a Period of a Decade

Setbacks of Bio-Resorbable Plates and Screws in the Management of Condylar Fractures: Our Experience

Behandlung von Unterkieferfrakturen im Kindesalter

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