Functional outcomes following surgical treatment of bilateral mandibular condylar fractures

Conservative treatment of a mandibular condyle fracture: Comparing intermaxillary fixation with screws or arch bar. A randomised clinical trial

“…Although many studies have searched for the best and most suitable treatment, the issue remains controversial (Palmieri et al, 1999;Park et al, 2010;Sharif et al, 2010). In both types of treatment complications occur, such as deviation of the chin and/or facial asymmetry (Park et al, 2010;Yang et al, 2002;Bormann et al, 2009); reduced mandibular motility (Palmieri et al, 1999;Niezen et al, 2010); dysfunction of the temporomandibular joint (Silvennoinen et al, 1998;Gupta et al, 2012); ankylosis (Gupta et al, 2012); chronic pain (Chen et al, 2011); and malocclusion (Marker et al, 2000;Bhagol et al, 2011;Silvennoinen et al, 1998;Zachariades et al, 2006;Forouzanfar et al, 2013). When conservative treatment of a condylar fracture is preferred over ORIF, many modalities for obtaining IMF can be considered (e.g.…”

Surgical treatment of condylar head fractures, the way to minimize the postraumatic TMJ ankylosis

“…Mandibular fracture represents the most common facial bone injury (57 %) (11,23,30). Mandibular condylar fractures account for between 21 % and 52 % of all mandibular fractures (11,23,30).…”

“…Mandibular condylar fractures account for between 21 % and 52 % of all mandibular fractures (11,23,30). The treatment of mandibular condyle fractures is still controversial.…”

The influence of the condylar fracture treatment method on mandible dynamics

“…It should be taken into account, however, that the surgical fixation of fragments, although it enables early TMJ mobilization, also involves the potential risk of damaging the structures of the joint area such as the facial nerve, masticatory muscles or articular disc, which may have an influence on the later rehabilitation of the stomatognathic system. [7][8][9] The specificity of mandibular fracture treatment, and particularly of condylar fractures, consists of, on one hand, the early repositioning and fixation of bone fragments, and on the other hand, the earliest possible mandibular mo- A thorough physical examination, including elements of the functional test of the stomatognathic system, were carried out in each patient. The subsequent stages of the examination included: a general and detailed anamnesis, an analysis of the trajectory and range of mandibular opening, palpation of the masticatory muscles and palpation and auscultatory examination of the temporomandibular joints, and an intraoral check (occlusion analysis, marking of the tooth chart).…”