Intracapsular Condylar Fracture of the Mandible: Our Classification and Open Treatment Experience

He, Dongmei; Chen, Yang; Chen, Minjie; Jiang, Bin; Wang, Baoli

doi:10.1016/j.joms.2009.02.012

Cited by 97 publications

(63 citation statements)

References 22 publications

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“…and Marker et al . reported subcondylar fracture as the most commonly occurring condylar fracture, whereas He et al . reported intracapsular fracture as the most common type, accounting for up to 65% of cases in their series.…”

Section: Incidence Of High Condylar Fracturementioning

confidence: 91%

“…The aetiologies of condylar fractures include road traffic accidents, falls, interpersonal violence, and occupational and sports‐related injuries, among others. Falls were the leading cause of intracapsular condylar fractures in the series studied by He et al ,. followed by road traffic accidents.…”

Section: Aetiology Of High Condylar Fracturementioning

confidence: 94%

“…He et al . recently proposed a new classification of diacapitular fractures into four types, based on axial and coronal computed tomography (CT) scans: type A, fracture line through the lateral third of the condylar head with reduction of ramus height; type B, fracture line through the central third of the condylar head with reduction of ramus height; type C, fracture line through the medial third of the condylar head without reduction of ramus height; and type M, comminuted fracture of the condylar head.…”

Section: Classification Of Diacapitular Condylar Fracturesmentioning

confidence: 99%

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Diacapitular fracture of the mandibular condyle: the current thinking

Udeabor

Braimoh

2013

Oral Surgery

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Diacapitular fracture of the mandibular condyle occurs quite commonly following trauma to the jaws. However, many surgeons shy away from its surgical treatment because of the technical difficulties involved and would rather manage it conservatively. The difficulties range from surgical access and proper repositioning of the fractured segments to the application of mini‐ or micro‐plates. Inadequate treatment can result in limitations in mouth opening, among other complications. Over the years, no clear‐cut guidelines and common ground have been agreed upon across the surgical world with regard to the treatment of this very challenging fracture. Different surgeons at different times have put forward their experiences in the management of diacapitular fractures, and the controversy seems to linger despite advances in surgical techniques and armamentarium. This review article, therefore, is an overview of current thought on the management of diacapitular fractures of the mandibular condyle that is intended to harmonise some of the views in the literature.

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Section: Incidence Of High Condylar Fracturementioning

confidence: 91%

Section: Aetiology Of High Condylar Fracturementioning

confidence: 94%

Section: Classification Of Diacapitular Condylar Fracturesmentioning

confidence: 99%

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Diacapitular fracture of the mandibular condyle: the current thinking

Udeabor

Braimoh

2013

Oral Surgery

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“…The fractures were classified according to the location of the fracture as observed on the coronal CT sections (GE Healthcare, Buckinghamshire, United Kingdom). 7 Fractures through the lateral third of the condylar head resulting in a loss of condylar height were termed type A fractures (Neff type B fracture). Fractures through the central third of the condylar head without loss of condylar height were termed type B fractures.…”

Section: Variablesmentioning

confidence: 99%

“…Perforation of the bilaminar tissue and contact between the residual condyle and the fossa promoted osteoarthritic changes and ankylosis. Ó 2015 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg -: [1][2][3][4][5][6][7][8][9][10][11][12]2015 Although there is an implicit understanding that condylar trauma results in both hard and soft tissue injuries, the bony elements have historically been the focus of treatment. A great amount of research has been performed concerning the diagnosis and treatment of condylar fractures.…”

mentioning

confidence: 99%