Open reduction and internal fixation of extracapsular mandibular condyle fractures: a long-term clinical and radiological follow-up of 25 patients

Spinzia, Alessia; Patrone, Renato; Belli, Evaristo; Orabona, Giovanni Dell’Aversana; Ungari, Claudio; Filiaci, F; Agrillo, Alessandro; Riu, Giacomo De; Meloni, Silvio Mario; Liberatore, Gianmauro; Piombino, Pasquale

doi:10.1186/1471-2482-14-68

Cited by 35 publications

(21 citation statements)

References 27 publications

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“…The principle of staying beneath the superficial layer of the temporal fascia provides for a safe facial nerve. 1 The benefits of having a safe facial nerve outweighs the risk of having surgical scars. These scars are not much of an issue if the preauricular incision is created adequately small for a direct access to the condyle and the submandibular incision is employed through the natural skin crease.…”

Section: Discussionmentioning

confidence: 99%

Repair of a condylar fracture with a titanium miniplate via two approaches

Lacanilao¹,

Carlos²

2018

JOENTR

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Objective: To present a safe and reliable technique for open reduction with internal fixation for condylar neck fractures. Methods: Design: Case Report Setting: Tertiary Government Training Hospital Patient: OneResults: A 25-year-old male patient with a unilateral condylar neck fracture presented with gross deformity and malocclusion. The patient underwent an open reduction with internal fixation using a 16-hole titanium plate via a preauricular and submandibular incision. The surgical outcome provided the patient with a restored vertical dimension of the mandibular ramus, a good occlusion, acceptable scars, an intact Facial nerve, a stable fixation, and an early mobilization of the temporomandibular joint. Conclusion:Using a single 16-hole titanium miniplate for condylar neck fractures through two approaches resulted in the avoidance of exposure and trauma to the facial nerve and its branches. Replication of the technique by any surgeon would still result to the same outcome: a short shallow learning curve, decreased operative time, a safe Facial nerve, and a satisfied patient.

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Section: Discussionmentioning

confidence: 99%

Repair of a condylar fracture with a titanium miniplate via two approaches

Lacanilao¹,

Carlos²

2018

JOENTR

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“…Second, for relative indication, such as bilateral condylar fractures in an edentulous patient without a splint, unilateral or bilateral condylar fractures where splinting cannot be accomplished for medical reasons or because physiotherapy is impossible, bilateral condylar fractures with comminuted midfacial fractures, prognathia or retrognathia, periodontal problems, loss of teeth, unilateral condylar fracture with unstable base. 5 .…”

Section: Discussionmentioning

confidence: 99%

Open Versus Closed Treatment Of Subcondyle Mandible Fracture: An Evidence-Based Case Report

Bangun¹,

Nangingtuari²,

Olivia³

et al. 2018

J Plast Rekons

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Background : Mandibular subcondyle fractures are accounted for 25%-35% of all mandible fractures. Closed treatment has been the preferred treatment for several years because it’s relatively easier and non invasive but the complications that may arise are varied. Open reduction was one of the options that is considered to reduce complications. This study examines whether open reduction was a better choice than closed reduction in the management of mandible subcondyle fracture with parameter outcomes are complications, facial nerve injury, pain, and mouth occlusion. Method: A literature study was conducted from two databases: PubMed and Journal of Cranio-Maxillo-Facial Surgery (JOMS) with predefined keywords and references from 23-28 January 2018. The search was conducted with mandible subcondyle fracture, open reduction, and closed reduction. The search has been limited only for the last 5 years and limited to meta-analysis and systematic review. From the search, there were three articles used based on inclusion criteria in this case review. Result: The reviewed articles showed that open reduction provides better results than closed reduction, although open reduction results in complications of facial injuries and facial nerve weakness, but the complications were transient and tolerable.Conclusion: Based on existing clinical evidence, open reduction was the preferred management rather than closed. reduction due to better outcome and fewer complication.

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“…The principle of surgical treatment consists of open reduction of the fragments into their anatomical position and then stable fixation by osteosynthesis (ORIF). Access for open reduction and internal fixation may include, pre-auricular, end-aural, posterior-auricular, retromandibular, subangular, submandibular and intraoral approaches (Eckelt and Loukota, 2010;Leiser et al, 2013;Spinzia et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Complications Following a Trans-masseteric Antero-parotid Approach for Patients with Sub-condylar Fractures of Their Temporomandibular Joint. A Retrospective Study

et al. 2019

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Sub-condylar fractures of the temporomandibular joint can be treated by an extraoral or intraoral approach. Trans-masseteric antero-parotid approach (TMAP) is an extraoral approach utilising a retromandibular incision. The authors evaluated patients’ status and any complications of using TMAP from the years 2013–2017. There were 39 patients (44 fractures). When using TMAP, in 43 fractures the fragments were favourably positioned, in one case the position was compromised. Of the complications, postoperative palsy of the facial nerve was reported 6.8% – in all cases this was only temporary. Late occlusion had an equal number of complications (in 2 cases this was as a result of an infectious complication of the wound, and in 2 cases due to resorption of the proximal fragment). Muscular pain and dysfunction of the temporomandibular joint following trauma were observed consistently in 6.8% of patients. Sialocoele, a non-conforming scar, and infectious complications were observed in 4.5% of patients. TMAP allows rapid surgical performance, with a good view for perfect repositioning and fixation of fragments of sub-condylar fractures of the temporomandibular joint. The complications associated with this approach are, for the most part, temporary, the aesthetic handicap of a scar is considered by patients to be acceptable. Overall, it is possible to evaluate retromandibular TMAP as safe, and the authors recommended it for treatment of sub-condylar fractures of the mandible.

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Open reduction and internal fixation of extracapsular mandibular condyle fractures: a long-term clinical and radiological follow-up of 25 patients

Cited by 35 publications

References 27 publications

Repair of a condylar fracture with a titanium miniplate via two approaches

Repair of a condylar fracture with a titanium miniplate via two approaches

Open Versus Closed Treatment Of Subcondyle Mandible Fracture: An Evidence-Based Case Report

Evaluation of Complications Following a Trans-masseteric Antero-parotid Approach for Patients with Sub-condylar Fractures of Their Temporomandibular Joint. A Retrospective Study

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