Surgical strategy for treatment of mandibular condyle fracture
DOI:
https://doi.org/10.21270/archi.v10i5.5388Keywords:
Mandibular Fractures, Mandibular Condyle, Surgery, OralAbstract
Trauma to the mandibular region that results in fractures of the jaw condylar process can lead to changes not only in facial development, but also in dental occlusion and temporomandibular joint (TMJ) movement. Thus, the diagnosis of fractures and the indication of treatment should be precise to avoid dysfunctions of this joint or even more severe sequelae that alter the growth of the face and jaw or prevent satisfactory opening of the mouth, such as temporomandibular ankylosis. This paper reports a case report of a right mandibular condyle fracture in which the patient had maxillary opening deviation, mouth opening-related pain complaints, and mouth opening limitation and dental disocclusion that was surgically treated by fracture fixation. . After one year postoperatively, the patient evolves with a satisfactory mouth opening without deviation, no pain complaints and a stable occlusion.
Downloads
References
Mitchell DA. A multicentre audit of unilateral fractures of the mandibular condyle. Br J Oral Maxillofac Surg. 1997;35(4):230-36.
Mikkonen P, Lindqvist C, Pihakari A, Iizuka T, Paukku P. Osteotomyosteosynthesis in displaced condylar fractures. Int J Oral Maxillofac Surg. 1989;18(5):267-70.
Hayward JR, Scott RF. Fractures of the mandibular condyle. J Oral Maxillofac Surg. 1993;51(1):57-61
Villarreal PM, Monje F, Junquera LM, Mateo J, Morillo AJ, González C. Mandibular condyle fractures: determinants of treatment and outcome. J Oral Maxillofac Surg. 2004;62(2):155-63
Sugiura T, Yamamoto K, Murakami K, Sugimura M. A comparative evaluation of osteosynthesis with lag screws, miniplates, or Kirschner wires for mandibular condylar process fractures. J Oral Maxillofac Surg. 2001;59(10):1161-8; discussion 1169-70.
Singh V, Bhagol A, Goel M, Kumar I, Verma A. Outcomes of open versus closed treatment of mandibular subcondylar fractures: A prospective randomized study. J Oral Maxillofac Surg. 2010;68(6):1304-9.
Shah A, Shah AA, Salam A. Pattern and management of mandibular fractures: a study conducted on 264 patients. Pak Oral Dental J. 2007;27(1):103-6.
Amaratunga NA. A study of condylar fractures in Sri Lankan patients with special reference to the recent views on treatment, healing and sequelae. Br J Oral Maxillofac Surg. 1987;25(5):391-97.
Silva JS, Beiriz RKA, Brêda Júnior MA, Bessa Nogueira RV, Araujo MM, Vasconcellos RJH. Fixação interna estável de fratura condilar: relato de caso. Arch Health Invest. 2020; 9(6):541-45.
Bantim YCV, Silva RBP, Colombo LT, Hadad H, Silva LF, Souza FA et al. Fixação interna como tratamento de fratura unilateral de côndilo associada à fratura de corpo mandibular: relato de caso. Arch Health Invest. 2018;7(Spec Iss 3):220.
Rutges JP, Kruizinga EH, Rosenberg A, Koole R. Functional results after conservative treatment of fractures of the mandibular condyle. Br J Oral Maxillofac Surg. 2007;45(1):30-4.
Back CP, McLean NR, Anderson PJ, David DJ. The conservative management of facial fractures: indications and outcomes. J Plast Reconstr Aesthet Surg. 2007;60(2):146-51.
Raveh J, Vuillemin T, Lädrach K. Open reduction of the dislocated, fractured condylar process: indications and surgical procedures. J Oral Maxillofac Surg. 1989;47(2):120-27.
Ellis E 3rd, Dean J. Rigid fixation of mandibular condyle fractures. Oral Surg Oral Med Oral Pathol. 1993;76(1):6-15.
Lindahl L, Hollender L. Condylar fractures of the mandible. II. a radiographic study of remodeling processes in the temporomandibular joint. Int J Oral Surg. 1977;6(3):153-65.