André Vajgel1, Thiago de Santana Santos2, Igor Batista Camargo3, David Moraes de Oliveira4, José Rodrigues Laureano Filho3, Ricardo José de Holanda Vasconcellos3, Sergio Monteiro Lima5, Valfrido A Pereira Filho6, Andreas A Mueller7, Philipp Juergens7. 1. University of Pernambuco - School of Dentistry (FOP/UPE), Camaragibe, PE, Brazil. Electronic address: avajgel@hotmail.com. 2. Ribeirão Preto School of Dentistry (FORP/USP), Ribeirão Preto, SP, Brazil. 3. University of Pernambuco - School of Dentistry (FOP/UPE), Camaragibe, PE, Brazil. 4. Maurício de Nassau University, Recife, PE, Brazil. 5. Cirurgia Buco-maxilo-facial Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. 6. Department of Oral and Maxillofacial Surgery, Dental School of Araraquara/UNESP, Araraquara, Brazil. 7. Dept. of Oral & Maxillofacial Surgery, University Hospital Basel, Faculty of Medicine University of Basel, Basel, Switzerland.
Abstract
BACKGROUND: This multicentre study aimed to investigate long-term radiographic and functional results following the treatment of condylar fractures using an angulated screwdriver system and open rigid internal fixation with an intraoral surgical approach. METHODS: Twenty-nine patients with a total of 32 condylar fractures were evaluated. The patients were investigated prospectively based on the following variables: age, sex, aetiology, side, location and classification of the fracture, degree of displacement, associated fractures, surgical approach, oral health status, type of osteosynthesis plate, duration of surgery, mouth-opening, complications, and duration of follow-up. RESULTS: The fractures were classified as subcondylar (n = 25) or condylar neck (n = 7). Mean patient age was 36.38 ± 16.60 years. The median duration of postoperative follow-up was 24.39 ± 13.94 months. No joint noise, weakness of the facial nerve, joint pain, or muscle pain was observed. An additional retromandibular approach was necessary to enable the treatment of one subcondylar fracture with medial displacement. CONCLUSION: Subcondylar or condylar neck fractures with medial or lateral displacement can be treated using an intraoral approach with satisfactory results with the advantages of the absence of visible scarring, the avoidance of facial nerve injury, and the ability to obtain rapid access to the fracture.
BACKGROUND: This multicentre study aimed to investigate long-term radiographic and functional results following the treatment of condylar fractures using an angulated screwdriver system and open rigid internal fixation with an intraoral surgical approach. METHODS: Twenty-nine patients with a total of 32 condylar fractures were evaluated. The patients were investigated prospectively based on the following variables: age, sex, aetiology, side, location and classification of the fracture, degree of displacement, associated fractures, surgical approach, oral health status, type of osteosynthesis plate, duration of surgery, mouth-opening, complications, and duration of follow-up. RESULTS: The fractures were classified as subcondylar (n = 25) or condylar neck (n = 7). Mean patient age was 36.38 ± 16.60 years. The median duration of postoperative follow-up was 24.39 ± 13.94 months. No joint noise, weakness of the facial nerve, joint pain, or muscle pain was observed. An additional retromandibular approach was necessary to enable the treatment of one subcondylar fracture with medial displacement. CONCLUSION: Subcondylar or condylar neck fractures with medial or lateral displacement can be treated using an intraoral approach with satisfactory results with the advantages of the absence of visible scarring, the avoidance of facial nerve injury, and the ability to obtain rapid access to the fracture.
Authors: Erin C Peterson; Dennis C Nguyen; Ethan J Baughman; Gary B Skolnick; John J Chi; Kamlesh B Patel Journal: Plast Reconstr Surg Glob Open Date: 2020-09-24