DOI QR코드

DOI QR Code

Modified high-submandibular appraoch for open reduction and internal fixation of condylar fracture: case series report

  • Lee, Sung-Jae (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Chun, Young-Joon (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Lee, Seung-Jun (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Jun, Sang-Ho (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital) ;
  • Song, In-Seok (Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital)
  • 투고 : 2022.09.06
  • 심사 : 2022.10.07
  • 발행 : 2022.10.31

초록

Objectives: Recently a modified high-submandibular approach (HSMA) has been introduced for treatment of condylar fracture. This approach involves an incision line close to the mandibular angle and transmasseteric transection, leading to a low incidence of facial palsy and allowing good visualization of the condyle area, especially the condylar neck and subcondyle positions. This study reports several cases managed with this modified HSMA technique for treating condylar fractures. Materials and Methods: Six cases of condylar fractures treated with modified HSMA technique were reviewed. Results: Three unilateral subcondylar fracture, 1 bilateral subcondylar fracture, 1 unilateral condylar neck fracture, 1 unlateral simultaneous condylar neck and subcondylar fracture cases were reviewed. All the cases were successfully treated without any major complication. Conclusion: Reduction, fixation, and osteosynthesis of condylar fractures via the modified HSMA technique enabled effective and stable treatment outcomes. Therefore, the described approach can be used especially for subcondylar and condylar neck fractures with minimal complications.

키워드

과제정보

This research was supported by a Korea Medical Device Development Fund grant funded by the Korean government (Ministry of Science and ICT; Ministry of Trade, Industry, and Energy; Ministry of Health & Welfare, Ministry of Food and Drug Safety) (project No. RS-2021-KD000009).

참고문헌

  1. Iida S, Kogo M, Sugiura T, Mima T, Matsuya T. Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 2001;30:286-90. https://doi.org/10.1054/ijom.2001.0056
  2. Choi KY, Yang JD, Chung HY, Cho BC. Current concepts in the mandibular condyle fracture management part I: overview of condylar fracture. Arch Plast Surg 2012;39:291-300. https://doi.org/10.5999/aps.2012.39.4.291
  3. Sawazaki R, Lima Junior SM, Asprino L, Moreira RWF, de Moraes M. Incidence and patterns of mandibular condyle fractures. J Oral Maxillofac Surg 2010;68:1252-9. https://doi.org/10.1016/j.joms.2009.03.064
  4. Kim JH, Kim SM, Kwon GJ, Park YW. Clinical review of various surgical approaches in the treatment of mandibular condyle fracture. Maxillofac Plast Reconstr Surg 2008;30:72-82.
  5. Powers DB. Classification of mandibular condylar fractures. Atlas Oral Maxillofac Surg Clin North Am 2017;25:1-10. https://doi.org/10.1016/j.cxom.2016.11.001
  6. Al-Moraissi EA, Louvrier A, Colletti G, Wolford LM, Biglioli F, Ragaey M, et al. Does the surgical approach for treating mandibular condylar fractures affect the rate of seventh cranial nerve injuries? A systematic review and meta-analysis based on a new classification for surgical approaches. J Craniomaxillofac Surg 2018;46:398-412. https://doi.org/10.1016/j.jcms.2017.10.024
  7. Ellis E 3rd, McFadden D, Simon P, Throckmorton G. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg 2000;58:950-8. https://doi.org/10.1053/joms.2000.8734
  8. Alyahya A, Bin Ahmed A, Nusair Y, Ababtain R, Alhussain A, Alshafei A. Mandibular condylar fracture: a systematic review of systematic reviews and a proposed algorithm for management. Br J Oral Maxillofac Surg 2020;58:625-31. https://doi.org/10.1016/j.bjoms.2020.03.014
  9. Ellis E 3rd, Dean J. Rigid fixation of mandibular condyle fractures. Oral Surg Oral Med Oral Pathol 1993;76:6-15. https://doi.org/10.1016/0030-4220(93)90285-c
  10. Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg 1983;41:89-98. https://doi.org/10.1016/0278-2391(83)90214-8
  11. Eckelt U, Hlawitschka M. Clinical and radiological evaluation following surgical treatment of condylar neck fractures with lag screws. J Craniomaxillofac Surg 1999;27:235-42. https://doi.org/10.1016/s1010-5182(99)80035-3
  12. Risdon F. Ankylosis of the temporomaxillary joint. J Am Dent Assoc 1934;21:1933-7. https://doi.org/10.14219/jada.archive.1934.0286
  13. Meyer C, Zink S, Wilk A. [Modified Risdon approach for the treatment of subcondylar fractures of the mandible]. Rev Stomatol Chir Maxillofac 2006;107:449-54. French. https://doi.org/10.1016/s0035-1768(06)77086-3
  14. Wilk A. High perimandibular approach / modified Risdon - Strasbourg approach. In: Kleinheinz J, Meyer C, eds. Fractures of the mandibular condyle: basic considerations and treatment. Batavia (IL): Quintessence Publishing; 2009:143-54.
  15. Uglesic V, Virag M, Aljinovic N, Macan D. Evaluation of mandibular fracture treatment. J Craniomaxillofac Surg 1993;21:251-7. https://doi.org/10.1016/s1010-5182(05)80042-3
  16. Ledon JA, Savas J, Franca K, Chacon A, Nouri K. Intralesional treatment for keloids and hypertrophic scars: a review. Dermatol Surg 2013;39:1745-57. https://doi.org/10.1111/dsu.12346
  17. Hermund NU, Hillerup S, Kofod T, Schwartz O, Andreasen JO. Effect of early or delayed treatment upon healing of mandibular fractures: a systematic literature review. Dent Traumatol 2008;24:22-6. https://doi.org/10.1111/j.1600-9657.2006.00499.x