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http://dx.doi.org/10.5999/aps.2012.39.4.301

Current Concepts in the Mandibular Condyle Fracture Management Part II: Open Reduction Versus Closed Reduction  

Choi, Kang-Young (Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine)
Yang, Jung-Dug (Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine)
Chung, Ho-Yun (Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine)
Cho, Byung-Chae (Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine)
Publication Information
Archives of Plastic Surgery / v.39, no.4, 2012 , pp. 301-308 More about this Journal
Abstract
In the treatment of mandibular condyle fracture, conservative treatment using closed reduction or surgical treatment using open reduction can be used. Management of mandibular condylar fractures remains a source of ongoing controversy in oral and maxillofacial trauma. For each type of condylar fracture,the treatment method must be chosen taking into consideration the presence of teeth, fracture height, patient'sadaptation, patient's masticatory system, disturbance of occlusal function, and deviation of the mandible. In the past, closed reduction with concomitant active physical therapy conducted after intermaxillary fixation during the recovery period had been mainly used, but in recent years, open treatment of condylar fractures with rigid internal fixation has become more common. The objective of this review was to evaluate the main variables that determine the choice of an open or closed method for treatment of condylar fractures, identifying their indications, advantages, and disadvantages, and to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the mandibular condyle.
Keywords
Jaw fixation techniques; Mandibular condyle; Mandibular fractures; Motion therapy, continuous passive;
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