Browse > Article

LONG-TERM EVALUATION OF MANDIBULAR CONDYLE FRACTURES  

Min, Seung-Ki (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Park, Sang-Kyu (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Oh, Seung-Hwan (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Kwon, Kyung-Hwan (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Choi, Mun-Ki (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Chae, Young-Won (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.27, no.6, 2005 , pp. 535-544 More about this Journal
Abstract
The management of mandibular condyle fractures continues to be a subject of much debate. It is suggested that, if not properly managed, these fractures may give rise to serious problems, such as malocclusion, mouth opening limitation, temporomandibular joint disorders. Treatment planing of mandibular condyle fractures is very important. The aim of this present study was to evaluate the long-term results according to treatment methods in condylar fractures. Also, it was to evaluate results of treatment according to condylar fracture level. We conducted a retrospective analysis of 43 mandibular condyle fractures. 43 patients followed for average period of 9.00 years(mini. 7yr, max. 12yr). All patients underwent a clinical and radiologic evaluation focusing on mouth opening, mandibular movements, TMJ function, change of ramal height, condylar remodelling. If the level of fracture was positioned in high, especially in level II, mandibular movement disability and ramus length loss was more prominent. This results were similar to the cases of treatment of fragment removal. In high level fracture and fragment removal cases, It is thought that more intensive and long term management are needed than other treatment cases using different operation methods. Also, direct fixation by each approach showed good results in mandibular movement, ramal height change and condylar shape. Through this results, accurate reduction of the mandibular condyle fractures was a very important factor in postoperative prognosis.
Keywords
Mandibular condylar fracture; TMJ function; Condylar remodelling;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Buchbinder D : Treatment of fractures of the edentulous mandible, 1943 to 1993: A review of the literature. J Oral Maxillofac Surg 51 : 1174, 1993   DOI   PUBMED   ScienceOn
2 Kitayama S : A new method of intra-oral open reduction using a serene applied through the crest of condylar fractures. J Cranio Maxillofac Surg 17 : 16, 1989   DOI
3 Lauer G, Schmelzeisen R : Endoscope-Assited Fixation of Mandibular Condylar Process Fractures. J Oral Maxillofac Surg 57 : 36, 1999   DOI   ScienceOn
4 Bos RRM, Ward RP, de Bont LGM : Mandibular condyle fractures: A consensus. Br J Oral Maxillofac Surg 337 : 87, 1999, editorial
5 Choi BH : Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures. J Oral Maxillofac Surg 59 : 734, 2001   DOI   ScienceOn
6 Richard H. Haug, Leon A. assael : Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg 59 : 370, 2001   DOI   ScienceOn
7 Arne Wagner, Gerhard Undt, rolf Ewers : A 3-dimensional finite-element analysis investigating the biomechanical behavior of the mandible and plate osteosynthesis in cases of fractures of the condylar process Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94 : 678, 2002   DOI   ScienceOn
8 Richard H. haug, Gilman P. Peterson, Michele Goltz : A Biomechanical Evaluation of Mandibular Condyle Fracture Plating Techniques. J Oral Maxillofac Surg 60 : 73, 2002   DOI   ScienceOn
9 Fordyce AM, Lalani Z, Songra AK, Hildreth AJ, Carton AT, Hawkesford JE : Intermaxillary fixation is not usually necessary to reduce mandibular fractures. Br J Oral Maxillofac Surg 37 : 52, 1999   DOI   ScienceOn
10 Zide MF, Kent JN : Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg 41 : 89, 1983   DOI   ScienceOn
11 Pedro M. Villarreal. Mandibular Condyle Fracture : Determinants of Treatment and Outcome. J Oral Maxillofac Surg 62 : 155, 2004   DOI   ScienceOn
12 Takenoshita Y, Ishibashi H, Oka M : Comparison of functional recovary after non-surgical treatment of condylar fractures. J Oral Maxillofac Surg 48 : 1195, 1990   DOI   ScienceOn
13 B-H. Choi, C-K. Yi, J-H. Yoo : MRI examination of the TMJ after surgical treatment of condylar fractures. Int J Oral Maxillofac Surg 30 : 296, 2001   DOI   ScienceOn
14 Sato S, Kawamura H, Motegi K : Management of nonreducing temporomandibular joint disk displacement: Evaluation of three treatments. Oral Surg Oral Med Oral Pathol 80 : 384, 1995   DOI   ScienceOn
15 Luc M.H. Smets, Philip A. Van Damme, Paul J. W. Stoelinga : Non-surgical treatment of condylar fractures in adults: a retrospective analysis. J of Cranio-Maxillofac Surg 31 : 162, 2003   DOI   ScienceOn
16 Zou Z-J, Wu W-T, Sun G-X et al:Remodelling of the temporomandibular joint after conservative treatment of condylar fractures. Dentomaxillofac Radiol 16 : 91, 1987   DOI   PUBMED
17 Tasanen A, Lamberg MA : Transosseous wiring in the treatment of condylar tractures of the mandible. J Maxillofac Surg 4 : 200, 1976   DOI   ScienceOn
18 Olson RA, Fonseca RJ, Zeitler DL, et al : Fractures of the mandible: A review of 580 cases. J Oral Maxillofac Surg 40 : 23, 1993   DOI
19 Larsen PE : Traumatic injuries of the condyle, in Peterson LJ(ed):Oral and Maxillofacial Surgery. Philadelphia, PA, Lippincott, 1992, chapter 19
20 Ellis E III, Throckmorton G, Palmieri C : Open treatment of condylar process fractures: Assessment of adequacy of repositioning and maintenance of stability. J Oral Maxillofac Surg 58 : 27, 2000   PUBMED
21 Choi BH : Magnetic resonance imaging of the temporomandibular joint after functional treatment of bilateral condylar fractures in adults. Int J Oral Maxillofac Surg 26 : 344, 1997   DOI   PUBMED   ScienceOn
22 Hayward JR, Scott RF : Fractures of the mandibular condyle. J Oral Maxillofac Surg 51 : 57, 1933   DOI   ScienceOn
23 Sorel B : Open versus closed reduction of mandible fractures. Oral Maxillofac Surg Clin North Am 10 : 541, 1988
24 Zhang X, Obeid G : A comparative study of the treatment of unilateral fractured and dislocated mandibular condyles in the rabbit. J Oral Maxillofac Surg 49 : 1181, 1991   DOI   ScienceOn
25 L. Newman : A clinical evaluation of the long-term outcome of patients treated for bilateral fracture of the mandibular condyle. British J Oral Maxillofac Surg 36 : 176, 1988
26 Silvennoinen U, Iizuka T, Oikarinen K, Lindqvist C : Analysis of possible factors leading to problems after nonsurgical treatment of condylar fractures. J Oral Maxillofac Surg 52 : 793, 1994   DOI   ScienceOn
27 Yamaoka M, Furusawa K, Iguchi K, et al : The assessment of fracture of the mandibular condyle by use of computerized tomography. Incidence of sagittal split fracture. Br J Oral Maxillofac Surg 32 : 77, 1994   DOI   ScienceOn
28 Koberg WRI, Momma W : Treatment of fractures of the articular process by functional stable osteosynthesis using miniaturised dynamic compression plates. Int J Oral Surg 7 : 256, 1978   DOI   PUBMED
29 Petzel JR : Instrumentation and technique for screw-pin osteosynthesis of condylar fractures. J Maxillofac Surg 10 : 8, 1982   DOI   PUBMED   ScienceOn
30 Amaratunga NA de S : 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 25 : 391, 1987   DOI   ScienceOn
31 Raveh J, Vuillemin T : Open reduction of the dislocated, fractured condylar process: Indications and surgical procedures. J Oral Maxillofac Surg 47 : 120, 1987
32 Silverman SL : A new operation for displaced fractures at the neck of the mandibular condyle. Dental Cosmos 67 : 876, 1925
33 Ellis E 3rd, Simon P, Throckmorton G : Occlusal results after open or closed treatmenDt of fractures of the mandibular condylar process. J Oral Maxillofac Surg 58 : 260, 2000a   DOI   ScienceOn
34 Worsaae N, Thorn JJ : Surgical versus nonsurgical treatment of unilateral dislocated low subcondylar fractures: a clinical study of 52 cases. J Oral Maxillofac Surg 52 : 353, 1994   DOI   ScienceOn
35 Lundh T, Westesson PL, Eriksson L, Brooks SL : Temporomandibular joint disk displacement without reduction: Treatment with flat occlusal split versus no treatment. Oral Surg Oral Med Oral Pathol 73 : 655, 1992   DOI   ScienceOn
36 Tsutomu sugiura : A Comparative Evaluation of Osteosynthesis With Lag screws, Miniplates, or Kirschner Wires for Mandibular Condylar Process Fractures. J Oral Maxillofac Surg 59 : 1161, 2001   DOI   ScienceOn
37 Oikarinen KS, Raustia AM, Lathi J : Signs and symptoms of TMJ dysfunction in patients with mandibular condyle fractures. J Craniomandib Pract 9 : 58, 1991
38 Byung-Ho Choi, Choong-Kook Yi : Clinical evaluation of 3 type of Plate Oseosynthesis for fixation of condylar neck fractures. J Oral Maxillofac Surg 59 : 734, 2001   DOI   ScienceOn
39 Matthias Hlawitschka, Uwe Eckelt : Assessment of patients treated for intracapsular fractures of the mandibular condyle by closed techniques. J Oral Maxillofac Surg 60 : 784, 2002   DOI   PUBMED   ScienceOn
40 Hoopes JE, Wolfort FG, Jabaley ME : Operative treatment of fractures of the mandibular fractures of the mandibular condyle in children. Using the postauricular approach. Plast Recontr Surg 46 : 357, 1970   DOI   ScienceOn
41 Nils worsaae, Jens J. thorn : Surgical versus nonsurgical treatment of unilateral dislocated low subcondylar fractures. J Oral Maxillofac Surg 52 : 353, 1994   DOI   ScienceOn
42 Spiessl B : Internal fixation of the mandible: Rigid internal fixation of fractures of the lower jaw. Reconstr Surg Traumatol 13 : 124, 1972   PUBMED