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CLINICAL REVIEW OF VARIOUS SURGICAL APPROACHES IN THE TREATMENT OF MANDIBULAR CONDYLE FRACTURE  

Kim, Ji-Hyuck (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung National University)
Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung National University)
Kwon, Gwang-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung National University)
Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.30, no.1, 2008 , pp. 72-82 More about this Journal
Abstract
Various surgical approaches in the mandibular condyle fracture have been reported and many advantages of intraoral reduction were also introduced. But there are still controversies about surgical method of condylar fractures up to date. To establish the surgical approach protocol of condylar fracture, from May 2001 to December 2004, total 65 patients with 74 fractures of the mandibular condyle were reviewed during 2 years, retrospectively. All cases were classified according to the treatment considering factors, such as the level of fracture, degree and direction of displacement of fractured segment, patient’s age and gender, surgical approach methods, and their complications. Especially, advantages and surgical limitations of extraoral surgical approach, such as direct reduction and fixation via submandibular approach, Nam’s method, and endaural approach, were compared with those of intraoral surgical approach, such as direct intraoral reduction with transbuccal fixation or right angle driver system, and intraoral reinsertional approach after extraoral fixation of fractured fragment. The guidelines of surgical approach of condylar fracture based on our clilnical retrospective experiences and literature reviews can be suggested.
Keywords
Intraoral reduction; Mandibular condyle fracture; Open reduction; Various surgical approaches;
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1 Manisali M, Amin M, Aghabeigi B et al : Retromandibular approach to the mandibular condyle: a clinical and cadaveric study. Int J Oral Maxillofac Surg 32 : 253, 2003   DOI   ScienceOn
2 Nam IW : The condylar head and upper neck fractures treated by oblique osteotomies in the ascending ramus. J Dental College of Seoul National University 3 : 11, 1978
3 Mikkonen P, Lindqvist C, Pihakari A et al : Osteotomyosteosynthesis in displaced condylar fractures. Int J Oral Maxillofac Surg 18 : 267, 1989   DOI   ScienceOn
4 Vesnaver A, Gorjanc M, Eberlinc A et al : The periauricular transparotid approach for open reduction and internal fixation of condylar fractures. J Craniomaxillofac Surg 33 : 169, 2005   DOI   ScienceOn
5 Schon R, Gellrich NC, Schmelzeisen R : Frontiers in maxillofacial endoscopic surgery. Atlas Oral Maxillofac Surg Clin North Am 11 : 209, 2003   DOI   PUBMED
6 Loukota RA : Endoscopically assisted reduction and fixation of condylar neck/base fractures-The learning curve. Br J Oral Maxillofac Surg 44 : 480, 2006   DOI   ScienceOn
7 Dunaway DJ, Trott JA : Open reduction and internal fixation of condylar fractures via an extended bicoronal approach with a masseteric myotomy. Br J Plast Surg 49 : 79, 1996   PUBMED
8 Kitagawa Y, Sano K, Nakamura M et al : Transoral osteosynthesis at the mandibular ramus and subcondyle using angular screwing instrument and biodegradable miniplate system. J Oral Maxillofac Surg 62 : 1041, 2004   DOI   ScienceOn
9 Pereira MD, Marques A, Ishizuka M et al : Surgical treatment of the fractured and dislocated condylar process of the mandible. J Craniomaxillofac Surg 23 : 369, 1995   DOI   ScienceOn
10 Tasanen A, Lamberg MA : Transosseous wiring in the treatment of condylar fractures of the mandible. J Maxillofac Surg 4 : 200, 1976   DOI   ScienceOn
11 Marker P, Nielsen A, Bastian HL : Fractures of the mandibular condyle. Part 1 : patterns of distribution of types and causes of fractures in 348 patients. Br J Oral Maxillofac Surg 38 : 417, 2000   DOI   ScienceOn
12 Hyde N, Manisali M, Aghabeigi B et al : The role of open reduction and internal fixation in unilateral fractures of the mandibular condyle : a prospective study. Br J Oral Maxillofac Surg 40 : 19, 2002   DOI   ScienceOn
13 Rallis G, Mourouzis C, Ainatzoglou M et al : Plate osteosynthesis of condylar fractures: a retrospective study of 45 patients. Quintessence Int 34 : 45, 2003   PUBMED
14 Ellis E, Simon P, Throckmorton GS : Occlusal results after open or closed treatment of fractures of the mandibular condylar process. J Oral Maxillofac Surg 58 : 260, 2000   DOI   ScienceOn
15 Schon R, Fakler O, Gellrich NC et al : Five-year experience with the transoral endoscopically assisted treatment of displaced condylar mandible fractures. Plast Reconstr Surg 116 : 44, 2005   PUBMED
16 Zide MF, Kent JN : Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg 41 : 89, 1983   DOI   ScienceOn
17 Lindahl L : Condylar fractures of the mandible. I. Classification and relation to age, occlusion, and concomitant injuries of teeth and teeth-supporting structures, and fractures of the mandibular body. Int J Oral Surg 6 : 12, 1977   DOI
18 Motamedi MH : An assessment of maxillofacial fractures : a 5-year study of 237 patients. J Oral Maxillofac Surg 61 : 61, 2003
19 Wagner A, Krach W, Schicho K et al : 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
20 Ellis E, 3rd, McFadden D, Simon P et al: Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg 58 : 950, 2000   DOI   ScienceOn
21 Kallela I, Soderholm AL, Paukku P et al : Lag-screw osteosynthesis of mandibular condyle fractures: a clinical and radiological study. J Oral Maxillofac Surg 53 : 1397, 1995   DOI   ScienceOn
22 Villarreal PM, Monje F, Junquera LM et al : Mandibular condyle fractures : determinants of treatment and outcome. J Oral Maxillofac Surg 62 : 155, 2004   DOI   ScienceOn
23 Hlawitschka M, Loukota R, Eckelt U : Functional and radiological results of open and closed treatment of intracapsular (diacapitular) condylar fractures of the mandible. Int J Oral Maxillofac Surg 34 : 597, 2005   DOI   ScienceOn
24 Fridrich KL, Pena-Velasco G, Olson RA : Changing trends with mandibular fractures : a review of 1,067 cases. J Oral Maxillofac Surg 50 : 586, 1992   DOI   ScienceOn
25 Eckelt U : Commentary regarding the publication 'Fractures of the mandibular condyle-a review of 466 cases. Literature review, reflections on treatment and proposals' by N. Zachariades et al. J Craniomaxillofac Surg 34 : 433, 2006   DOI   ScienceOn
26 Sasaki K, Tamura H, Watahiki R et al : A surgical technique using vertical ramus osteotomy without detaching lateral pterygoid muscle for high condylar fractures. J Oral Maxillofac Surg 60 : 709, 2002   DOI   ScienceOn
27 Suzuki T, Kawamura H, Kasahara T et al : Resorbable poly-L-lactide plates and screws for the treatment of mandibular condylar process fractures: a clinical and radiologic follow-up study. J Oral Maxillofac Surg 62 : 919, 2004   DOI   ScienceOn
28 Lo J, Cheung LK : Endoscopic-assisted rigid fixation of condylar fracture: a technical note. J Oral Maxillofac Surg 64 : 1443, 2006   DOI   ScienceOn
29 Assael LA : Open versus closed reduction of adult mandibular condyle fractures : an alternative interpretation of the evidence. J Oral Maxillofac Surg 61 : 1333, 2003   DOI   ScienceOn
30 Bos RR, Ward Booth RP, de Bont LG : Mandibular condyle fractures: a consensus. Br J Oral Maxillofac Surg 37 : 87, 1999   DOI   ScienceOn
31 Hovinga J, Boering G, Stegenga B : Long-term results of nonsurgical management of condylar fractures in children. Int J Oral Maxillofac Surg 28 : 429, 1999   DOI   ScienceOn
32 Rodriguez ED, Adamo AK, Anastassov GE : Open reduction of subcondylar fractures via an anterior parotid approach. J Craniomaxillofac Trauma 3 : 28, 1997   PUBMED
33 De Riu G, Gamba U, Anghinoni M et al : A comparison of open and closed treatment of condylar fractures: a change in philosophy. Int J Oral Maxillofac Surg 30 : 384, 2001   DOI   ScienceOn
34 Prigent A, Cosgriff P, Gates GF et al : Consensus Conference on Open or Closed Management of Condylar Fractures. 12th ICOMS. Budapest, 1995. Int J Oral Maxillofac Surg 27 : 243, 1998   DOI   PUBMED   ScienceOn
35 Choung PH, Nam IW : An intraoral approach to treatment of condylar hyperplasia or high condylar process fractures using the intraoral vertico-sagittal ramus osteotomy. J Oral Maxillofac Surg 56 : 563, 1998   DOI   ScienceOn
36 Oki K, Hyakusoku H, Aoki R et al : Fixation of intracapsular fractures of the condylar head with bioabsorbable screws. Scand J Plast Reconstr Surg Hand Surg 40 : 244, 2006   DOI   ScienceOn
37 Smets LM, Van Damme PA, Stoelinga PJ : Non-surgical treatment of condylar fractures in adults : a retrospective analysis. J Craniomaxillofac Surg 31 : 162, 2003   DOI   ScienceOn
38 Boyne PJ : Free grafting of traumatically displaced or resected mandibular condyles. J Oral Maxillofac Surg 47 : 228, 1989   DOI   ScienceOn
39 Hammer B, Schier P, Prein J : Osteosynthesis of condylar neck fractures: a review of 30 patients. Br J Oral Maxillofac Surg 35 : 288, 1997   DOI   ScienceOn
40 Landes CA, Lipphardt R : Prospective evaluation of a pragmatic treatment rationale: open reduction and internal fixation of displaced and dislocated condyle and condylar head fractures and closed reduction of non-displaced, non-dislocated fractures Part II: high condylar and condylar head fractures. Int J Oral Maxillofac Surg 35 : 115, 2006   DOI   ScienceOn
41 Lachner J, Clanton JT, Waite PD : Open reduction and internal rigid fixation of subcondylar fractures via an intraoral approach. Oral Surg Oral Med Oral Pathol 71 : 257, 1991   DOI   ScienceOn
42 Silvennoinen U, Iizuka T, Lindqvist C et al : Different patterns of condylar fractures: an analysis of 382 patients in a 3-year period. J Oral Maxillofac Surg 50 : 1032, 1992   DOI   ScienceOn
43 Defabianis P : TMJ fractures in children and adolescents: treatment guidelines. J Clin Pediatr Dent 27 : 191, 2003   PUBMED
44 Zachariades N, Mezitis M, Mourouzis C et al : Fractures of the mandibular condyle : a review of 466 cases. Literature review, reflections on treatment and proposals. J Craniomaxillofac Surg 34 : 421, 2006   DOI   ScienceOn
45 Sandler NA : Endoscopic-assisted reduction and fixation of a mandibular subcondylar fracture : report of a case. J Oral Maxillofac Surg 59 : 1479, 2001   DOI   ScienceOn
46 Chen CT, Lai JP, Tung TC et al : Endoscopically assisted mandibular subcondylar fracture repair. Plast Reconstr Surg 103 : 60, 1999   DOI
47 Brandt MT, Haug RH : Open versus closed reduction of adult mandibular condyle fractures : a review of the literature regarding the evolution of current thoughts on management. J Oral Maxillofac Surg 61 : 1324, 2003   DOI   ScienceOn
48 Ferreira PC, Amarante JM, Silva AC et al : Etiology and patterns of pediatric mandibular fractures in Portugal: a retrospective study of 10 years. J Craniofac Surg 15 : 384, 2004   DOI   ScienceOn
49 Undt G, Kermer C, Rasse M et al : Transoral miniplate osteosynthesis of condylar neck fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88 : 534, 1999   DOI   ScienceOn
50 Eckelt U : [Fractures of the mandibular condyle]. Mund Kiefer Gesichtschir. 4 Suppl 1 : S110, 2000   DOI   ScienceOn
51 Devlin MF, Hislop WS, Carton AT : Open reduction and internal fixation of fractured mandibular condyles by a retromandibular approach: surgical morbidity and informed consent. Br J Oral Maxillofac Surg 40 : 23, 2002   DOI   ScienceOn
52 Yang WG, Chen CT, Tsay PK et al : Functional results of unilateral mandibular condylar process fractures after open and closed treatment. J Trauma 52 : 498, 2002   DOI
53 Iizuka T, Ladrach K, Geering AH et al : Open reduction without fixation of dislocated condylar process fractures: long-term clinical and radiologic analysis. J Oral Maxillofac Surg 56 : 553, 1998   DOI   ScienceOn
54 Palmieri C, Ellis E, 3rd, Throckmorton G : Mandibular motion after closed and open treatment of unilateral mandibular condylar process fractures. J Oral Maxillofac Surg 57 : 764, 1999   DOI   ScienceOn
55 Wilson AW, Ethunandan M, Brennan PA : Transmasseteric antero-parotid approach for open reduction and internal fixation of condylar fractures. Br J Oral Maxillofac Surg 43 : 57, 2005   DOI   ScienceOn
56 Iizuka T, Lindqvist C, Hallikainen D et al : Severe bone resorption and osteoarthrosis after miniplate fixation of high condylar fractures. A clinical and radiologic study of thirteen patients. Oral Surg Oral Med Oral Pathol 72 : 400, 1991   DOI   ScienceOn
57 Takenoshita Y, Ishibashi H, Oka M : Comparison of functional recovery after nonsurgical and surgical treatment of condylar fractures. J Oral Maxillofac Surg 48 : 1191, 1990   DOI   ScienceOn
58 Norholt SE, Krishnan V, Sindet-Pedersen S et al : Pediatric condylar fractures: a long-term follow-up study of 55 patients. J Oral Maxillofac Surg 51 : 1302, 1993   DOI   ScienceOn
59 Baker AW, McMahon J, Moos KF : Current consensus on the management of fractures of the mandibular condyle. A method by questionnaire. Int J Oral Maxillofac Surg 27 : 258, 1998   DOI   ScienceOn
60 Neff A, Kolk A, Neff F et al : [Surgical vs. conservative therapy of diacapitular and high condylar fractures with dislocation. A comparison between MRI and axiography]. Mund Kiefer Gesichtschir 6 : 66, 2002   DOI   ScienceOn
61 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
62 Haug RH, Assael LA : Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg 59 : 370, 2001   DOI   ScienceOn
63 Hillerup S : Internal fixation of severely displaced mandibular condylar neck fracture with the aid of ramus osteotomy. A revised technique. Int J Oral Maxillofac Surg 26 : 272, 1997   PUBMED
64 Sargent LA, Green JF : Plate and screw fixation of selected condylar fractures of the mandible. Ann Plast Surg 28 : 235, 1992   DOI
65 Choi BH, Yi CK, Yoo JH : Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures. J Oral Maxillofac Surg 59 : 734, 2001   DOI   ScienceOn