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Correlation Between Mandibular Condylar Process Fracture and Temporomandibular Joint  

Moon, Chul-Woong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.32, no.5, 2010 , pp. 488-492 More about this Journal
Abstract
This review evaluates the literature on the relationship between mandibular condylar process fracture and temporomadibular joint (TMJ). The topic of condylar fracture generated more discussion and controversy than any other field of maxillofacial trauma associated with TMJ. Disturbance of occlusal function, devia-tion of mandible, internal derangements of TMJ, and ankylosis of the joint with resultant inability to move the jaw are sequelae of condylar process fracture. Thus it is necessary to understand how the masticatory system adapts to the structural alterations that accompany fractures of the mandibular condyle. Treatment of condylar process fracture include two methods ; closed treatment and open treatment. If one chooses totreat closed, one must understand that adaptations in the musculature, skeleton, and dentition will be necessary. Open treatment of condylar process fractures probably requires fewer adaptations within the masticatory system to provide a favorable functional outcome. However, one must weigh the risk of open surgery against the possible improvement in outcome. The risks are not just surgical risk, but biological risk as well, such as disruption of the blood supply to the condyle. This review presents relevant aspects of change of TMJ associated with condylar process fracture.
Keywords
Temporomandibular joint; Condylar fracture;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
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1 Tasanen A, Lamberg MA : Transosseous wiring in the treatment of condylar fractures of the mandible. J Maxollofac Surg 4 : 200, 1976.   DOI   ScienceOn
2 Hjorth T, Melsen B, Moller E : Masticatory muscle function after unilateral condylar fractures : A prospective and quantitative electromyographic study. Europ J Oral Sci 105 : 298, 1997.   DOI   ScienceOn
3 Sarnat BG, Engel MBA : Aserial study of mandibular growth after removal of the condyle in the Macaca rhesus monkey. Plast Reconstr Surg 7 : 364, 1951.   DOI
4 Thomson HG, Farmer AW, Lindsay WK : Condylar neck fractures of the mandible on children. Plast Reconstr Surg 34 : 452, 1964.   DOI   ScienceOn
5 Zide MF, Kent JN : Indication for open reduction of mandibular condyle fracture. J Oral Maxillofac Surg 41 : 89, 1983.   DOI   ScienceOn
6 Talwar RW, Ellis E, Throckmorton GS : Adaptations of the masticatory system after bilateral fractures of the mandibular condylar process. J Oral Maxillofac Surg 57 : 500, 1999.   DOI   ScienceOn
7 Ingervall B, Lindahl L : Masticatory muscle function in patients treated for condylar fractures of the mandible. Int J Oral Surg 9 : 359, 1980.   DOI
8 Ellis E, Throckmorton GS : Treatment of mandibular condylar process fractures : Biological considerations. J Oral Maxillofac Surg 63 : 115, 2005.
9 Hlawitschka M, Eckelt U : Assessment of patients treated for intracapsular fractures of the mandibular condyle by closed techniques. J Oral Maxillofac Surg 60 : 784, 2002.   DOI   ScienceOn
10 Throckmorton GS, Ellis E, Hayasaki H : Masticatory motion after surgical or non-surgical treatment for unilateral fratures of the mandibular condylar process. J Oral Maxillofac Surg 62 : 127, 2004.   DOI   ScienceOn
11 Throckmorton GS, Ellis E, Hayasaki H : Jaw kinematics during mastication following unilateral fractures of the mandibular condylar process. Am J Orthod 124 : 659, 2003.
12 Silvennoinen U, Iizuka T, Oikarinen K : Analysis of possible factors leading to problems after nonsurgical treatment of condylar fractures. J Oral Maxillofac Surg 52 : 793, 1994.   DOI   ScienceOn
13 Lindahl L : Condylar fractures of the mandible. IV. Function of the masticatory system. Int J Oral Surg 6 : 159, 1977.
14 Risdon F : Ankylosis of the temporomaxillary joint. J Am Dent Assoc 21 : 1933, 1934.
15 Gruber LW, Lyford J : The conservative treatment of simultaneous fractures through the necks of both mandibular condyles associated with multiple fractures of other parts of the mandible. Am J Orthod 28 : 258, 1942.
16 Proffit WR, Vig KWL, Turvey TA : Early fracture of the mandibular condyles : Frequently an unsuspected cause of growth disturbances. Am J Orthodont 78 : 1, 1980.   DOI   ScienceOn
17 Wood GD : Assessment of functional following fracture of the mandible. Br Dent J 149 : 137, 1980.   DOI   ScienceOn
18 Ellis E, Throckmorton GS : Bite force after open or closed treatment of mandibular condylar process fractures. J Oral Maxillofac Surg 59 : 389, 2001.   DOI   ScienceOn
19 Van Eijden TM : Jaw muscle activity in relation to the direction and point of application of bite force. J Dent Res 69 : 901, 1990.   DOI   ScienceOn
20 Van Eijden TM : Three-dimensional analysis of human bite force magnitude and moment. Archs Oral Biol 36 : 353, 1991.
21 Lund K : Mandibular growth and remodeling processes after condylar fractures : A longitudinal roentgen-cephalometric study. Acta Odontol Scand 32 : 1, 1974.   DOI   ScienceOn
22 Greaves WS : A functional analysis of carnassial biting. Biol J Linnean Soc 20 : 353, 1983.   DOI
23 Throckmorton GS, Groshan GJ, Boyd SB : Muscle activity patterns and control of temporomandibular joint loads. J Prosthet Dent 63 : 685, 1990.   DOI   ScienceOn
24 Turp JC, Stoll P, Schlotthauer U : Computerized axiographic evaluation on condylar movements in cases with fractures of the condylar process : A follow-up over 19 years. J Craniomaxillofac Surg 24 : 46, 1996.
25 Silverman SG : New operation for displaced fractures at neck of condyle. Int J Orthod 67 : 876, 1925.
26 Kim JH, Kim SM, Kwon GJ : Clinical review of various surgical approaches in the treatment of mandibular condyle fracture. J Korean Assoc Maxillofac Plast Reconstr Surg 30 : 72, 2008.   과학기술학회마을
27 Jeong KH, Jeon IS, Shin YG et al : Muscle weakness and vision disorder following open reduction of both condylar fracture-case report. J Korean Assoc Maxillofac Plast Reconstr Surg 22 : 697, 2000.
28 El-sheikh MM, Medra AM, Warda MH : Bird face deformity secondary to bilatreal temporomandibular joint ankylosis. J Craniomaxillofac Surg 24 : 96, 1996.
29 Amaratunga NA : 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
30 Ozmen Y, Mischkowski RA, Lenzen J : MRI examination of the TMJ and functional results after conservative and surgical treatment of mandibular condyle fractures. Int J Oral Maxillofac Surg 27 : 33, 1998.   DOI   ScienceOn
31 Wood WW : A review of masticatory muscle function. J Prosthet Dent 57 : 222, 1987.   DOI   ScienceOn
32 Bellinger DH, Henny FA, Peterson LW : Fracture of the mandibular condyle. J Oral Surg 1 : 48, 1943.
33 Iizuka T, Ladrach K, Geering AH : Open reduction without fixation of dislocated condylar process fractures : Long term clinical and radiological analysis. J Oral Maxillofac Surg 27 : 191, 1998.   DOI   ScienceOn
34 Thoma KH : Fractures and fracture dislocaitions of the mandibular condyle : A method internal wiring and one for skeletal fixation with a report of thirty-two cases. J Oral Surg 3 : 3, 1945.
35 Thoma KH : Treatment of the condylar fractures. J Oral Surg 12 : 112, 1954.
36 McNamara JA, Carlson DS : Quantitative analysis of temporomandibular joint adaptations to protrusive function. Am J Orthod 76 : 593, 1979.   DOI   ScienceOn
37 McNamara JA, Hinton RJ, Hoffman DL : Histologic analysis of temporomandibular joint adaptations to protrusive function in young adult rhesus monkeys(Macaca mulatta). Am J Orthod 82 : 288, 1982.   DOI   ScienceOn
38 Hinton RJ, McNamara JA : Temporal bone adaptations in response to protrusive function in juvenile and young adult rhesus monkeys(Macaca mulatta). Europ J Orthod 6 : 155, 1984.   DOI
39 Thoren H, Hallikainen D, Iizuka T : Condylar process fractures in children : A follow-up study of fractures with total dislocation of the condyle from the glenoid fossa. J Oral Maxillofac Surg 59 : 768, 2001.   DOI   ScienceOn
40 Rowe NL, Killey HC : Fractures of the Facial Skeleton(ed 2). Edinburgh, E&S Livingstone, 1968, p.121.
41 Hotz RP : Functional jaw orthopedics in the treatment of condylar fractures. Am J Orthod 73 : 365, 1978.   DOI   ScienceOn
42 Hinton RJ, McNamara JA : Effect of age on the adaptive response of the adult temporomadibular joint. A study of induced protrusion in Macaca mulatta. Angle Orthodont 54 : 154, 1984.
43 Lindahl L, Hollender L : Condylar fractures of the mandible. II. Radiographic study of remodeling processes in the temporomandibular joint. Int J Oral Surg 6 : 153, 1977.   DOI
44 Spence DR : Post injury condylar remodeling in children. Oral Surg 53 : 340, 1982.   DOI   ScienceOn
45 Osborn JW : A model to describe how ligaments may control symmetrical jaw opening movements in man. J Oral rehabil 20 : 585, 1993.   DOI   ScienceOn
46 Rees AM, Weinberg S : Fractures of the mandibular condyle : Review of the literature and presentation of five cases with late complications. Oral Health 73 : 37, 1983.
47 Gotz G, Ducker J, Otten J : Correalation between open bite and skeletal pattern after condylar fractures, in Hjorting Hansen E(ed). Oral and Maxillofacial Surgery, Proceedings from 8th International Conference on Oral and Maxillofacial Surgery. Chicago, IL, Quintessence, 1985, p.196.
48 Gysi A : Studies on the leverage problem of the mandible. Dental Digest 23 : 74, 1921.