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http://dx.doi.org/10.5933/JKAPD.2020.47.1.1

Retrospective Study of the Mandibular Condyle Fracture in Children and Young Adolescents  

Choi, Sooji (Department of Pediatric Dentistry, Dental Hospital, Ajou University)
Lee, JeongKeun (Department of Oral and Maxillofacial Surgery, Dental Hospital, Ajou University)
Song, SeungIl (Department of Oral and Maxillofacial Surgery, Dental Hospital, Ajou University)
Kim, Seunghye (Department of Pediatric Dentistry, Dental Hospital, Ajou University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.47, no.1, 2020 , pp. 1-8 More about this Journal
Abstract
The aim of this retrospective study was to investigate etiology, clinical features, and treatment modalities of the mandibular condyle fracture in children and young adolescents. This study was conducted based on medical records and radiographic examinations of 44 pediatric patients. Patients received treatment under diagnosis of mandibular condylar fracture. They were divided into 4 groups according to their age. The involvement of condyle in the mandible fracture occurred in higher percentage in younger age groups. Falling was the most common etiologic factor in all age group, especially in children with age under 7. Condyle head was the most frequent site of fracture in age group of 4 - 7 whereas fracture tends to occur in lower condylar areas in older groups. In 54.5% of the mandibular condyle fracture, symphysis fracture was accompanied. Teeth injury occurred in higher incidency when condyle fracture accompanied symphysis fracture. Conservative treatments were applied to 43 out of 44 patients.
Keywords
Retrospective study; Mandibular condyle fracture; Children; Young adolescents;
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1 Thoren H, Iizuka T, Lindqvist C, et al.: An epidemiological study of patterns of condylar fractures in children. Br J Oral Maxillofac Surg , 35:306-311, 1997.   DOI
2 Freid MG, Baden E : Management of fractures in children. J Oral Surg , 12:129-139, 1954.
3 Defino HLA, Rodriguez AE, Remondi PH, Vallim EC : Tratamento conservador das fraturas da coluna toracolombar. Rev Bras Ortop , 35:301-308, 2000.
4 Guven O, Keskin A : Remodelling following condylar fractures in children. J Craniomaxillofac Surg , 29:232-237, 2001.   DOI
5 Lee JK, Park IS, Lee HC, et al.: Nonsurgical management of pediatric condylar fractures: cases reports. J Korean Assoc Maxillofac Plast Reconstr Surg , 25:33-40, 2003.
6 Ryu SY, Hwang U, Yang KH : Remodelling after conservative treatment of the mandibular condylar fractures in children. J Korean Assoc of Oral Maxillofac Surg , 30:49-55, 2004.
7 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 , 6:12-21, 1977.   DOI
8 Oh SH : Long-term evaluations of pediatric condyle fracture patients. J Korean Assoc Maxillofac Plast Reconstr Surg , 24:482-488, 2002.
9 Kim SG, Yeo HH, Kim YK, Seo JH : Treatment of pediatric condylar fractures: case reports. J Korean Assoc of Oral Maxillofac Surg , 22:157-163, 1996.
10 Baumann A, Troulis MJ, Kaban LB : Pediatric oral and maxillofacial surgery, 1st ed. Saunders, 441-461, 2004.
11 Sharma S, Vashistha A, Nigam AG, et al.: Pediatric mandibular fractures: a review. Int J Clin Pediatr Dent , 2:1-5, 2009.
12 Alexander R, Su JY, Stark MM : An accurate method for open reduction and internal fixation of high and low condylar process fractures. J Oral Maxillofac Surg , 52:808-812, 1994.   DOI
13 Norholt SE, Krishnan V, Sindet-Pedersen S, Jensen I : Pediatric condylar fractures: a long-term follow-up study of 55 patients. J Oral Maxillofac Surg , 51:1302-1310, 1993.   DOI
14 Ghasemzadeh A, Mundinger GS, Dorafshar AH, et al.: Treatment of pediatric condylar fractures: a 20-year experience. Plast Reconstr Surg , 136:1279-1288, 2015.   DOI
15 Villarreal PM, Monje F, Gonzalez C, et al.: Mandibular condyle fractures: determinants of treatment and outcome. J Oral Maxillofac Surg , 62:155-163, 2004.   DOI
16 McGrath CJ, Egbert MA, Tong DC, Myall RW : Unusual presentations of injuries associated with the mandibular condyle in children. Br J Oral Maxillofac Surg , 34:311-314, 1996.   DOI
17 Hovinga J, Boering G, Stegenga B : Long-term results of nonsurgical management of condylar fractures in children. Int J Oral Maxillofac Surg , 28:429-440, 1999.   DOI
18 Korean Academy of Pediatric Dentistry : Textbook of Pediatric Dentistry, 5th ed. Dental wisdom, 53-54, 2014.
19 Lee SC, Kim YG, Lee JS, et al.: A clinical study of pediatric mandibular fracture. J Korean Assoc Oral Maxillofac Surg , 24:226-230, 1998.
20 Dahlstrom L, Kahnberg KE, Lindahl L : 15 years follow-up on condylar fractures. Int J Oral Maxillofac Surg , 18:18-23, 1989.   DOI
21 Strobl H, Emshoff R, Rothler G : Conservative treatment of unilateral condylar fractures in children: a long-term clinical and radiologic follow-up of 55 patients. Int J Oral Maxillofac Surg , 28:95-98, 1999.   DOI
22 Sang JK, Lee JH : The study of the effect of mandibular growth and function in pediatric unilateral condyle fractures. J Korean Assoc Oral Maxillofac Surg , 37:448-456, 2011.   DOI
23 Lehman JA Jr, Saddawi ND : Fractures of the mandible in children. J Trauma , 16:773-777, 1976.   DOI
24 da Fonseca GD : Experimental study on fractures of the mandibular condylar process (mandibular condylar process fractures). Int J Oral Surg, 3:89-101, 1974.   DOI
25 Jung SE : The characteristics of childhood injuries compared to adult injuries. J Korean Med Assoc , 51:214-218, 2008.   DOI
26 Ryu JY, Kim HS, Oh HK, et al.: A retrospective clinical study of condylar fractures of the mandible in a 4-year period. J Korean Assoc of Oral Maxillofac Surg , 34:388-397, 2008.