A Study on Open Versus Closed Reduction of Mandibular Condyle Fractures and Their Management
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Each type of condylar fracture, the treatment method must be chosen taking into consideration the presence of teeth, fracture height, patient’s adaptation, patient’s masticatory system, disturbance of occlusal function, and deviation of the mandible. Aim: To study the incidence etiology and various types of mandible fractures esp. condylar and subcondylar fractures, indications and techniques for closed and open treatment of condylar and subcondylar fractures. Materials and Methods: A prospective study conducted. During the study period, 175 cases of Faciomaxillary injuries reported. Among them, 43 were condylar and subcondylar fracture. Cases were chosen for open reduction and closed reduction according to the clinical and radiological criteria. Results: Among 43 cases, 13 cases unilateral condylar fracture, 11 cases bilateral condylar fracture, 16 cases unilateral subcondylar fracture, and 5 cases bilateral subcondylar fracture. Among the 43 cases, 26 cases underwent open reduction and internal fixation (ORIF), and 17 cases underwent CRMF. Occlusion is normal in all ORIF cases. In ORIF, the most common approach used is combined approach. In ORIF group complications such as temporary facial nerve palsy (2 cases) severe painful mouth opening (3 cases) hematoma (1 case) infected implant, 1 case loosening, and displacement of screw recorded. In CRMF group restricted mouth opening (6 cases) malocclusion (4 cases), shortening of the vertical height of mandible 4 cases recorded. Conclusion: Treatment type should be selected considering patient’s age, fracture type, patient’s systemic status, other fracture, teeth, and possibility of occlusal restoration by intermaxillary fixation, and existence of foreign materials.
Authors and Affiliations
P Suresh Kumar, C Raj Kumar, Heber Anandan
Keywords
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