Epidemiology and treatment outcome of surgically treated mandibular condyle fractures. A five years retrospective study |
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| Institution: | 1. Dept. of Cranio-Maxillofacial Surgery (Head: Prof. Dr. Dr. H.-F. Zeilhofer), University Hospital Basel, Basel, Switzerland;2. Hightech Research Center of Cranio-Maxillofacial Surgery (Head: Prof. Dr. Dr. H.-F. Zeilhofer), University of Basel, Basel, Switzerland;3. Krankenhaus Reinbek, Dept. of Surgery (Head: Prof. Dr. T. Strate), Hamburg, Germany;1. Reader, Oral and Maxillofacial Surgery and Oral Implantology, Institute of Dental Sciences, Moradabad, Uttar Pradesh, India;2. Oral and Maxillofacial Surgeon and Oral Implantologist, Institute of Dental Sciences, Moradabad, Uttar Pradesh, India;3. Professor and Head, Oral and Maxillofacial Surgery and Oral Implantology, ITS-Dental College, Moradabad, Uttar Pradesh, India;4. Professor and Head, Oral and Maxillofacial Surgery and Oral Implantology, Jaipur Dental College, Moradabad, Uttar Pradesh, India;5. Reader, Oral and Maxillofacial Surgery and Oral Implantology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India;1. Department of Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi 110029, India;2. Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi 110029, India;1. Department of Maxillofacial Surgery (Head: Marcin Kozakiewicz), Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland;2. Department of Strength of Materials and Structures (Head: Zbigniew Kolakowski), Technical University of Lodz, Stefanowskiego 1/15, 90-924 Lodz, Poland;1. Assistant Professor, Department of Oral and Maxillofacial Surgery, Centre Hospitalier Universitaire de Québec, Université Laval, Hôpital de l''Enfant-Jésus, Québec, Québec, Canada;2. Dental Student, Centre Hospitalier Universitaire de Québec, Université Laval, Hôpital de l''Enfant-Jésus, Québec, Québec, Canada |
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| Abstract: | Surgical management of mandibular condyle fractures is still controversial. Although it provides better outcome than closed treatment questions still remain about the surgical approach and the osteosynthesis devices to be used.Between 2005 and 2010, we managed 168 mandibular condyle fractures with open treatment. Two surgical approaches were used in this study, a pre-auricular and a high submandibular approach (one or the other or as a combined approach). Internal fixation was performed using TCP® plates (Medartis, Basel, Switzerland) or with two lag screws (15 and 17 mm). Delta plates were used in 15 cases (8.9%).We report the epidemiology of these fractures and the outcomes of the surgical treatment. We assessed the complications related to the surgical procedure and those related to the osteosynthesis material.The facial nerve related complication rate was very low and the osteosynthesis materials used proved to be strong enough to realize a stable fixation.The two approaches used in this study appeared to be safe with good aesthetic results.Most of the surgical procedure failures occurred in high subcondylar fractures especially when bilateral. |
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| Keywords: | Mandibular Condyle Fracture Surgery Osteosynthesis |
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