Non-surgical treatment of condylar fractures in adults: a retrospective analysis

Purpose: The aim of the study was to investigate the results of non-surgical treatment of condylar fractures in a group of 60 patients with 71 condylar fractures, in order to establish a protocol to select patients for surgical treatment of condylar fractures. Material: Out of a group of 91 patients...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 2003-06, Vol.31 (3), p.162-167
Main Authors: Smets, Luc M.H, Van Damme, Philip A, Stoelinga, Paul J.W
Format: Article
Language:English
Subjects:
Adult
Condylar
Dentistry
Facial Asymmetry - etiology
Female
Fracture Fixation - methods
Fractures
Humans
Jaw Fixation Techniques
Male
Malocclusion
Malocclusion - etiology
Mandibular Condyle - injuries
Mandibular Fractures - complications
Mandibular Fractures - therapy
Non-surgical
Range of Motion, Articular
Retrospective
Retrospective Studies
Temporomandibular Joint - injuries
Temporomandibular Joint Disorders - etiology
TMJ-dysfunction
Treatment
Treatment Outcome
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Summary:Purpose: The aim of the study was to investigate the results of non-surgical treatment of condylar fractures in a group of 60 patients with 71 condylar fractures, in order to establish a protocol to select patients for surgical treatment of condylar fractures. Material: Out of a group of 91 patients treated in a non-surgical fashion, 60 patients with a total of 71 condylar fractures responded to the request for follow-up. Methods: Retrospective study, including clinical analysis of occlusion, asymmetry at rest and during mouth opening, maximum interincisal distance, signs of TMJ-dysfunction and analysis of radiographic data, i.e. shortening of the ascending ramus as measured on sequential orthopantomograms. Results: There were five patients (8%) with an unacceptable malocclusion of which one also had considerably limited mouth opening. Fifty-five patients (92%) had none or only minor signs of TMJ-dysfunction not requiring further treatment. Conclusion: Only in selected patients with shortening of the ascending ramus of 8 mm or more and/or considerable displacement of the condylar fragment, surgical repositioning and rigid internal fixation should be considered.
ISSN:1010-5182
1878-4119
DOI:10.1016/S1010-5182(03)00025-8