Mini Review
Volume 19 Issue 10 - 2020
Open Reduction of Condylar Fractures Using 8 Different Plate Osteosynthesis Methods
Teomelila Guerra-Araujo1, Andrés Gómez-Delgado2*, Andrea Rivera-Guzmán3 and Sergio Trujillo-Saldarriaga4*
1Oral and Maxillofacial Surgery Residency Program, Universidad El Bosque and Head of the Oral and Maxillofacial Surgery Department, Hospital Occidente de Kennedy and Oral and Maxillofacial Surgery Department, Hospital Central de la Policía, Bogotá, Colombia
2Oral and Maxillofacial Surgery Department, Hospital UNIBE and Hospital San Juan de Dios, San José, Costa Rica and Oral and Maxillofacial Surgery Residency Program, Universidad El Bosque, Bogotá, Colombia
3Oral and Maxillofacial Surgery Department, Hospital Calderón Guardia, San José, Costa Rica
4Oral and Maxillofacial Surgery Department, Clínica San Rafael and Orthodontics Residency Program, Universidad Antonio Nariño, Pereira, Colombia
*Corresponding Author: Andrés Gómez-Delgado, Oral and Maxillofacial Surgery Department, Hospital UNIBE and Hospital San Juan de Dios, San José, Costa Rica and Oral and Maxillofacial Surgery Residency Program, Universidad El Bosque, Bogotá, Colombia.
Received: June 18, 2020; Published: September 19, 2020




Abstract

The management of condylar fractures (CFs) has been the subject of debate for many years. Closed reduction has been the favorite of many surgeons due to its simplicity and low surgical risk, however, it can sometimes be associated with undesirable sequelae and long-term follow-up periods, which can compromise the predictability of the results. On the other hand, open reduction reduces both recovery and follow-up time, but increases the risks inherent in surgery. Recent literature has reported better results for the second treatment option. In this technical note, we want to present 8 different and successful designs for the placement of rigid fixation plates, used for the open reduction of CFs.

Keywords: Open Reduction; Condylar Fractures (CFs); Closed Reduction

References

  1. Brandt MT., et al. “Open versus closed reduction of adult mandibular condyle fractures: A review of the literature regarding the evolution of current thoughts on management”. Journal of Oral and Maxillofacial Surgery 61 (2003): 1324-1332.
  2. Singh V., et al. “Outcomes of open versus closed treatment of mandibular subcondylar fractures: A prospective randomized study”. Journal of Oral and Maxillofacial Surgery 68 (2010): 1304-1309.
  3. Yang WG., et al. “Functional results of unilateral mandibular condylar process fractures after open and closed treatment”. The Journal of Trauma 52 (2002): 498-503.
  4. Al-Moraissi EA., et al. “Surgical treatment of adult mandibular condylar fractures provides better outcomes than closed treatment: A systematic review and meta-analysis”. Journal of Oral and Maxillofacial Surgery 73 (2015): 482-493.
  5. Chrcanovic BR. “Surgical versus non-surgical treatment of mandibular condylar fractures: a metaanalysis”. International Journal of Oral and Maxillofacial Surgery 44 (2015): 158-179.
  6. Schneider M., et al. “Open reduction and internal fixation versus closed treatment and mandibulomaxillary fixation of fractures of the mandibular condylar process: A randomized, prospective, multicenter study with special evaluation of fracture level”. Journal of Oral and Maxillofacial Surgery 66 (2008): 2537-2544.
  7. Gupta M., et al. “Analisys of different treatment protocols for fractures of condylar process of mandible”. Journal of Oral and Maxillofacial Surgery 70 (2012): 83-91.
  8. Choi B., et al. “Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures”. Journal of Oral and Maxillofacial Surgery 59 (2001): 734-737.
  9. Sugiura T., et al. “A comparative evaluation of osteosynthesis with lag screws, miniplates, or kirschner wires for mandibular condylar process fractures”. Journal of Oral and Maxillofacial Surgery 59 (2001): 1161-1168.
Citation: Teomelila Guerra-Araujo., et al. “Open Reduction of Condylar Fractures Using 8 Different Plate Osteosynthesis Methods”.EC Dental Science 19.10 (2020): 90-94.

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