Abstract
Objective: To evaluate the treatment results of mandibular condylar fractures for prescription of more appropriate treatment methods. Methods: This is a retrospective and prospective cross-sectional study with follow-up on 95 patients treated for mandibular condylar fractures at 108 Central Military Hospital from January 2018 to October 2021. Results: A total of 95 condylar fractures were observed, including 75 unilateral fractures and 20 bilateral fractures. The most common fracture locations are: low condylar neck 53/115 (46.1%), condylar head 27/115 (23.5%), high condylar neck 22/115 (19.1%), subcondylar 13/115 (11.3%). Little deviation 13/115 (11.3), average deviation 79/115 (68.7%), high deviation 23/115 (20%). Conservative treatment for 18/115 condyle with good and satisfactory results accounted for 89.3%. Surgical removal of 33/115 condyles with good and satisfactory results accounted for 89.3%. Fracture osteosynthesis for 64/115 condyles with good and satisfactory results accounted for 96.2%. Conclusion: Conservative treatment should be indicated for cases with small or no displacement and condylar removal surgery for cases of condylar fractures or multi-fragment high condylar fractures with moderate and high displacement. The indication of osteosynthesis for low condylar neck and subcondylar fractures will have a high success rate.
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