Open Reduction Of Condylar Fractures Research Articles

Modified Blair’s (Transparotid) Approach for Open Reduction of Condylar Fractures - Our Experience

The treatment of condylar fractures is complex and controversial.The aim of the present study is to evaluate the treatment outcomes of open reduction of condylar fractures using Modified Blair’s (Transparotid) approach. Materials and Methods: A prospective study was conducted March 2021 to April 2023. Patients reporting to the department with condylar neck/ subcondylar fractures with or without other facial bone fractures and requiring open reduction internal fixation were included in the study. Modified Blair’s (Transparotid) approach was used to expose the condylar fracture site. Intraoperative surgical time of exposure, post-operative variables like swelling, pain, status of occlusion, facial nerve dysfunction, salivary leakage (salivary fistula/sialocele), Frey’s syndrome, greater auricular nerve damage, subjective assessment of scar esthetics were recorded after immediate post-op day 1, after 1st post-op week, after 1st post-op month, after 3rd post-op month and after 6th post-operative month. Results: The study included 36 condylar fractures sites in 30 patients, 24 unilateral and 6 bilateral. The mean average time from incision to exposure of fracture site was 22.5 minutes. Mild occlusal discrepancy was recorded in 3 patients which was corrected with elastic traction in the post-operative period. Transient facial nerve dysfunction was recorded in 6 patients with spontaneous recovery of nerve function within 6 months. No other major complications were noted. Conclusion: The Modified Blairs (transparotid) approach provided sufficient exposure of the condylar fracture site to facilitate anatomical reduction. It is a good technique and provides stable results with low complication rates and acceptable scar.

Treatment Outcome Following Closed and Open Reduction of Condylar Fractures – A 3 Year Clinical Prospective Study

In maxillofacial trauma patients mandibular fractures are more common, among which condylar region is the most frequent site of fracture accounting for 25-30%. Management of Condylar fracture is most controversial topic in maxillofacial trauma. This study is aimed at comparing the outcome of closed and open reduction of condylar fractures.

Evaluation of Closed and Open Reduction of Condylar Fractures

Evaluation of Closed and Open Reduction of Condylar Fractures

Conservative management of parotid fistula and sialocele

Sialocele is a collection of saliva in the subcutaneous tissue or in the glandular tissues. When this communicates with the skin and drains it is known as parotid fistula. The causes are sharp penetrating trauma, infectious drainage, TMJ surgery, parotidectomy, condylar fracture reduction. We report a case of parotid fistula is due to sharp penetrating object and a case of parotid sialocele following open reduction of condylar fracture. There are numerous methods of treatment of parotid fistula and sialocele. Here we followed repeated aspiration, pressure dressing and oral administration of hyoscine. The excellent result was achieved with conservative therapy.

Evaluation of trapezoidal-shaped 3-D plates for internal fixation of mandibular subcondylar fractures in adults

AimsThe purpose of this study is to evaluate the clinical results and to assess the efficacy, stability, and rigidity of trapezoidal 3-D plates for osteosynthesis in adult mandibular subcondylar fracture patients. MethodsThis study included 15 cases of trauma having mandibular subcondylar fractures, in which open reduction and internal fixation are indicated. After selecting patient according to the inclusion criteria, all patients underwent open reduction and rigid fixation. Fracture was then stabilized using 4 hole, 2.0mm trapezoidal-shaped 3-D titanium plates using retromandibular incision. Postoperative clinical examination was carried out on 3rd day; 1st, 2nd, and 4th weeks; and 3rd and 6th months. ResultsThe results of this study suggest that the fixation of mandibular subcondylar fracture with trapezoidal-shaped 3-D plates provides three-dimensional stability and carries low morbidity. ConclusionPatients with gross displacement of condylar fragment, major reduction in posterior facial height, and deranged occlusion can be successfully managed by open reduction of condylar fracture and its fixation using 3-D plates.

Usefulness of the Retromandibular Transparotid Approach for Condylar Neck and Condylar Base Fractures

Condyle fractures represent 20% to 30% of all mandibular fractures and are thus among the most common facial fractures. The fracture pattern can vary greatly and may occur anywhere along the line from the sigmoid notch to the mandibular angle. The main problems are access, difficulty in repositioning the extremely slender fragments, and fixation of the condyle.Eighty-seven patients were diagnosed with condylar neck or condylar base fractures from January 2007 to December 2009 in the Department of Oral & Maxillofacial Surgery of Kyung Hee University Dental Hospital. In this study, we included 35 patients who underwent open surgery and a total of 28 patients who were treated using a retromandibular transparotid approach.Surgical treatment aims were anatomic repositioning and rigid fixation of the fragments, occlusal stability, rapidly return to function, maintenance of vertical ramus dimension, no airway compromise, and reduced long-term temporomandibular joint dysfunction. Considering the high rate of occurrence of condylar fracture and the importance of the condylar as a growth center of the mandible, extraoral approaches for the open reduction of condylar fractures are considered effective and can be used widely.Short access route, easy reduction, short operating time, and stable postoperative occlusion are the advantages of the retromandibular transparotid approach. Also, there was no permanent damage from facial nerve injury, salivary leakage, or preauricular hypoesthesia. Therefore, the retromandibular transparotid approach is considered a safe and effective method for patients with a condylar neck or condylar base fracture classified according to the Strasbourg Osteosynthesis Research Group's classification, who require surgical treatment with an extraoral approach.

Open reduction of condylar fractures—A right treatment perspective?

The aim of this study was to evaluate the outcome of open reduction of condylar fractures. Seventy-three patients having 84 condylar fractures of various types operated by a single surgeon between 1991 and 2007 were analysed retrospectively. Rigid fixation was done in 70 cases by using plates and screws whilst condylectomy was done in 14 cases. Explorations were done either by an extended Risdons or by preauricular approach. No immobilisation was done. Results were analysed immediately, after 3 months and over long-term with respect to occlusal status, mouth opening and deviation, TMJ pain, facial nerve function and chewing efficiency. Suitability of approach with respect to access, ease, safety, duration and aesthetics was also analysed. In no case, malocclusion was noted. Facial paralysis occurred in one case (1.2%). Temporary Temporal branch weakness associated with preauricular approach was seen in 20 cases (34.4%), while Mandibular branch weakness associated with the extended Risdons approach was seen in eight cases (30%). Two wounds (2.4%) got infected requiring plate removal. Mouth opening and chewing efficiency could be restored to normal within 3 months. No TMJ pain noted after 3 months. No case showed healing problem. Preauricular approach was superior to extended Risdons approach. Considering the outcome, extra oral open reduction should be the treatment of choice in the management of condylar fractures.

下顎枝後縁切離術用把持こうの試作と関節突起骨折観血的整復固定術への応用

Open vertical osteotomy in the mandibular ramus is the one surgical option for the correction of mandible deformity. It is easy to assume that this procedure is useful for open reduction of condylar fractures. In this paper we describe a new systematic procedure for open reduction of high condylar fractures. The procedure involves vertical subcondylotomy and a new retractor for subcondylotomy to protect the mandibular neurovascular bundle.The major points of this operation are the use of vertical condylotomy, removal of the posterior border of the ramus and plating the condylar head with it, and accurate replacement of the posterior border of the ramus with mini plates prepared before osteotomy.

Open reduction of condylar fractures of the mandible in conjunction with repair of discal injury: A preliminary report

Fractures of the condylar process of the mandible may require open reduction and internal fixation in some instances. In previous reports on the management of such cases, no discussion has focused on the associated soft tissue injuries of the temporomandibular joint. In this article, the authors review their experiences with open reduction of condylar fractures in conjunction with soft tissue reconstruction of the disc and associated structures.

Discussion: Open Reduction of Condylar Fractures of the Mandible in Conjunction with Repair of Discal Injury: A Preliminary Report

Discussion: Open Reduction of Condylar Fractures of the Mandible in Conjunction with Repair of Discal Injury: A Preliminary Report

Submandibular approach for open reduction of condylar fracture

A case of fracture of the neck of the mandibular condyle has been presented. Details of the surgical procedure are given, and the advantages of the submandibular approach are discussed.

Open reduction of condylar fracture

Open reduction of condylar fracture