Abstract
Management of mandibular condylar fractures is controversial and challenging. Historically, these fractures have been managed with closed management techniques. Over the last three decades, there has been increasing trend towards open reduction and internal fixation of these fractures. There have been advancements in the form of better imaging protocols, newer surgical techniques, geometric plates for fixation, use of endoscopes, virtual surgical planning and intraoperative navigation. This chapter discusses stepwise decision-making and appropriate management of mandibular condylar fractures.
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Imahara SD, Hopper RA, Wang J, Rivara FP, Klein MB. Patterns and outcomes of pediatric facial fractures in the United States: a survey of the National Trauma Data Bank. [published correction appears in J Am Coll Surg.2009 Feb; 208(2):325]. J Am Coll Surg. 2008;207(5):710–6. https://doi.org/10.1016/j.jamcollsurg.2008.06.333.
Powers DB. Classification of mandibular condylar fractures. Atlas Oral Maxillofac Surg Clin North Am. 2017;25(1):1–10. https://doi.org/10.1016/j.cxom.2016.11.001.
Loukota RA, Eckelt U, De Bont L, Rasse M. Subclassification of fractures of the condylar process of the mandible. Br J Oral Maxillofac Surg. 2005;43(1):72–3. https://doi.org/10.1016/j.bjoms.2004.08.018.
Bhagol A, Singh V, Kumar I, Verma A. Prospective evaluation of a new classification system for the management of mandibular subcondylar fractures. J Oral Maxillofac Surg. 2011;69(4):1159–65. https://doi.org/10.1016/j.joms.2010.05.050.
Neff A, Cornelius CP, Rasse M, Torre DD, Audigé L. The comprehensive AOCMF classification system: condylar process fractures - level 3 tutorial. Craniomaxillofac Trauma Reconstr. 2014;7(Suppl 1):S044–S58. https://doi.org/10.1055/s-0034-1389559.
He D, Yang C, Chen M, Bin J, Zhang X, Qiu Y. Modified preauricular approach and rigid internal fixation for intracapsular condyle fracture of the mandible. J Oral Maxillofac Surg. 2010;68(7):1578–84. https://doi.org/10.1016/j.joms.2009.07.076.
Ellis E, Throckmorton GS. Treatment of mandibular condylar process fractures: biological considerations. J Oral Maxillofac Surg. 2005;63(1):115–34. https://doi.org/10.1016/j.joms.2004.02.019.
Meyer C, Kahn JL, Boutemi P, Wilk A. Photoelastic analysis of bone deformation in the region of the mandibular condyle during mastication. J Craniomaxillofac Surg. 2002;30(3):160–9. https://doi.org/10.1054/jcms.2002.0297.
Alyahya A, Bin Ahmed A, Nusair Y, Ababtain R, Alhussain A, Alshafei A. Mandibular condylar fracture: a systematic review of systematic reviews and a proposed algorithm for management. Br J Oral Maxillofac Surg. 2020;58(6):625–31. https://doi.org/10.1016/j.bjoms.2020.03.014.
Neff A, Chossegros C, Blanc JL, et al. Position paper from the IBRA symposium on surgery of the head--the 2nd international symposium for condylar fracture Osteosynthesis, Marseille, France 2012. J Craniomaxillofac Surg. 2014;42(7):1234–49. https://doi.org/10.1016/j.jcms.2014.03.005.
Rozeboom A, Dubois L, Bos R, Spijker R, de Lange J. Open treatment of unilateral mandibular condyle fractures in adults: a systematic review. Int J Oral Maxillofac Surg. 2017;46(10):1257–66. https://doi.org/10.1016/j.ijom.2017.06.018.
Rozeboom AVJ, Dubois L, Bos RRM, Spijker R, de Lange J. Closed treatment of unilateral mandibular condyle fractures in adults: a systematic review. Int J Oral Maxillofac Surg. 2017;46(4):456–64. https://doi.org/10.1016/j.ijom.2016.11.009.
Ellis E 3rd, McFadden D, Simon P, Throckmorton G. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2000;58(9):950–8. https://doi.org/10.1053/joms.2000.8734.
Kozakiewicz M, Zieliński R, Konieczny B, Krasowski M, Okulski J. Open rigid internal fixation of low-neck condylar fractures of the mandible: mechanical comparison of 16 plate designs. Materials (Basel). 2020;13(8):1953. https://doi.org/10.3390/ma13081953.
Yadav P. Comparison of closed treatment vs open reduction and fixation with ultrasound activated pins in mandibular condylar head fractures – a randomized controlled trial (dissertation). Chandigarh: Postgraduate Institute of Medical Education & Research; 2019.
Tripathi R, Sharma N, Dwivedi AN, Kumar S. Severity of soft tissue injury within the temporomandibular joint following condylar fracture as seen on magnetic resonance imaging and its impact on outcome of functional management. J Oral Maxillofac Surg. 2015;73(12):2379. https://doi.org/10.1016/j.joms.2015.09.003.
Krishnan DG. Soft tissue trauma in the temporomandibular joint region associated with condylar fractures. Atlas Oral Maxillofac Surg Clin North Am. 2017;25(1):63–7. https://doi.org/10.1016/j.cxom.2016.11.002.
Weinberg FM, Speksnijder CM, Forouzanfar T, Rosenberg AJWP. Articular soft tissue injuries associated with mandibular condyle fractures and the effects on oral function. Int J Oral Maxillofac Surg. 2019;48(6):746–58. https://doi.org/10.1016/j.ijom.2019.01.025.
Shakya S, Zhang X, Liu L. Key points in surgical management of mandibular condylar fractures. Chin J Traumatol. 2020;23(2):63–70. https://doi.org/10.1016/j.cjtee.2019.08.006.
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Rattan, V. (2021). Condylar Fractures. In: Singh, A.K., Sharma, N.K. (eds) Maxillofacial Trauma. Springer, Singapore. https://doi.org/10.1007/978-981-33-6338-0_14
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