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Various Management Modalities and Radiographic Outcomes of Condylar Fractures: A Single Centric Retrospective Study
| Content Provider | SAGE Publishing |
|---|---|
| Author | Aurora, Jitender K. Dubey, Krishna Nand Panda, Barsarani Tandon, Parul Chauhan, Himanshu Tiwari, Shamita Srivastava, Amartya Prakash Saxena, Mohit |
| Copyright Year | 2022 |
| Abstract | The mandibular condylar fracture is second most frequent maxillofacial fracture but still the management remains controversial.Aim:The purpose of the present study is to evaluate the clinical as well as radiographic outcomes of different types of management modalities in various mandibular condyle fractures during 6 months of follow-up.Material and Method:This retrospective study consisted of 17 patients of which 11 were male (65%) and 6 female (35%). These included 12 unilateral condylar fractures (70%) and 5 bilateral fractures (30%). Anatomically, these fractures were 13 condylar neck fractures (59%) while 9 were subcondylar fractures (41%). Depending on the anatomic position, type, displacement/dislocation/deviation of condyle, and associated fractures, 5 closed reduction (23%) and 17 open reduction and internal fixations (77%) were performed. Fixation was done with lag screw in 1 patient, 3-D strut plate in 2 patients, and single miniplate fixations in 14 patients. Orthopantomograms were taken preoperatively, immediate postoperatively, and at 1, 3, and 6 months postoperatively to evaluate the radiographic changes.Results:Preoperatively, the average ramus height was 62.07 ± 4.13 (in mm) while condylar angulation was 18.23 ± 4.38 (in degree) while immediate postoperatively these were 66.98 ± 5.03 (in mm) and 25.67 ± 4.07 (in degree), respectively. After 6 months, the value was 66.43 ± 4.97 (in mm) and 25.24 ± 3.94 (in degree) which is statistically significant (P < .5).Conclusion:Open reduction and internal fixation allows better maintenance in function and anatomical repositioning of condyle as compared to closed reduction. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/26323273211073857?download=true |
| Starting Page | 18 |
| Ending Page | 24 |
| Page Count | 7 |
| ISSN | 26323273 |
| Issue Number | 1-3 |
| Volume Number | 2 |
| Journal | The Traumaxilla (TMX) |
| e-ISSN | 26323281 |
| DOI | 10.1177/26323273211073857 |
| Language | English |
| Publisher | Sage Publications India |
| Publisher Date | 2022-06-09 |
| Publisher Place | New Delhi |
| Access Restriction | Open |
| Rights Holder | © 2022 The Fascial and SAGE Publications |
| Subject Keyword | ORIF Anteroposterior angulation of condyle Mandibular condylar fracture Vertical height of ramus |
| Content Type | Text |
| Resource Type | Article |
