Condylar fractures: Review of 40 cases

Mohamed Ali Mahgoub, Ahmed Hassan El-Sabbagh, Ehab Atef Abd El-Latif, Mohamed Radwan Elhadidy

Annals of Maxillofacial Surgery 2018 8(1):19-27

Purpose: To put an algorithmic approach for the treatment of condylar fractures according to the condition of occlusion. Patients and Methods: This study had been carried out between May 2016 and April 2017. Forty patients were included (6 females and 34 males) with their ages ranged between 3 and 60 years. Patients were managed through two approaches as follows: maxillomandibular fixation (MMF) only regimen and MMF with open reduction and internal fixation regimen. The operated cases were 12 with bilateral condylar/subcondylar fractures, and the rest were unilateral 28 cases. Results: Data were assessed demographically, time lapse before the intervention, surgically, functionally, and radiologically. In general, there were no significant differences between closed and open methods. Conclusion: Retromandibular approach was convenient for internal fixation of condylar fracture with a good outcome. In our work, there were no significant differences between closed and open methods in the treatment of condylar fractures.

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