MANDIBULAR SUBCONDYLAR FRACTURE PDF

Perhaps no area of facial trauma has inspired more controversy than the management of mandibular subcondylar fractures. Fractures of the condylar region. Clinically, this equates to open treatment of condylar neck fractures or subcondylar (caudal) fractures (A). The surgeon may elect to place one or two plates. Background and objective: Mandibular fractures are the most frequent and sub condylar region is a common site of fracture. Proper.

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This is a more common approach when the bone is heavily comminuted shattered into small pieces, for instance in a bullet wound and when the bone is infected osteomyelitis. Today, for dislocated subcondylar fractures, open approaches are considered the treatment of choice in many surgical units.

Views included AP for parasymphsislateral mandiular body, ramus, angle, coronoid process and Towne’s condyle views. Therefore, more and more authors advocate the use of a two-plate fixation technique, which seems to have the beneficial effect of restoring the tension and compression trajectories in subcondylar fractures.

This type of fracture generally has limited mobility. According to the Zide and Kent criteria [ 3 ], the indications for open reduction were limited, because the techniques and materials available at that time were limited [ 4 ].

Vital components in this area are susceptible to functional disability mandiblar to either the fracture itself or the subsequent surgical intervention. Symphyseal fractures are a linear fractures that run in the midline of the mandible the symphysis.

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Even though early clinical results are seen to be good, complications such as pain, restriction of movement, muscle spasms, mandibular deviation, malocclusion, pathologic alterations of the TMJ, osteonecrosis, facial asymmetry, and ankylosis may be evident later 9 — Condylar fractures are deep, so it is rare to see significant swelling although, the trauma can cause fracture of the bone on the anterior aspect of the external auditory meatus so bruising or bleeding can sometimes be seen in the ear canal.

Mandible fracture causes vary by the time period and the region studied. August 26,Quality control: Open versus closed treatment of unilateral subcondylar and condylar neck fractures: First, the lack of teeth makes reduction and fixation using MMF difficult.

The results of the analysis performed on our model madnibular shown in Fig.

Mandibular Subcondylar Fractures: A Review on Treatment Strategies

As there are controversies around management of condylar fractures, different treatment modalities are suggested in literature Masticatory motion after surgical manidbular nonsurgical treatment for unilateral fractures of the mandibular condylar process.

Diagnosis – more detail Back. Decreased ability to open the mouth, teeth will not properly alignedbleeding of the gums fracturw. The wound is also reapproximated in layers, and the SMAS is resuspended. The review found insufficient evidence to recommend the effectiveness of any single intervention.

Mandibular Subcondylar Fractures: A Review on Treatment Strategies

The angle of the mandible refers to the angle created by mandibylar arrangement of the body of the mandible and the ramus. Journal of Craniofacial Surgery.

Literature review, reflections on treatment and proposals. Pathogenesis of post-traumatic ankylosis of the temporomandibular joint: Immediate surgery is not necessarily required. Facial fractures in the elderly: With a condylar fracture, there is very often shortening of the ramus on the affected side.

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On the other hand, the simplified version better reflects the clinical treatment implications. Clinical findings Direct trauma to the TMJ area is unusual but may be associated with fractures of the zygomatic complex.

Angle fractures are defined as those that involve a triangular region bounded by the anterior border of masseter muscle and an oblique line extending from the lower third molar wisdom tooth region to the posteroinferior attachment of the masseter muscle. Open reduction is sometimes combined with use of an endoscope to aid visualization of fracture site. A periosteal elevator is used in order to strip the masseter muscle from the ramus and dissect superiorly to expose the fractured end along the posterior border of the condylar process.

Fractures of the facial skeleton. It is common for both to be assessed with facial fractures. Some of these approaches are periauricular, submandibular, retromandibular antroparotid and retromandibular transparotid.

Mandible – Diagnosis – Condylar process and head, simple and complex – AO Surgery Reference

Comparison study of open reduction and closed reduction in treatment of mandibular subcondylar fractures. Tasanen A, Lamberg MA. B It provides good visualization of usbcondylar lower subcondyle and allows straightforward fracture management.

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