PMID: 20654192Jul 27, 2010Paper

An investigation of current consensus on the management of condylar fractures among Chinese senior maxillofacial surgeons

Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology
Yi Zhang

Abstract

To determine the current consensus in the management of condylar fractures among Chinese senior oral and maxillofacial (OM) surgeons and the difference between domestic and international. Forty-six senior OM surgeons, who were considered to be expert in management of maxillofacial trauma, were invited to participate in this investigation. A questionnaire was designed to appraise management strategies of surgical and non-surgical treatment on the 18 fractures of condylar process of mandible, which varied in fracture patterns, the degree of fragment displacement, uni-and bi-lateral involved and the age range of patients. The consensus was analyzed and then compared with the current international practice based on Baker's survey. Three fracture situations obtained a uniform opinion, 9 situations had tendency in the alternative of surgical and non-surgical approach, 6 situations had no preference. Of 18 fractures, 8 were advised to receive an open procedure in management of the condylar fracture compared with 4 which was considered to be in a close procedure. Others were obscure in the preference of treatment decision. Consensus was achieved in non-surgical treatment for the patients younger than 12 years in age, and the teenager p...Continue Reading

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