Fractures of the mandibular condyle--Open versus closed--A treatment dilemma

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Muhammed ShijuRupshikha Choudhury

Abstract

The aim of this prospective randomized controlled study was to evaluate the superiority of open method of treatment of mandibular condylar fracture over closed method of treatment by comparing them. Out of a total of 50 randomized patients fractures of the mandibular condylar process completed the study and were evaluated. All fractures were displaced, being either angulated between 10° and 45°. The follow-up examinations 1st day, 2nd day, 1st week, 2nd week, 6th week, and 6 months following treatment included clinical evaluation of functional and subjective parameters including visual analogue scale for pain and the interincisal mouth opening, malocclusion, deviation of mouth, range of motion, radiographic measurements were done. No significant difference was found between the two groups in the maximal interincisal opening, range of movements and TMJ pain. However statistically significant difference was seen in the anatomic reduction of condyle, shortening of ascending ramus, occlusal status and deviation on mouth opening on immediate postoperative phase. Both treatment options for condylar fractures of the mandible yielded acceptable results. However, a statistically significant difference was seen in the anatomic reduction ...Continue Reading

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Citations

Dec 27, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Mhd Ayham DarwichKhaldoun Darwich
May 18, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Maciej SikoraDariusz Chlubek
Sep 13, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Bin ZhangQiang Liu
Sep 20, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·André Luis Ribeiro RibeiroSérgio de Melo Alves-Junior
Feb 28, 2018·The Journal of Craniofacial Surgery·Maria C Closs OnoGilvani A de Oliveira E Cruz
Jul 5, 2018·Journal of Oral Rehabilitation·Antoinette RozeboomJan de Lange
Sep 14, 2018·Plastic and Reconstructive Surgery·Sadek MowakketAchilleas Thoma
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·George N KamelEdward H Davidson
Oct 5, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Kazem KhiabaniMohammad Hosein Amirzade-Iranaq
Jan 15, 2021·Journal of Clinical Medicine·Maciej SikoraDariusz Chlubek
Jul 5, 2021·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Abdo Ahmed Saleh MohamedDengqi He
Aug 26, 2021·Plastic and Reconstructive Surgery·Alexander R GibsteinJames P Bradley

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