Open surgical approach to fractures of the mandibular condyle: surgical technique and associated complications.
Maxillofacial surgery
complications
internal fracture fixation
mandibular condyle
mandibular fractures
Journal
Turkish journal of medical sciences
ISSN: 1303-6165
Titre abrégé: Turk J Med Sci
Pays: Turkey
ID NLM: 9441758
Informations de publication
Date de publication:
2024
2024
Historique:
received:
12
03
2024
revised:
18
10
2024
accepted:
22
05
2024
medline:
30
10
2024
pubmed:
30
10
2024
entrez:
30
10
2024
Statut:
epublish
Résumé
This study evaluates anatomical reduction and rigid internal fixation of mandibular condyle fractures using the preauricular retroparotid approach. It also discusses advantages, deficiencies, and associated complications of the technique. This retrospective study reviewed the medical records of a total of 52 mandibular condyle fractures from 42 patients who were treated with open surgery using the preauricular retroparotid approach between January 2019 and January 2024. Preoperative and postoperative assessments included measurements of mouth opening (maximum interincisal distance), vertical mandibular movement, and facial paralysis. Moreover, the Vancouver Scar Scale (VSS) was used to evaluate scar quality at the surgical site. Descriptive statistics were used to summarize patient demographics, preoperative findings, and postoperative outcomes. Anterior open bite was the most common finding, detected in 83% of the patients before surgery. The mean mouth opening of the patients increased significantly from 29 ± 4.94 mm to 37.76 ± 2.12 mm. Vertical mandibular movement exceeding 4 cm was a finding in more than half (52.3%) of the patients. The mean VSS score, indicating scar quality, was 1.64 ± 0.70, suggesting overall good cosmetic outcomes. Plate breakage in two patients was noted as a complication during follow-up. Several surgical techniques have been described for mandibular condyle fractures, each with its own benefits and limitations.
Sections du résumé
Background/aim
UNASSIGNED
This study evaluates anatomical reduction and rigid internal fixation of mandibular condyle fractures using the preauricular retroparotid approach. It also discusses advantages, deficiencies, and associated complications of the technique.
Materials and methods
UNASSIGNED
This retrospective study reviewed the medical records of a total of 52 mandibular condyle fractures from 42 patients who were treated with open surgery using the preauricular retroparotid approach between January 2019 and January 2024. Preoperative and postoperative assessments included measurements of mouth opening (maximum interincisal distance), vertical mandibular movement, and facial paralysis. Moreover, the Vancouver Scar Scale (VSS) was used to evaluate scar quality at the surgical site. Descriptive statistics were used to summarize patient demographics, preoperative findings, and postoperative outcomes.
Results
UNASSIGNED
Anterior open bite was the most common finding, detected in 83% of the patients before surgery. The mean mouth opening of the patients increased significantly from 29 ± 4.94 mm to 37.76 ± 2.12 mm. Vertical mandibular movement exceeding 4 cm was a finding in more than half (52.3%) of the patients. The mean VSS score, indicating scar quality, was 1.64 ± 0.70, suggesting overall good cosmetic outcomes. Plate breakage in two patients was noted as a complication during follow-up.
Conclusion
UNASSIGNED
Several surgical techniques have been described for mandibular condyle fractures, each with its own benefits and limitations.
Identifiants
pubmed: 39473755
doi: 10.55730/1300-0144.5887
pii: tjmed-54-05-1082
pmc: PMC11518349
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1082-1091Informations de copyright
© TÜBİTAK.
Références
Ann Anat. 2018 Mar;216:60-68
pubmed: 29223659
Laryngoscope. 2011 Nov;121(11):2295-8
pubmed: 22020881
J Maxillofac Oral Surg. 2019 Sep;18(3):440-446
pubmed: 31371888
Ulus Travma Acil Cerrahi Derg. 2022 Jan;28(1):99-106
pubmed: 34967439
J Craniomaxillofac Surg. 2015 Jul;43(6):944-9
pubmed: 26027860
J Craniomaxillofac Surg. 2012 Dec;40(8):e397-401
pubmed: 22440318
J Maxillofac Oral Surg. 2023 Mar;22(1):25-32
pubmed: 36703652
BMC Surg. 2014 Sep 07;14:68
pubmed: 25196114
J Craniomaxillofac Surg. 2014 Oct;42(7):1083-6
pubmed: 23849246
Sven Tandlak Tidskr. 1974 Mar;67(2):101-21
pubmed: 4524733
J Oral Maxillofac Surg. 2000 Sep;58(9):950-8
pubmed: 10981974
Plast Reconstr Surg. 2007 Dec;120(7 Suppl 2):90S-102S
pubmed: 18090732
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Oct;96(4):387-91
pubmed: 14561961
Ann Maxillofac Surg. 2020 Jan-Jun;10(1):168-177
pubmed: 32855935
Int J Oral Maxillofac Surg. 2017 Oct;46(10):1257-1266
pubmed: 28732561
Eplasty. 2010 Jun 21;10:e43
pubmed: 20596233
J Craniomaxillofac Surg. 2018 Apr;46(4):588-593
pubmed: 29526414
J Oral Maxillofac Surg. 2023 Feb;81(2):184-193
pubmed: 36375512
Int J Oral Surg. 1977 Feb;6(1):12-21
pubmed: 402318
Ann Maxillofac Surg. 2012 Jul;2(2):141-5
pubmed: 23482969
J Oral Maxillofac Surg. 2019 Dec;77(12):2522.e1-2522.e12
pubmed: 31472103
Oral Surg Oral Med Oral Pathol. 1993 Jul;76(1):6-15
pubmed: 8351124
Otolaryngol Head Neck Surg. 1985 Apr;93(2):146-7
pubmed: 3921901
J Craniomaxillofac Surg. 2018 Mar;46(3):398-412
pubmed: 29339001
J Craniomaxillofac Surg. 2006 Oct;34(7):421-32
pubmed: 17055280
Int J Med Sci. 2008;5(6):313-8
pubmed: 18974859
Materials (Basel). 2019 Sep 25;12(19):
pubmed: 31557809
J Oral Maxillofac Surg. 2004 Feb;62(2):155-63
pubmed: 14762747
Clin Pract. 2013 Oct 11;3(2):e28
pubmed: 24765516
Arch Facial Plast Surg. 2003 Jul-Aug;5(4):325-33
pubmed: 12873871
J Oral Maxillofac Surg. 2005 Jan;63(1):115-34
pubmed: 15635566
J Oral Maxillofac Surg. 2019 Sep;77(9):1868.e1-1868.e15
pubmed: 31112678
J Oral Maxillofac Surg. 2003 Nov;61(11):1324-32
pubmed: 14613090
Sven Tandlak Tidskr. 1974 May;67(3):165-81
pubmed: 4526188
Craniomaxillofac Trauma Reconstr. 2015 Jun;8(2):111-6
pubmed: 26000081
J Oral Maxillofac Surg. 2001 Apr;59(4):370-5; discussion 375-6
pubmed: 11289165
J Oral Maxillofac Surg. 1997 Jun;55(6):602-7; discussion 608-9
pubmed: 9191642
J Craniomaxillofac Surg. 2018 Aug;46(8):1232-1240
pubmed: 29866435
J Craniomaxillofac Surg. 2008 Jul;36(5):260-8
pubmed: 18328720
J Burn Care Rehabil. 1995 Sep-Oct;16(5):535-8
pubmed: 8537427
J Stomatol Oral Maxillofac Surg. 2020 Jun;121(3):226-232
pubmed: 31655226
Natl J Maxillofac Surg. 2022 Aug;13(Suppl 1):S1-S10
pubmed: 36393942
J Craniofac Surg. 2018 Jul;29(5):1312-1315
pubmed: 29485575
J Craniomaxillofac Surg. 2015 Dec;43(10):1952-60
pubmed: 26498515
Br J Oral Maxillofac Surg. 1997 Aug;35(4):288-91
pubmed: 9291270
J Oral Maxillofac Surg. 2008 Oct;66(10):2123-9
pubmed: 18848112