Open versus closed treatment for extracapsular fracture of the mandibular condyle

• 영문명: Open versus closed treatment for extracapsular fracture of the mandibular condyle
• 발행기관: 대한구강악안면외과학회
• 저자명: Junyeong Lee Hee-Yeoung Jung Jaeyoung Ryu Seunggon Jung Min-Suk Kook Hong-Ju Park Hee-Kyun Oh
• 간행물 정보: 『대한구강악안면외과학회지』제48권 제5호, 303~308쪽, 전체 6쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2022.10.31

영문 초록

Objectives: Selection of treatment methods for mandibular condylar fractures remains controversial. In this study, we investigated treatment methods for condylar fractures to determine the indications for open or closed reduction. Patients and Methods: Patients >12 years of age treated for mandibular condylar fractures with a follow-up period of ≥3 months were included in this study. The medical records of enrolled patients were reviewed for sex, age, fracture site, treatment method (open or closed reconstruction), postop-erative intermaxillary fixation period, operation time, and complications. Radiological analysis of fracture fragment displacement and changes in ramal height difference was performed using computed tomography and panoramic radiography. Results: A total of 198 patients was investigated, 48.0% (n=95) of whom underwent closed reduction and 52.0% (n=103) underwent open reduction. There was no significant correlation between reduction method and patient sex, age, or follow-up period. No statistically significant difference between the incidence of complications and treatment method was observed. None of the patients underwent open reduction of condylar head fracture. Binary logistic regression analysis showed that open reduction was significantly more frequent in patients with subcondylar fracture compared to in those with a fracture in the condylar head area. There was no statistically significant correlation between the groups and fracture fragment displacement. However, there was a significant difference between the treatment groups in amount of change in ramal height difference between the fractured and the non-fractured sides during treatment. Conclusion: No significant clinical differences were found between the open and closed reduction methods in patients with mandibular condylar fractures. According to fracture site, closed reduction was preferred for condyle head fractures. There was no significant relationship between fracture fragment displacement and treatment method.

목차

Ⅰ. Introduction

Ⅱ. Patients and Methods

Ⅲ. Results

Ⅳ. Discussion

V. Conclusion

ORCID

Authors’ Contributions

Ethics Approval and Consent to Participate

Conflict of Interest

References

키워드

Mandibular fracture Open fracture reduction Closed fracture reduction