Key points in surgical management of mandibular condylar fractures
10.1016/j.cjtee.2019.08.006
- VernacularTitle:Key points in surgical management of mandibular condylar fractures
- Author:
Shubhechha SHAKYA
1
;
Xiao ZHANG
;
Lei LIU
Author Information
1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
- Keywords:
Mandibular fractures;
Condylar fractures;
Template
- From:
Chinese Journal of Traumatology
2020;23(2):63-70
- CountryChina
- Language:Chinese
-
Abstract:
Mandibular condylar fractures are among the most common facial fractures and some of the most difficult to manage. Opinions about the management of mandibular condylar fractures differ among surgeons. With the implementation of new technology, an increased understanding of fracture management, and better functional and morphological outcomes reported in the literature, open reduction and internal fixation is becoming many surgeons’ preferred choice for the treatment of condylar fractures. Because surgical treatment of such fractures is complex, certain factors must be considered to achieve satisfactory outcomes. In this article, we summarise six key points in the management of mandibular condylar fractures: virtual evaluation of condylar fracture, a suitable surgical approach, good reduction, stable internal fixation, repair of the articular disc, and restoration of the mandibular arch width. We believe that these points will help to improve the prognosis of mandibular condyle fractures.
