Fracture of condyle is diagnosed early by clinical and X-rays (pano film). A line, which goes to joint, can go in front of cover ear or around a corner jaw. However, these depend on how a damage of the joint is. We can take away Condyle if it is broken or we can combine condyle by a steel thread or miniplate. Furthermore, we need to put the joint on the right site occlusion during a surgery, then let the patient who practise a moving of the jaw as soon as posible. The fail cases are due to the of leaving harm out, or being infected
Mandibular Fractures ; Mandibular Condyle ; surgery ; therapeutics

Humans ; Mandibular Condyle ; injuries ; surgery ; Mandibular Fractures ; complications ; surgery

Endoscopes ; Humans ; Mandibular Condyle ; injuries ; Mandibular Fractures ; surgery

Adult ; Histiocytosis, Langerhans-Cell ; surgery ; Humans ; Mandibular Condyle ; surgery

PURPOSE: The main aim is to provide clinical reference for the application of mini suture anchor in the reduction and fixation of displaced temporomandibular joint (TMJ) disc with intracapsular condylar fracture. METHODS: From October 2018 to October 2019, 21 patients (31 sides) with intracapsular condylar fractures and articular disc displacement from West China Hospital of Stomatology, Sichuan University were included. The selection criteria were: (1) mandibular condylar fractures accompanied by displacement of the TMJ disc, confirmed by clinical examination, CT scan and other auxiliary examinations; (2) indication for surgical treatment; (3) no surgical contraindications; (4) no previous history of surgery in the operative area; (5) no facial nerve injury before the surgery; (6) informed consent to participate in the research program and (7) complete data. Patients without surgical treatment were excluded. The employed patients were followed up at 1, 3, 6 and 12 months after operation. Outcomes were assessed by success rate of operation, TMJ function and radiological examination results at 3 months after operation. Data were expressed as number and percent and analyzed using SPSS 19.0. RESULTS: All the surgical procedures were completed successfully and all the articular discs were firmly attached to the condyles. The articular disc sufficiently covered the condylar head after the fixation. The fixation remained stable when the mandible was moved in each direction by the surgeons. No complications occurred. The functions of the TMJ were well-recovered postoperatively in most cases. CT scan revealed that the screws were completely embedded in the bone without loosening or displacement. CONCLUSION Mini suture anchor can provide satisfactory stabilization for the reduced articular disc and also promote the recovery of TMJ functions.
Humans ; Joint Dislocations/surgery* ; Mandible ; Mandibular Condyle ; Mandibular Fractures/surgery* ; Suture Anchors ; Temporomandibular Joint Disc/surgery*

With rapid advancements in internal fixation and new surgical instruments, surgical treatment has gradually emerged as the first treatment choice for mandibular condylar fractures. An appropriate surgical incision is the first and determinant step during surgery to avoid postoperative complications. Hence, surgical approaches in relation to oral and maxillofacial trauma surgery for the treatment of mandibular condylar fractures have been extensively investigated. This review summarizes the research progress on surgical approaches in the management of mandibular condylar fractures.
Fracture Fixation, Internal ; Humans ; Mandibular Condyle ; surgery ; Mandibular Fractures ; surgery ; Postoperative Complications ; Research ; Surveys and Questionnaires

Humans ; Mandibular Condyle ; injuries ; Mandibular Fractures ; surgery ; Postoperative Complications ; prevention & control

mandibular third molars on the incidence of mandibular condyle fracture. A retrospective study was designed for patients presenting to the Department of Oral and Maxillofacial Surgery, Kyungpook National University Hospial and Tae-gu Fatima Hospital for treatment of mandibular fractures from January 2003 to January 2006. The independent variables in this study were the presence, degree of impaction of third molars, and the outcome variables were the incidence of mandibular condyle fractures. Hospital charts and panoramic radiographs were used to determine and classify these variables. The demographic data included age, sex, mechanisms of injuries and number of mandibular condyle fractures. The study sample comprised 136 mandibular condyle fractures in 105 patients. Result of this study demonstrated a statistically significant difference in ipsilateral condyle fractures and mandibular third molar absence(P=0.032) and bilateral condyle fractures without another fracture and mandibular third molar absence(P=0.028).]]>
Gyeongsangbuk-do ; Humans ; Incidence ; Mandibular Condyle ; Mandibular Fractures ; Molar, Third ; Retrospective Studies ; Surgery, Oral

OBJECTIVETo assess the application of three-dimensional jaw model in treatment of superolateral dislocation of condyle.

METHODSNine patients with superolateral dislocation of condyle and symphyseal fractures were admitted in hospital from June 2008 to June 2013. Spiral CT scan on maxilla and mandible was performed，and three-dimensional jaw model was constructed with rapid prototyping technology. According to conditions of condylar superolateral dislocation model，the operation scheme was designed. The symphyseal fracture line was made and fracture was reduced on three-dimensional jaw model. Individualized prefabricated reconstructive titanium plate was made on symphyseal fracture model. Symphyseal fracture was replaced with individualized prefabricated mandibular reconstruction titanium plate according to occlusal relationship. At the same time，reduction of condylar superolateral dislocation was accomplished.

RESULTSOperations were successfully completed in 9 cases under guidance of three dimensional jaw model surgery. Operative incision was primarily healed，and occlusal relationship was restored. Postoperative CT scan showed that the locations of condyle in 9 cases were completely restored. Patients were followed-up for 6-28 months with a median of 18 months. The maximum of mouth opening was 3.1- 4.2 cm with a medians of 3.3 cm，and the occlusal relationship of all patients was normal after surgery.

CONCLUSIONThree-dimensional jaw model can show complete status of condylar superolateral dislocation and symphyseal fracture. The model can accurately shape symphyseal reconstructive titanium plate and restore condylar superolateral dislocation during reductive surgery.

Humans ; Joint Dislocations ; Mandibular Condyle ; physiopathology ; surgery ; Mandibular Fractures ; surgery ; Models, Anatomic ; Tomography, Spiral Computed ; Tomography, X-Ray Computed

OBJECTIVETo systematically evaluate the surgical and non-surgical treatment of condylar fracture using Meta-analysis system.

METHODSThe key words: mandible, condyle, fracture and treatment/therapy were adopted to search for the objective articles from following Data-base: Medline, Embase, CCTR and CNKI. The available data were statistically dealt with by software package (RevMan 4.1).

RESULTSIn 172 associated articles, only 10 (5.8%) fulfilled the entrance criteria, involving 711 cases. A total of 307 patients underwent surgical treatment due to severely displacement or dislocation of fragment, 239 of the m (78.0%) being subcondylar fracture. A total of 404 patients received non-surgical management, 278 of them (68.7%) being lower level fracture without significant displacement. Surgical treatment outbalanced non-surgical approach in rehabilitation of occlusional relationship and an adverse outcome was noted in term of maximum mouth opening, but the re was no significant difference in postoperative joint pain.

CONCLUSIONSSeverely displaced and dislocated condylar fracture is indicated for surgical treatment.

Cohort Studies ; Follow-Up Studies ; Humans ; Mandibular Condyle ; injuries ; surgery ; Mandibular Fractures ; surgery ; therapy ; Randomized Controlled Trials as Topic