Most popular incisions for open reduction of mandibular condylar fractures are submandibular approach, preauricular approach, Risdon approach, and retromandibular approach etc. These methods are selected according to the location of condylar fracutre, condylar segments displacement, and preference of the surgeon. We performed the open reduction and rigid fixation by means of retromandibular approach for the treatement of mandibular condyle fracture in the 9 patients (8 cases were performed by direct reduction and rigid fixation, and 1 case was performed by Dr. Nam's method). The retromandibular approach has many advantages. This is more easier approach to the fracture site, better visibility and accessibility, less wound exposure, less muscle retraction, and more comfortable to patient because lesser sensory and motor nerve injury.
Humans ; Mandibular Condyle* ; Wounds and Injuries

Objective: The study aimed to evaluate mandibular fractures in a tertiary military hospital, to determine the age group in which injury occurred most often, to examine the various mechanisms of injury, to determine the anatomical part of the mandible most frequently affected and to determine if there were significant relationships between the various mechanisms of injury and the different fracture sites. Methods: Design: Cross-sectional retrospective study Setting: Tertiary Public Military Hospital Patients: Medical records of 328 active military personnel and their dependents, treated for mandibular fracture at the Department of Otorhinolaryngology – Head and Neck Surgery, Armed Forces of the Philippines Medical Center from January 1999 – December 2009 were retrospectively reviewed for data regarding sex, age, various mechanisms of injury and fractured anatomical part of the mandible. The number of fractures per site according to mechanism of injury was tabulated and prevalence ratios (95% confidence intervals) and p values were computed for the different fracture sites among the various mechanisms of injury. The probability or risk of sustaining fractures in these sites based on mechanism of injury was then computed. Results: The most fractured anatomical part of the mandible was the body (28%), followed by the parasymphysis (24%), angle (17%), symphysis (12%), ramus (8%), condyle (7%), alveolar ridge (3%) and coronoid (1%). There were associated injuries in 54% of those with mandibular fractures. In these patients, zygomaticomaxillary complex fractures occurred in 25%, head and neck abrasions and lacerations in 30%, head injuries in 28%, ocular injuries in 10%, nasal fractures in 8% and cervical spine fractures in 5%. Other injuries present were extremity trauma in 60%, thoracic trauma in 5% and abdominal trauma in 3%. Males dominated with a ratio of 99:1. Males 21 to 30 years of age sustained the most mandible fractures. Most fractures were caused by vehicular accidents (60%), followed by gunshot wounds (31%), falls (4%), violent assault (4%) and sports activities (1%). Alcohol was a contributing factor at the time of injury in 20.6% of fractures. All cases were treated by open reduction and internal fixation with plating or wiring. Conclusion The body was the most commonly fractured anatomic region of the mandible in this series. There appeared to be a statistically significant relationship between violent assault and fractures of the ramus, but not between the other mechanisms of injury and the site of fracture. Its prevalence ratio of 3.32 (95% confidence interval: 1.13; 9.74, p value 0.039) suggests that the prevalence of fractures of the ramus among those exposed to violent assault was 3 times higher than those who were not.
Mandibular Fractures ; Maxillofacial Injuries ; Wounds and Injuries

Humans ; Mandibular Condyle ; injuries ; Mandibular Fractures ; complications ; therapy

Humans ; Mandibular Condyle ; injuries ; Mandibular Fractures ; complications ; therapy

A study on 696 patients with the mandibullar condylar fracture due to the trauma in the institute of the odonto stamotology and facio maxilogy during 1992-1996 was carried out to determine the cause, age, gender, position of fracture, clinical features and methods of the treatment. The results found that the early and presise diagnosis gave a good efficacy of the treatment and prevented from complications
Mandibular Condyle ; Mandibular Fractures ; diagnosis ; therapeutics ; Wounds and Injuries

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

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

Child ; Follow-Up Studies ; Humans ; Mandibular Condyle ; injuries ; Mandibular Fractures ; therapy ; Time Factors

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

PURPOSE: To establish management protocol for mandibular angle fracture, we describe pertinent factors including cause, impacted third molar and recent treatment tendency. METHODS: We examined the records of 62 patients who had unilateral mandibular angle fracture. Sixty patients who had open reduction surgery were examined at postoperative weeks 1, 4, 8, 12, and 28. RESULTS: Left mandibular angle fracture is frequent in younger males. Presence of the mandibular third molar can increase fracture risk. Because of attached muscle, favorable fractures occurred primarily in the mandibular angle area. CONCLUSION: Extracting the mandibular third molar can prevent angle fractures, and open reduction with only one plate adaptation is generally the proper treatment method for mandibular angle fracture.
Humans ; Jaw Fractures ; Male ; Mandibular Injuries ; Molar, Third