Background:

The mandibular condylar fracture is second most frequent maxillofacial fracture but still the management remains controversial.

Aim:

The purpose of the present study is to evaluate the clinical as well as radiographic outcomes of different types of management modalities in various mandibular condyle fractures during 6 months of follow-up.

Material and Method:

This retrospective study consisted of 17 patients of which 11 were male (65%) and 6 female (35%). These included 12 unilateral condylar fractures (70%) and 5 bilateral fractures (30%). Anatomically, these fractures were 13 condylar neck fractures (59%) while 9 were subcondylar fractures (41%). Depending on the anatomic position, type, displacement/dislocation/deviation of condyle, and associated fractures, 5 closed reduction (23%) and 17 open reduction and internal fixations (77%) were performed. Fixation was done with lag screw in 1 patient, 3-D strut plate in 2 patients, and single miniplate fixations in 14 patients. Orthopantomograms were taken preoperatively, immediate postoperatively, and at 1, 3, and 6 months postoperatively to evaluate the radiographic changes.

Results:

Preoperatively, the average ramus height was 62.07 ± 4.13 (in mm) while condylar angulation was 18.23 ± 4.38 (in degree) while immediate postoperatively these were 66.98 ± 5.03 (in mm) and 25.67 ± 4.07 (in degree), respectively. After 6 months, the value was 66.43 ± 4.97 (in mm) and 25.24 ± 3.94 (in degree) which is statistically significant (P < .5).

Conclusion:

Open reduction and internal fixation allows better maintenance in function and anatomical repositioning of condyle as compared to closed reduction.

Search results

Various Management Modalities and Radiographic Outcomes of Condylar Fractures: A Single Centric Retrospective Study