Key points in surgical management of mandibular condylar fractures. 2020

Shubhechha Shakya, and Xiao Zhang, and Lei Liu
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.

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.

UI MeSH Term Description Entries
D008335 Mandibular Condyle The posterior process on the ramus of the mandible composed of two parts: a superior part, the articular portion, and an inferior part, the condylar neck. Condyle, Mandibular,Condyles, Mandibular,Mandibular Condyles
D008337 Mandibular Fractures Fractures of the lower jaw. Fracture, Mandibular,Fractures, Mandibular,Mandibular Fracture
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000070799 Open Fracture Reduction Restoration of normal alignment of a fractured bone via an OPERATIVE SURGICAL PROCEDURE. Open Reduction, Fracture,Fracture Open Reduction,Fracture Open Reductions,Fracture Reduction, Open,Open Fracture Reductions,Open Reductions, Fracture,Reduction, Fracture Open,Reductions, Fracture Open
D019224 Temporomandibular Joint Disc A plate of fibrous tissue that divides the temporomandibular joint into an upper and lower cavity. The disc is attached to the articular capsule and moves forward with the condyle in free opening and protrusion. (Boucher's Clinical Dental Terminology, 4th ed, p92) Articular Disk, Temporomandibular,Disk, Temporomandibular Joint,Temporomandibular Joint Disk,Articular Disc, Temporomandibular,Articular Discs, Temporomandibular,Articular Disks, Temporomandibular,Disc, Temporomandibular Articular,Disc, Temporomandibular Joint,Discs, Temporomandibular Articular,Discs, Temporomandibular Joint,Disk, Temporomandibular Articular,Disks, Temporomandibular Articular,Disks, Temporomandibular Joint,Joint Disc, Temporomandibular,Joint Discs, Temporomandibular,Joint Disk, Temporomandibular,Joint Disks, Temporomandibular,Temporomandibular Articular Disc,Temporomandibular Articular Discs,Temporomandibular Articular Disk,Temporomandibular Articular Disks,Temporomandibular Joint Discs,Temporomandibular Joint Disks

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