J Korean Assoc Maxillofac Plast Reconstr Surg.  1997 May;19(2):167-180.

Clinical study on surgical management of mandibular condylar fractures

• Min SK

Abstract

79 surgically managed mandibular condylar fracture patients included the 25 patients treated with Dr. Nam's method were analysed the postoperative results in Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University since 1993 to 1995. Mean patient's age is 32.5 years (range, 8 to 65 years), and follow-up periods were a minimum of 3 months to 28 months. 19% condylar fractures were associated with mostly symphysis portion. According to the patient's age, severity of condylar fractures, clinical signs and symptoms, radiographic findings, treatment plans had been performed. Rigid fixation have performed greatly, and then fragment removal of fractured mesial pole of proximal segment of the condylar and little cases of reshaping and eminoplasty and lag screw have been applied. Two cases of the both condylar resorption and deviated condyle posteriorly in Dr. Nam's method. None of infection or necrosis signs of treated condyle surgically. In my opinion, whenever possible, displaced condylar fracture can be managed surgically with rigid fixation, but not Dr. Nam's method. Usually if perform the surgical management of condylar fractures you should maintain maxillomandibular fixation for 2 weeks, or more and has to ,follow-up functional mandibular exercise should be kept continuously.

MeSH Terms

Dentistry
Follow-Up Studies
Humans
Jaw Fixation Techniques
Necrosis
Surgery, Oral