University Journal of Surgery and Surgical Specialities
Email this article 
Hide
Show all
Rhytidectomy approach for management of Subcondylar fractures of Mandible
Abstract
BACKGROUND:
Fractures of the mandibular condyle are common and account for 25% to 50% of all mandibular fractures. There are various approaches available for open reduction and internal fixation of condylar fractures of mandible. This study was done to evaluate the efficacy of Rhytidectomy approach for open reduction and internal fixation of subcondylar fractures of the mandible.
MATERIALS AND METHODS:
A total of 20 patients (16 males and 4 females) in the age group of 20 to 40 years were included in the study. All patients had unilateral subcondylar fractures with or without associated fractures of mandible. Patients were selected according to inclusion and exclusion criteria. Radiographic examination using CT scan was done pre and post operatively. All patients were treated with General anesthesia using Rhytidectomy or facelift approach for open reduction and internal fixation of unilateral subcondylar fractures of mandible.
RESULTS AND CONCLUSIONS:
Average mouth opening preoperatively was 23.2 ± 2.6 mm and was increased to 36.2 ± 2.8 mm post operatively. All cases had occlusal derangements pre operatively which got resolved excellently due to very good anatomic reduction. Surgical access was excellent and scar was inconspicuous in all patients. Post operatively, TMJ pain was found in two patients, and clicking sound and deviation was present in two patients. Salivary fistula was seen in three patients. Transient facial nerve weakness was noticed in three patients and auricular anesthesia observed in two patients.
Full Text:
PDFReferences
Walker RV. Discussion: Open reduction of condylar fractures of the mandible in conjunction with repair of discal injury: A preliminary report. Journal of Oral and Maxillofacial Surgery. 1988 Apr 1;46(4):262-3.
Konstantinović VS, Dimitrijević B. Surgical versus conservative treatment of unilateral condylar process fractures: clinical and radiographic evaluation of 80 patients. Journal of oral and maxillofacial surgery. 1992 Apr 1;50(4):349-52.
Takenoshita Y, Ishibashi H, Oka M. Comparison of functional recovery after nonsurgical and surgical treatment of condylar fractures. Journal of oral and maxillofacial surgery. 1990 Nov 1;48(11):1191-5.
Lindahl L. Condylar fractures of the mandible: I. Classification and relation to age, occlusion, and concomitant injuries of teeth and teeth-supporting structures, and fractures of the mandibular body. International journal of oral surgery. 1977 Feb 1;6(1):12-21.
Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. Journal of Oral and Maxillofacial Surgery. 1983 Feb 1;41(2): 89-98.
Ellis E, Dean J. Rigid fixation of mandibular condyle fractures. Oral surgery, oral medicine, oral pathology. 1993 Jul 1;76(1):6-15.
Spiessl B, Schroll K: Fractures of the condylar head and neck. In: Spezielle Frakturen- und Luxationslehre (Textbook of specialised fractures and dislocations), vol. 1. Nigst H. Stuttgart, Thieme, pp. 36e152, 1972
Krenkel C. Treatment of mandibular-condylar fractures. Atlas of the oral and maxillofacial surgery clinics of North America. 1997 Mar;5(1):127-55.
Zachariades N, Mezitis M, Mourouzis C, Papadakis D, Spanou A. Fractures of the mandibular condyle: a review of 466 cases. Literature review, reflections on treatment and proposals. Journal of Cranio-Maxillofacial Surgery. 2006 Oct 1;34(7):421-32.
Saikrishna D, Shetty SK, Reshma VP. A comparative evaluation of rhytidectomy versus retromandibular approach for Open Reduction and Internal Fixation (ORIF) of mandibular condylar fractures. Journal of maxillofacial and oral surgery. 2009 Mar 1;8(1):13-6.
Haug RH, Brandt MT. Traditional versus endoscope-assisted open reduction with rigid internal fixation (ORIF) of adult mandibular condyle fractures: a review of the literature regarding current thoughts on management. Journal of oral and maxillofacial surgery. 2004 Oct 1;62(10):1272-9.
Fridrich KL, Pena-Velasco G, Olson RA. Changing trends with mandibular fractures: a review of 1,067 cases. Journal of oral and maxillofacial surgery. 1992 Jun 1;50(6):586-9.
Marker P, Nielsen A, Bastian HL. Fractures of the mandibular condyle. Part 1: patterns of distribution of types and causes of fractures in 348 patients. British Journal of Oral and Maxillofacial Surgery. 2000 Oct 1;38(5):417-21.
Ellis III E, Simon P, Throckmorton GS. Occlusal results after open or closed treatment of fractures of the mandibular condylar process. Journal of oral and maxillofacial surgery. 2000 Mar 1;58(3):260-8.
Silvennoinen U, Iizuka T, Lindqvist C, Oikarinen K. Different patterns of condylar fractures: an analysis of 382 patients in a 3-year period. Journal of oral and maxillofacial surgery. 1992 Oct 1;50(10):1032-7.
Wilson AW, Ethunandan M, Brennan PA. Transmasseteric antero-parotid approach for open reduction and internal fixation of condylar fractures. British Journal of Oral and Maxillofacial Surgery. 2005 Feb 1;43(1):57-60.
Roccia F, Bianchi F, Zavattero E, Tanteri G, Ramieri G. Characteristics of maxillofacial trauma in females: a retrospective analysis of 367 patients. Journal of Cranio-Maxillofacial Surgery. 2010 Jun 1;38(4):314-9.
Joos U, Kleinheinz J. Therapy of condylar neck fractures. International journal of oral and maxillofacial surgery. 1998 Aug 1;27(4):247-54.
Smets LM, Van Damme PA, Stoelinga PJ. Non-surgical treatment of condylar fractures in adults: a retrospective analysis. Journal of Cranio-Maxillofacial Surgery. 2003 Jun 1;31(3):162-7.
Hinds EC, Girotti WJ. Vertical subcondylar osteotomy: a reappraisal. Oral Surgery, Oral Medicine, Oral Pathology. 1967 Aug 1;24(2):164-70.
Manisali M, Amin M, Aghabeigi B, Newman L. Retromandibular approach to the mandibular condyle: a clinical and cadaveric study. International journal of oral and maxillofacial surgery. 2003 Jun 1;32(3):253-6.
Vesnaver A, Gorjanc M, Eberlinc A, Dovšak DA, Kansky AA. The periauricular transparotid approach for open reduction and internal fixation of condylar fractures. Journal of Cranio-Maxillofacial Surgery. 2005 Jun 1;33(3):169-79.
Chossegros C, Cheynet F, Blanc JL, Bourezak Z. Short retromandibular approach of subcondylar fractures: clinical and radiologic long-term evaluation. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics. 1996 Sep 1;82(3):248-52.
Widmark G, Facial Symmetry After Closed and Open Treatment of Fractures of the Mandibular Condylar Process Journal of Oral Maxillofac Surg 58:729-730, 2000
Anastassov GE, Rodriguez ED, Schwimmer AM, Adamo AK. Facial rhytidectomy approach for treatment of posterior mandibular fractures. Journal of cranio-maxillo-facial surgery. 1997 Feb 1;25(1):9-14.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An Initiative of The Tamil Nadu Dr MGR Medical University