Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 12 , Pages 1771-1779 , December 2006

Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fractures by an Intraoral Approach: A Long-Term Follow-Up Study of 15 Patients

  • Thomas Jensen, DDS

      Affiliations

    • Consultant, Department of Oral and Maxillofacial Surgery, Aalborg Hospital, Aarhus University Hospital, Denmark.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Jensen: Department of Oral and Maxillofacial Surgery, Aalborg Hospital, Aarhus University Hospital, Hobrovej 18-22 DK-9000 Aalborg, Denmark
    • ,
  • John Jensen, DDS, PhD

      Affiliations

    • Consultant and Head of Department, Department of Oral and Maxillofacial Surgery, Aalborg Hospital, Aarhus University Hospital, Denmark.
    • ,
  • Sven Erik Nørholt, DDS, PhD

      Affiliations

    • Consultant, Department of Oral and Maxillofacial Surgery, Aalborg Hospital, Aarhus University Hospital, Denmark.
    • ,
  • Martin Dahl, DDS

      Affiliations

    • Consultant, Department of Oral and Maxillofacial Surgery, Aalborg Hospital, Aarhus University Hospital, Denmark.
    • ,
  • Lone Lenk-Hansen, DDS

      Affiliations

    • Resident, Department of Oral and Maxillofacial Surgery, Aalborg Hospital, Aarhus University Hospital, Denmark.
    • ,
  • Peter Svensson, DDS, PhD, DrOdont

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital and Department of Clinical Oral Physiology, School of Dentistry, Faculty of Health Sciences, University of Aarhus, Aalborg Hospital, Aarhus University Hospital, Denmark.

References 

  1. Ellis E, Moos KF, El-Attar A. Ten years of mandibular fractures: An analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol. 1985;59:586
  2. Motamedi MH. An assessment of maxillofacial fractures: A 5-year study of 237 patients. J Oral Maxillofac Surg. 2003;61:61
  3. Silvennoinen U, Iizuka T, Lindquist C, et al. Different patterns of condylar fractures, an analysis of 383 patients in a 3 year period. J Oral Maxillofac Surg. 1992;50:1032
  4. Hovinga J, Boering G, Stegenga B. Long-term results of non-surgical management of condylar fractures in children. Int J Oral Maxillofac Surg. 1999;28:429
  5. Dahlstrom L, Kahnberg KE, Lindahl L. Fifteen year follow up on condylar fractures. Int J Oral Maxillofac Surg. 1989;18:18
  6. 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 mandible body). Int J Oral Surg. 1977;6:12
  7. Lindahl L. Condylar fractures of the mandible (IV. Function of the masticatory system). Int J Oral Surg. 1977;6:195
  8. Mitchel DA, Loukota RA, Corrigan AM. Open reduction and internal fixation of condylar fractures via an extended bicoronal approach with a masseteric myotomy. Br J Plast Surg. 1997;50:67
  9. Newman L. A clinical evaluation of the long-term outcome of patients treated for bilateral fracture of the mandibular condyles. Br J Oral Maxillofac Surg. 1998;36:176
  10. Worsaae N, Thorn JJ. Surgical versus nonsurgical treatment of unilateral dislocated low subcondylar fractures: A clinical study of 52 cases. J Oral Maxillofac Surg. 1994;52:353
  11. Zou ZJ, Wu WT, Sun GX, et al. Remodelling of the temporomandibular joint after conservative treatment of condylar fractures. Dentomaxillofac Radiol. 1987;16:91
  12. Konstantinovic VS, Dimitrijevic B. Surgical versus conservative treatment of unilateral condylar process fractures: Clinical and radiographic evaluation of 80 patients. J Oral Maxillofac Surg. 1992;50:349
  13. Widmark G, Bagenholm T, Kahnberg KE, et al. Open reduction of subcondylar fractures. Int J Oral Maxillofac Surg. 1996;25:107
  14. Ellis E, McFadden D, Simon P, et al. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2000;58:950
  15. Choi BH, Yoo JH. Open reduction of condylar neck fractures with exposure of the facial nerve. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:292
  16. Ellis E, Dean J. Rigid fixation of mandibular condylar fractures. Oral Surg Oral Med Oral Pathol. 1993;76:6
  17. Jeter TS, Sickels JEV, Nishioka GJ. Intraoral open reduction with rigid internal fixation of mandibular subcondylar fractures. J Oral Maxillofac Surg. 1988;46:1113
  18. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders. J Craniomandib Disord. 1992;6:301
  19. Derogatis LR. SCL-90R: Administration, Scoring and Procedures Manual-II for the Revised Version. Towson, MD: Clinical Psychometric Research; 1983;
  20. Svensson P, Arendt-Nielsen L, Nielsen H, et al. Effect of chronic and experimental jaw muscle pain on pressure-pain thresholds and stimulus-response curves. J Orofac Pain. 1995;9:347
  21. Lindsay KW, Bone I, Callander R. Neurology and Neurosurgery Illustrated. (ed 3). London: Churchill Livingstone; 1997;
  22. Chen CT, Lai JP, Tung TC, et al. Endoscopically assisted mandibular subcondylar fracture repair. Plast Reconstr Surg. 1999;103:60
  23. Kellman RM. Endoscopically assisted repair of subcondylar fractures of the mandible: An evolving technique. Arch Facial Plast Surg. 2003;5:244
  24. Miloro M. Endoscopic-assisted repair of subcondylar fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96:387
  25. Schön R, Gutwald R, Schramm A, et al. Endoscopy-assisted open treatment of condylar fractures of the mandible: Extraoral vs intraoral approach. Int J Oral Maxillofac Surg. 2002;31:237
  26. Lachner J, Clanton JT, Waite PD. Open reduction and internal rigid fixation of subcondylar fractures via an intraoral approach. Oral Surg Oral Med Oral Pathol. 1991;71:257
  27. Suzuki T, Kawamura H, Kasahara T, et al. Resorbable Poly-L-Lacyide plates and screws for the treatment of mandibular condylar process fractures: A clinical and radiologic follow-up study. J Oral Maxillofac Surg. 2004;62:919
  28. Undt G, Kermer C, Rasse M, et al. Transoral miniplate osteosynthesis of condylar neck fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:534
  29. Yang WG, Chen CT, Tsay PK, et al. Functional results of unilateral condylar process fractures after open and closed treatment. J Trauma. 2002;52:498
  30. Banks P. A pragmatic approach to the management of condylar fractures. Int J Oral Maxillofac Surg. 1999;27:244
  31. Tate GS, Ellis E, Throckmorton G. Bite forces in patients treated for mandibular angle fractures. J Oral Maxillofac Surg. 1994;52:734
  32. Ellis E, Throckmorton GS. Bite forces after open or closed treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2001;59:389
  33. Hammer B, Schier P, Prein J. Osteosynthesis of condylar neck fractures: A review of 30 patients. Br J Oral Maxillofacial Surg. 1997;35:288
  34. Haug RH, Peterson GP, Goltz M. A biomechanical evaluation of mandibular condyle fracture plating techniques. J Oral Maxillofac Surg. 2002;60:73
  35. Iizuka T, Lindqvist C, Hallikainen D, et al. Severe bone resorption and osteoarthrosis after miniplate fixation of high condylar fractures. Oral Surg Oral Med Oral Pathol. 1991;72:400
  36. Choi BH, Yi CK, Yoo JH. MRI examination of the TMJ after surgical treatment of condylar fractures. Int J Oral Maxillofac Surg. 2001;30:296
  37. Silvennoinen U, Raustia AM, Lindqvist C, et al. Occlusal and temporomandibular joint disorders in patients with unilateral condylar fracture (A prospective one-year study). Int J Oral Maxillofac Surg. 1998;27:280

PII: S0278-2391(06)01379-6

doi: 10.1016/j.joms.2005.12.069

Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 12 , Pages 1771-1779 , December 2006

Article Tools

* Image Usage & Resolution