Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 2 , Pages 265-271 , February 2008

Rigid Versus Semirigid Fixation for Condylar Fracture: Experience With the External Fixation System

  • Piero Cascone, MD, PhD

      Affiliations

    • Associate Professor, Department of Craniomaxillofacial Surgery, La Sapienza University, Rome, Italy.
    • ,
  • Fabrizio Spallaccia, MD

      Affiliations

    • Assistant, Department of Craniomaxillofacial Surgery, La Sapienza University, Rome, Italy.
    • ,
  • Flavia Maria Graziana Fatone, MD, PhD

      Affiliations

    • Senior Resident, Department of Craniomaxillofacial Surgery, La Sapienza University, Rome, Italy.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Fatone: Via Piave, 7-00187 Rome, Italy
    • ,
  • Andrea Rivaroli, MD

      Affiliations

    • Assistant, Department of Craniomaxillofacial Surgery, La Sapienza University, Rome, Italy.
    • ,
  • Andrea Saltarel, MD

      Affiliations

    • Assistant, Department of Craniomaxillofacial Surgery, La Sapienza University, Rome, Italy.
    • ,
  • Giorgio Iannetti, MD, PhD

      Affiliations

    • Professor and Director, Department of Craniomaxillofacial Surgery, La Sapienza University, Rome, Italy.

References 

  1. Hill CM, Crosher RF, Carrol MJ. Facial fractures: The results of a prospective four-year study. J Maxillofac Surg. 1984;12:267
  2. Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg. 1990;48:926
  3. Schön R, Roveda SIL, Carter B. Mandibular fractures in Townsville, Australia: Incidence, etiology and treatment using the 2.0 AO/ASIF Miniplate system. Br J Oral Maxillofac Surg. 2001;39:145
  4. Iannetti G, Cascone P. Use of rigid external fixation in fractures of the mandibular condyle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;80:394
  5. Throckmorton GS, Ellis E, Hayasaki H. Masticatory motion after surgical or nonsurgical treatment for unilateral fractures of the mandibular condylar process. J Oral Maxillofac Surg. 2004;62:127
  6. Walker RV. Condylar fractures: Nonsurgical management. J Oral Maxillofac Surg. 1994;52:1189
  7. Villarreal PM, Monje F, Junquera LM, et al. Mandibular condyle fractures: Determinants of treatment and outcome. J Oral Maxillofac Surg. 2004;62:155
  8. Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg. 1983;41:89
  9. Ellis E, Throckmorton GS. Treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2005;63:115
  10. Chossegros C, Cheynet F, Blank JL, et al. Short retromandibular approach of subcondylar fractures: Clinical and radiologic long-term evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:248
  11. MacLennan WD. Consideration of 180 cases of typical fractures of the mandibular condylar process. Br J Plast Surg. 1952;5:122
  12. Haug RH, Assael LA. Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg. 2001;59:370
  13. Smets LM, Van Damme PA, Stoelinga PJ. Non-surgical treatment of condylar fractures in adults: A retrospective analysis. J Craniomaxillofac Surg. 2003;31:162
  14. Sesenna E, Bozzetti A: Il trattamento funzionale delle fratture di condilo secondo Delaire. Atti del World Congress for Maxillofacial Surgery, Sorrento-Napoli, May 25-28, 1982
  15. Marker P, Nielsen A, Bastian HL. Fractures of the mandibular condyle (Part 2: Results of treatment of 348 patients). Br J Oral Maxillofac Surg. 2000;38:422
  16. Alkan A, Metin M, Muglali M, et al. Biomechanical comparison of plating techniques for fractures of the mandibular condyle. Br J Oral Maxillofac Surg. 2007;45:145
  17. Koberg WR, Mommam W. Treatment of fractures of the articular process by functional stable osteosynthesis using miniaturized dynamic compression plates. Int J Oral Surg. 1978;7:256
  18. Cascone P, Govoni FA, De Ponte FS, et al. Vie di accesso e mezzi di sintesi nella riduzione chirurgica delle fratture del condilo mandibolare: Review della letteratura. Riv Chir Max Fac. 1994;2:33
  19. Cascone P, Di Paolo C: Patologia dell’articolazione temporo-mandibolare. Dall’eziopatogenesi alla terapia. Ed Utet 1:187, 2004
  20. Hidding J, Wolf R, Pingel D. Surgical versus non-surgical treatment of fractures of the articular process of the mandible. J Craniomaxillofac Surg. 1992;20:345
  21. Krenkel C. Axial “anchor” screw or “slanted-screw” plate for osteosynthesis of fractures of the mandibular condylar process. J Craniomaxillofac Surg. 1992;20:348
  22. Ellis E. Condylar process fractures of the mandible. Facial Plast Surg. 2000;16:193
  23. Rallis G, Mourouzis C, Ainatzoglou M, et al. Plate osteosynthesis of condylar fractures: A retrospective study of 45 patients. Quintess Int. 2003;34:45
  24. Hlawitschka M, Loukota R, Eckelt U. Functional and radiological results of open and closed treatment of intracapsular (diacapitular) condylar fractures of the mandible. Int J Oral Maxillofac Surg. 2005;34:597
  25. Ellis E, Simon P, Throckmorton GS. Occlusal results after open or closed treatment of fractures of the mandibular condylar process. Int J Oral Maxillofac Surg. 2000;58:260
  26. Raveh JR, Vuillemin T, Ladrach K. Open reduction of the dislocated, fractured condylar process: Indications and surgical procedures. J Oral Maxillofac Surg. 1989;47:120
  27. Rowe NL, Killey HC. Fractures of the Facial Skeleton. Edinburg, UK: Livingstone; 1968;
  28. Widmark G, Bagenholm T, Kahnberg KE, et al. Open reduction of subcondylar fractures: A study of functional rehabilitation. Int J Oral Maxillofac Surg. 1996;25:107
  29. Cascone P, Valentini V. L’uso del fissatore rigido esterno nelle fratture del condilo mandibolare. Riv Chir Max Fac. 1992;1:45

PII: S0278-2391(07)01412-7

doi: 10.1016/j.joms.2007.06.621

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 2 , Pages 265-271 , February 2008

Article Tools

* Image Usage & Resolution