Download PDF
Facial Plast Surg
DOI: 10.1055/s-0044-1782677
Original Research

Conservative versus Surgical Approaches in the Treatment of Intracapsular Condylar Fractures: A Retrospective Study

Jianghong Qi‡   *
1   Department of Plastic Surgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing, China
,
Ying Deng‡   *
1   Department of Plastic Surgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing, China
,
Ling Jiang
1   Department of Plastic Surgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing, China
,
Yang Lu
1   Department of Plastic Surgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing, China
,
Wei Li
1   Department of Plastic Surgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing, China
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

The diagnosis and management of intracapsular condylar fractures (ICFs) are crucial, and if left untreated, they can cause facial asymmetry, limited mouth opening, and even temporomandibular joint (TMJ) ankylosis, which may affect the physical function and mental health of patients. Various procedures have been described for the ICFs, but there is no consensus on the therapeutic methods. This study aimed to compare the clinical efficacy of conservative and surgical management of ICFs.

Keywords

mandibular condyle - intracapsular condylar fracture - treatment

* Jianghong Qi and Ying Deng contributed equally and are co-first authors.




Publication History

Article published online:
21 March 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Loukota RA, Eckelt U, De Bont L, Rasse M. Subclassification of fractures of the condylar process of the mandible. Br J Oral Maxillofac Surg 2005; 43 (01) 72-73
    CrossrefPubMedGoogle Scholar
  • 2 Xu X, Shi J, Xu B, Dai J, Zhang S. Treatment of mandibular symphyseal fracture combined with dislocated intracapsular condylar fractures. J Craniofac Surg 2015; 26 (02) e181-e185
    CrossrefPubMedGoogle Scholar
  • 3 Luo X, Bi R, Jiang N, Zhu S, Li Y. Clinical outcomes of open treatment of old condylar head fractures in adults. J Craniomaxillofac Surg 2021; 49 (06) 480-487
    CrossrefPubMedGoogle Scholar
  • 4 Asim MA, Ibrahim MW, Javed MU, Zahra R, Qayyum MU. Functional outcomes of open versus closed treatment of unilateral mandibular condylar fractures. J Ayub Med Coll Abbottabad 2019; 31 (01) 67-71
    PubMedGoogle Scholar
  • 5 Boffano P, Corre P, Righi S. The role of intra-articular surgery in the management of mandibular condylar head fractures. Atlas Oral Maxillofac Surg Clin North Am 2017; 25 (01) 25-34
    CrossrefPubMedGoogle Scholar
  • 6 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 (06) 597-604
    CrossrefPubMedGoogle Scholar
  • 7 Skroch L, Fischer I, Meisgeier A, Kozolka F, Apitzsch J, Neff A. Condylar remodeling after osteosynthesis of fractures of the condylar head or close to the temporomandibular joint. J Craniomaxillofac Surg 2020; 48 (04) 413-420
    CrossrefPubMedGoogle Scholar
  • 8 Shakya S, Zhang X, Liu L. Key points in surgical management of mandibular condylar fractures. Chin J Traumatol 2020; 23 (02) 63-70
    CrossrefPubMedGoogle Scholar
  • 9 Zhou HH, Lv K, Yang RT, Li Z, Yang XW, Li ZB. Abduction of the condyle head leads to condylar resorption: a radiologic study in children with intracapsular fractures. Int J Pediatr Otorhinolaryngol 2019; 123: 168-174
    CrossrefPubMedGoogle Scholar
  • 10 Panesar K, Susarla SM. Mandibular fractures: diagnosis and management. Semin Plast Surg 2021; 35 (04) 238-249
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Zhu YF, Zou Y, Wang SZ, Du CX, Xu B, Zhu M. Three-dimensional evaluation of condylar morphology after closed treatment of unilateral intracapsular condylar fracture in children and adolescents. J Craniomaxillofac Surg 2020; 48 (03) 286-292
    CrossrefPubMedGoogle Scholar
  • 12 Tabatabaee A, Javanbakht A, Mohammadi Khah M, Shahsavari-Pour M, Dehabadi F. Comparison of therapeutic results of closed and open repair of mandibular condylar fractures. Int J Burns Trauma 2021; 11 (05) 385-390
    PubMedGoogle Scholar
  • 13 Chatzistavrou EK, Basdra EK. Conservative treatment of isolated condylar fractures in growing patients. World J Orthod 2007; 8 (03) 241-248
    PubMedGoogle Scholar
  • 14 Ruf S, Pancherz H. Dentoskeletal effects and facial profile changes in young adults treated with the Herbst appliance. Angle Orthod 1999; 69 (03) 239-246
    PubMedGoogle Scholar
  • 15 Pancherz H. Treatment of class II malocclusions by jumping the bite with the Herbst appliance. A cephalometric investigation. Am J Orthod 1979; 76 (04) 423-442
    CrossrefPubMedGoogle Scholar
  • 16 Ma RS, Zhou ZL, Luo JW, Zhang H, Hou JF. The Ihh signal is essential for regulating proliferation and hypertrophy of cultured chicken chondrocytes. Comp Biochem Physiol B Biochem Mol Biol 2013; 166 (02) 117-122
    CrossrefPubMedGoogle Scholar
  • 17 Zhang C, Xu Y, Cheng Y, Wu T, Li H. Effect of asymmetric force on the condylar cartilage, subchondral bone and collagens in the temporomandibular joints. Arch Oral Biol 2015; 60 (04) 650-663
    CrossrefPubMedGoogle Scholar