1. Management of Medially Displaced Sub-Condylar Mandibular Fractures in Pediatric Population Using Novel Atraumatic Approach
- Author
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Esma Sengenc, Dicle Aksoyler, Mehmet Ali Yavan, Taha Sönmez, Alberto Bolletta, Fatih Dogan, and ŞENGENÇ, ESMA
- Subjects
Male ,Condyle ,intraoral reduction ,mandible ,pediatric patients ,sub-condyle ,Child ,Female ,Fracture Fixation, Internal ,Humans ,Mandible ,Mandibular Condyle ,Treatment Outcome ,Ankylosis ,Mandibular Fractures ,Long term follow up ,03 medical and health sciences ,0302 clinical medicine ,Fracture Fixation ,Occlusion ,Medicine ,Aksoyler D., Dogan F., Bolletta A., ŞENGENÇ E., Sonmez T., Yavan M. A. , -Management of Medially Displaced Sub-Condylar Mandibular Fractures in Pediatric Population Using Novel Atraumatic Approach-, JOURNAL OF CRANIOFACIAL SURGERY, cilt.32, sa.3, ss.851-854, 2021 ,030223 otorhinolaryngology ,Orthodontics ,business.industry ,Posterior facial height ,030206 dentistry ,General Medicine ,Internal ,Temporomandibular joint ,medicine.anatomical_structure ,Otorhinolaryngology ,Surgery ,business ,Pediatric population ,Facial symmetry - Abstract
The appropriate treatment of pediatric mandibular condyle fractures is subject to much debate and concern among surgeons, with improper treatment potentially resulting in a number of adverse outcomes. Such outcomes include the disruption of mandible growth, decreased posterior facial height, facial asymmetry, and temporomandibular joint ankylosis. Several surgical and nonsurgical approaches to these fractures have been described in the literature; however, each one carries its own risk of various complications. In this study, the authors illustrate a new atraumatic approach for mild to moderately displaced subcondylar fractures, with least possible complications and unexpected outcomes. In this study, 6 patients (2 female and 4 male) with unilateral medially displaced condylar base and neck fractures, angulated between 30 and 45 degrees, were treated using a novel intraoral approach. The follow-up period varied from 12 to 18 months. All patients achieved normal occlusion and had painless functioning of the temporomandibular joint with proper mouth opening (>35 mm) without any recurrence at long term follow up. This minimally invasive approach could eliminate the possibility of major complications and be considered a safe and feasible surgical technique for certain cases of pediatric mandibular condyle fracture.
- Published
- 2020