International Journal of Medical Sciences

2 September 2014

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Int J Med Sci 2008; 5(6):313-318. doi:10.7150/ijms.5.313

Review

The treatment of condylar fractures: to open or not to open? A critical review of this controversy

Renato VALIATI1*, Danilo IBRAHIM1*, Marcelo Emir Requia ABREU1*, Claiton HEITZ2*, Rogério Belle de OLIVEIRA2*, Rogério Miranda PAGNONCELLI2*, Daniela Nascimento SILVA2*

1. School of Dentistry, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.
2. Post-Graduation in Dentistry - Department of Surgery (Head: Prof. Dr. José Antônio Poli Figueiredo) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
* These authors contributed equally.

Abstract

The treatment of condylar process fractures has generated a great deal of discussion and controversy in oral and maxillofacial trauma and there are many different methods to treat this injury. For each type of condylar fracture, the techniques must be chosen taking into consideration the presence of teeth, fracture height, patient's adaptation, patient's masticatory system, disturbance of occlusal function, deviation of the mandible, internal derangements of the temporomandibular Joint (TMJ) and ankylosis of the joint with resultant inability to move the jaw, all of which are sequelae of this injury. Many surgeons seem to favor closed treatment with maxillomandibular fixation (MMF), but in recent years, open treatment of condylar fractures with rigid internal fixation (RIF) has become more common. The objective of this review was to evaluate the main variables that determine the choice of method for treatment of condylar fractures: open or closed, pointing out their indications, contra-indications, advantages and disadvantages.

Keywords: mandibular condyle, temporomandibular joint, mandibular fractures, internal fracture fixation, jaw fixation techniques.

How to cite this article:
VALIATI R, IBRAHIM D, ABREU MER, HEITZ C, de OLIVEIRA RB, PAGNONCELLI RM, SILVA DN. The treatment of condylar fractures: to open or not to open? A critical review of this controversy. Int J Med Sci 2008; 5(6):313-318. doi:10.7150/ijms.5.313. Available from http://www.medsci.org/v05p0313.htm