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CC BY-NC 4.0 · Arch Plast Surg 2012; 39(04): 291-300
DOI: 10.5999/aps.2012.39.4.291
Topic: Mandibular Condyle Fracture

Current Concepts in the Mandibular Condyle Fracture Management Part I: Overview of Condylar Fracture

Kang-Young Choi
Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea
,
Jung-Dug Yang
Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea
,
Ho-Yun Chung
Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea
,
Byung-Chae Cho
Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea
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The incidence of condylar fractures is high, but the management of fractures of the mandibular condyle continues to be controversial. Historically, maxillomandibular fixation, external fixation, and surgical splints with internal fixation systems were the techniques commonly used in the treatment of the fractured mandible. Condylar fractures can be extracapsular or intracapsular, undisplaced, deviated, displaced, or dislocated. Treatment depends on the age of the patient, the co-existence of other mandibular or maxillary fractures, whether the condylar fracture is unilateral or bilateral, the level and displacement of the fracture, the state of dentition and dental occlusion, and the surgeonnds on the age of the patient, the co-existence of othefrom which it is difficult to recover aesthetically and functionally;an appropriate treatment is required to reconstruct the shape and achieve the function ofthe uninjured status. To do this, accurate diagnosis, appropriate reduction and rigid fixation, and complication prevention are required. In particular, as mandibular condyle fracture may cause long-term complications such as malocclusion, particularly open bite, reduced posterior facial height, and facial asymmetry in addition to chronic pain and mobility limitation, great caution should be taken. Accordingly, the authors review a general overview of condyle fracture.

Keywords

Mandibular condyle - Mandibular fractures - Temporomandibular joint

This article was invited as part of a panel presentation, which was one of the most highly rated sessions by participants, at the 69th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 11, 2011 in Seoul, Korea.




Publication History

Received: 24 June 2012

Accepted: 26 June 2012

Article published online:
01 May 2022

© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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