Page 66 - Open versus closed Mandibular condyle fractures

Open treatment of unilateral mandibular condyle fractures in adults
Surgical complications were observed (Table 2), including weakness of the facial nerve (12%; of which approximately 5% of cases were permanent), hematoma (1.7%), wound infections (≥2.9%), Frey syndrome (1.1%), sialocele (2.6%), salivary fistula (≥4.8%), disturbance of the sensory component of the great auricular nerve (7.9%), and unsatisfactory scarring (≥1.6%). Fifty-seven percent of the studies investigated the incidence of fixation failure as an outcome measure. In these studies, 5.5% of patients experienced some form of fixation failure, i.e., plate or screw breakage/loosening.
Table 1. Characteristics of treatment outcomes
Authors
Baek Benech Bhutia Biglioli Biglioli Bindra Bouchard Chossegros Colletti Croce
Dalla Torre Downie Dunaway Ebenezer Girotto Hou Kanno Kim
Occlusion
% no malocclusion
100 100 100 95.2 100 100 ND 79 100 100 100 100 96 100 ND 100 100 100 84 100
Mouth opening good (%)
100 ND 100 ND ND ND ND 100 99 100 ND ND ND ND ND 100 100 100 ND ND
Range
>30 mm ND
ND
ND
ND
ND
ND
>35 mm >38 mm ≥40 mm 42–58 mm ND
37–50 mm ND
ND
ND
Mean ROM Pain
(mm) (% unlimited)
(% free of pain)
Manisali ND ND Nam 100 ND Narayanan 100 ND Narayanan 100 ND Pilanci ND ND Rao 100 ND Saikrishna 76.7 100 Salgarelli 92.3 ND Shi J 100 ND Sikora 100 ND
ND
38–56 mm ND
ND
40–50 mm 30–44 mm >40 mm 30–60 mm 30–48 mm 45–54 mm
ND ND ND 46.6 ND ND 45 Numbers given ND 44 Numbers given ND 46 Numbers given 100 38.33 100 ND ND ND 100 ND ND 92.3 40 ND 100 48 ND ND
>40 mm >40 mm 33–59 mm ND
ND 100 NCD 38 ND ND ND 100 ND ND ND ND ND ND ND 34 100 100 ND ND ND ND Numbers given 100 ND 100 100 ND 100 100 44 ND ND ND ND ND 43 ND ND ND ND 100 ND ND ND ND ND ND ND 100 100 ND ND 78.57 42.37 Numbers given ND
ND (VAS)
Klatt
Kumaran
Li100NDND 34.15NDND
44.84 Numbers given
71
31