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ORIGINAL ARTICLE - COMPARATIVE STUDY
Year : 2018  |  Volume : 8  |  Issue : 1  |  Page : 19-27

Condylar fractures: Review of 40 cases


1 Plastic and Reconstructive Surgery Unit, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt
2 Department of General Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Correspondence Address:
Dr. Ahmed Hassan El-Sabbagh
Plastic Surgery Unit, Faculty of Medicine, Mansoura University Hospital, Mansoura
Egypt
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DOI: 10.4103/ams.ams_133_17

PMID: 29963420

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Purpose: To put an algorithmic approach for the treatment of condylar fractures according to the condition of occlusion. Patients and Methods: This study had been carried out between May 2016 and April 2017. Forty patients were included (6 females and 34 males) with their ages ranged between 3 and 60 years. Patients were managed through two approaches as follows: maxillomandibular fixation (MMF) only regimen and MMF with open reduction and internal fixation regimen. The operated cases were 12 with bilateral condylar/subcondylar fractures, and the rest were unilateral 28 cases. Results: Data were assessed demographically, time lapse before the intervention, surgically, functionally, and radiologically. In general, there were no significant differences between closed and open methods. Conclusion: Retromandibular approach was convenient for internal fixation of condylar fracture with a good outcome. In our work, there were no significant differences between closed and open methods in the treatment of condylar fractures.


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