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New protocol for simplified reduction and fixation of subcondylar fractures of the mandible: a technical note

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초록

The dilemma regarding the management of condylar fractures generally revolves around the surgical approach, implant design, and the surgeon’s expe-rience. Zide and Kent’s guidelines streamlined the decision making process for condylar fractures. However, there exists no standardized protocol for reduction and fixation of condylar fractures. Here, we have described a detailed and stepwise protocol, common to any surgical approach, that would lead to predictable, reproducible, and repeatable results in every surgeon’s hands.

Abstract

The dilemma regarding the management of condylar fractures generally revolves around the surgical approach, implant design, and the surgeon’s expe-rience. Zide and Kent’s guidelines streamlined the decision making process for condylar fractures. However, there exists no standardized protocol for reduction and fixation of condylar fractures. Here, we have described a detailed and stepwise protocol, common to any surgical approach, that would lead to predictable, reproducible, and repeatable results in every surgeon’s hands.

참고문헌 (14)

  1. Michael F. Zide, "Indications for open reduction of mandibular condyle fractures", Journal of Oral and Maxillofacial Surgery, 41(2), pp.89~98 (1983), Elsevier BV[DOI]
  2. George N. Kamel, "Establishing a Protocol for Closed Treatment of Mandibular Condyle Fractures with Dynamic Elastic Therapy", Plastic and Reconstructive Surgery - Global Open, 7(12), pp.e2506~ (2019), Ovid Technologies (Wolters Kluwer Health)[DOI]
  3. R.A. Loukota, "Subclassification of fractures of the condylar process of the mandible", British Journal of Oral and Maxillofacial Surgery, 43(1), pp.72~73 (2005), Elsevier BV[DOI]
  4. Orabona GD, "Surgical sequence of reduction in double mandibular fractures treatment", Ann Ital Chir, 85, pp.207~213 (2014)
  5. Erin C. Peterson, "Algorithm for Management of Mandibular Condylar Base Fractures", Plastic and Reconstructive Surgery - Global Open, 8(9), pp.e3145~ (2020), Ovid Technologies (Wolters Kluwer Health)[DOI]
  6. Sukhvinder Bindra, "Management of Mandibular Sub Condylar and Condylar Fractures Using Retromandibular Approach and Assessment of Associated Surgical Complications", Journal of Maxillofacial and Oral Surgery, 9(4), pp.355~362 (2010), Springer Science and Business Media LLC[DOI]
  7. Takahiro Kanno, "Transoral Open Reduction With Rigid Internal Fixation for Subcondylar Fractures of the Mandible Using a Small Angulated Screwdriver System: Is Endoscopic Assistance Necessary?", Journal of Oral and Maxillofacial Surgery, 69(11), pp.e372~e384 (2011), Elsevier BV[DOI]
  8. Byung-Ho Choi, "Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures", Journal of Oral and Maxillofacial Surgery, 59(7), pp.734~737 (2001), Elsevier BV[DOI]
  9. A. Rozeboom, "Open treatment of unilateral mandibular condyle fractures in adults: a systematic review", International Journal of Oral and Maxillofacial Surgery, 46(10), pp.1257~1266 (2017), Elsevier BV[DOI]
  10. 김성영, "Outcomes of open versus closed treatment in the management of mandibular subcondylar fractures", 대한구강악안면외과학회지, 40(6), pp.297~300 (2014), 대한구강악안면외과학회
  11. Christophe Meyer, "Experimental evaluation of three osteosynthesis devices used for stabilizing condylar fractures of the mandible", Journal of Cranio-Maxillofacial Surgery, 34(3), pp.173~181 (2006), Elsevier BV[DOI]
  12. Christophe Meyer, "Photoelastic analysis of bone deformation in the region of the mandibular condyle during mastication", Journal of Cranio-Maxillofacial Surgery, 30(3), pp.160~169 (2002), Elsevier BV[DOI]
  13. Byung-Ho Choi, "Evaluation of condylar neck fracture plating techniques", Journal of Cranio-Maxillofacial Surgery, 27(2), pp.109~112 (1999), Elsevier BV[DOI]
  14. Miriam Crowley, "Surgical management of condylar fracture: A trainee friendly approach", British Journal of Oral and Maxillofacial Surgery, 55(10), pp.e132~ (2017), Elsevier BV[DOI]

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