Management of Mandibular Sub Condylar and Condylar Fractures Using Retromandibular Approach and Assessment of Associated Surgical Complications
Identifieur interne : 002372 ( Pmc/Checkpoint ); précédent : 002371; suivant : 002373Management of Mandibular Sub Condylar and Condylar Fractures Using Retromandibular Approach and Assessment of Associated Surgical Complications
Auteurs : Sukhvinder Bindra ; Kirti Choudhary [Inde] ; Parveen Sharma [Inde] ; Anil Sheorain [Inde] ; C. B. Sharma [Inde]Source :
- Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2010.
Abstract
To evaluate surgical complications associated with open reduction and internal fixation of condylar fractures using retromandibular approach in terms of intraoperative and postoperative complications.
Ten patients with displaced unilateral/bilateral condylar fractures were selected for the study. Intraoperative complications were evaluated in the form of haemorrhage due to damage to retromandibular vein and damage to marginal mandibular branch of facial nerve. Postoperative complications like presence of infection, signs of Frey’s syndrome, parotid fistula formation, facial nerve palsy, and discrepancy in occlusion and functions of temporomandibular joint were evaluated at intervals of 24 h, one week, six weeks and three months postoperative. Radiographically, the approximation of fracture fragments, plate fracture and screw loosening on orthopantomograph and Reverse Towne’s view were evaluated at intervals of 24 h, six weeks and three months postoperatively.
None of the patients suffered from any major complication intra and post operatively.
Open reduction and internal fixation should be given due consideration in the management of displaced mandibular condylar fractures and is associated with minimal morbidity using retromandibular approach.
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DOI: 10.1007/s12663-010-0133-5
PubMed: 22190824
PubMed Central: 3177485
Affiliations:
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<author><name sortKey="Bindra, Sukhvinder" sort="Bindra, Sukhvinder" uniqKey="Bindra S" first="Sukhvinder" last="Bindra">Sukhvinder Bindra</name>
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<author><name sortKey="Choudhary, Kirti" sort="Choudhary, Kirti" uniqKey="Choudhary K" first="Kirti" last="Choudhary">Kirti Choudhary</name>
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<wicri:noRegion>Haryana</wicri:noRegion>
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<author><name sortKey="Sharma, Parveen" sort="Sharma, Parveen" uniqKey="Sharma P" first="Parveen" last="Sharma">Parveen Sharma</name>
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<series><title level="j">Journal of Maxillofacial & Oral Surgery</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To evaluate surgical complications associated with open reduction and internal fixation of condylar fractures using retromandibular approach in terms of intraoperative and postoperative complications.</p>
</sec>
<sec><title>Method</title>
<p>Ten patients with displaced unilateral/bilateral condylar fractures were selected for the study. Intraoperative complications were evaluated in the form of haemorrhage due to damage to retromandibular vein and damage to marginal mandibular branch of facial nerve. Postoperative complications like presence of infection, signs of Frey’s syndrome, parotid fistula formation, facial nerve palsy, and discrepancy in occlusion and functions of temporomandibular joint were evaluated at intervals of 24 h, one week, six weeks and three months postoperative. Radiographically, the approximation of fracture fragments, plate fracture and screw loosening on orthopantomograph and Reverse Towne’s view were evaluated at intervals of 24 h, six weeks and three months postoperatively.</p>
</sec>
<sec><title>Results</title>
<p>None of the patients suffered from any major complication intra and post operatively.</p>
</sec>
<sec><title>Conclusion</title>
<p>Open reduction and internal fixation should be given due consideration in the management of displaced mandibular condylar fractures and is associated with minimal morbidity using retromandibular approach.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id>
<journal-title-group><journal-title>Journal of Maxillofacial & Oral Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-8279</issn>
<issn pub-type="epub">0974-942X</issn>
<publisher><publisher-name>Springer-Verlag</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
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<article-id pub-id-type="pmc">3177485</article-id>
<article-id pub-id-type="publisher-id">133</article-id>
<article-id pub-id-type="doi">10.1007/s12663-010-0133-5</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject>
</subj-group>
</article-categories>
<title-group><article-title>Management of Mandibular Sub Condylar and Condylar Fractures Using Retromandibular Approach and Assessment of Associated Surgical Complications</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Bindra</surname>
<given-names>Sukhvinder</given-names>
</name>
<address><phone>+09963111550</phone>
<email>dr_sukhvinder@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
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<contrib contrib-type="author"><name><surname>Choudhary</surname>
<given-names>Kirti</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sharma</surname>
<given-names>Parveen</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sheorain</surname>
<given-names>Anil</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sharma</surname>
<given-names>C. B.</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Kamineni Institute of Dental Sciences, House No 20, Radha Regal Rows, Near Kalyan Gardens, Yapral, Secuderabad, 500011 Andhra Pradesh India</aff>
<aff id="Aff2"><label>2</label>
D.A.V Dental College, Haryana, India</aff>
</contrib-group>
<pub-date pub-type="epub"><day>29</day>
<month>1</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>12</month>
<year>2010</year>
</pub-date>
<volume>9</volume>
<issue>4</issue>
<fpage>355</fpage>
<lpage>362</lpage>
<history><date date-type="received"><day>7</day>
<month>4</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>14</day>
<month>10</month>
<year>2010</year>
</date>
</history>
<permissions><copyright-statement>© Association of Oral and Maxillofacial Surgeons of India 2011</copyright-statement>
</permissions>
<abstract id="Abs1"><sec><title>Purpose</title>
<p>To evaluate surgical complications associated with open reduction and internal fixation of condylar fractures using retromandibular approach in terms of intraoperative and postoperative complications.</p>
</sec>
<sec><title>Method</title>
<p>Ten patients with displaced unilateral/bilateral condylar fractures were selected for the study. Intraoperative complications were evaluated in the form of haemorrhage due to damage to retromandibular vein and damage to marginal mandibular branch of facial nerve. Postoperative complications like presence of infection, signs of Frey’s syndrome, parotid fistula formation, facial nerve palsy, and discrepancy in occlusion and functions of temporomandibular joint were evaluated at intervals of 24 h, one week, six weeks and three months postoperative. Radiographically, the approximation of fracture fragments, plate fracture and screw loosening on orthopantomograph and Reverse Towne’s view were evaluated at intervals of 24 h, six weeks and three months postoperatively.</p>
</sec>
<sec><title>Results</title>
<p>None of the patients suffered from any major complication intra and post operatively.</p>
</sec>
<sec><title>Conclusion</title>
<p>Open reduction and internal fixation should be given due consideration in the management of displaced mandibular condylar fractures and is associated with minimal morbidity using retromandibular approach.</p>
</sec>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Condylar fractures</kwd>
<kwd>Retromandibular approach</kwd>
<kwd>Intra and postoperative complications</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Association of Oral and Maxillofacial Surgeons of India 2011</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
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<country name="Inde"><noRegion><name sortKey="Choudhary, Kirti" sort="Choudhary, Kirti" uniqKey="Choudhary K" first="Kirti" last="Choudhary">Kirti Choudhary</name>
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<name sortKey="Sharma, C B" sort="Sharma, C B" uniqKey="Sharma C" first="C. B." last="Sharma">C. B. Sharma</name>
<name sortKey="Sharma, Parveen" sort="Sharma, Parveen" uniqKey="Sharma P" first="Parveen" last="Sharma">Parveen Sharma</name>
<name sortKey="Sheorain, Anil" sort="Sheorain, Anil" uniqKey="Sheorain A" first="Anil" last="Sheorain">Anil Sheorain</name>
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