Arch Plast Surg.  2012 Jul;39(4):301-308. 10.5999/aps.2012.39.4.301.

Current Concepts in the Mandibular Condyle Fracture Management Part II: Open Reduction Versus Closed Reduction

• Choi KY
• Yang JD
• Chung HY
• Cho BC

• KMID: 2120681
• DOI: http://doi.org/10.5999/aps.2012.39.4.301

Abstract

In the treatment of mandibular condyle fracture, conservative treatment using closed reduction or surgical treatment using open reduction can be used. Management of mandibular condylar fractures remains a source of ongoing controversy in oral and maxillofacial trauma. For each type of condylar fracture,the treatment method must be chosen taking into consideration the presence of teeth, fracture height, patient'sadaptation, patient's masticatory system, disturbance of occlusal function, and deviation of the mandible. In the past, closed reduction with concomitant active physical therapy conducted after intermaxillary fixation during the recovery period had been mainly used, but in recent years, open treatment of condylar fractures with rigid internal fixation has become more common. The objective of this review was to evaluate the main variables that determine the choice of an open or closed method for treatment of condylar fractures, identifying their indications, advantages, and disadvantages, and to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the mandibular condyle.

Keyword

Jaw fixation techniques; Mandibular condyle; Mandibular fractures; Motion therapy, continuous passive

MeSH Terms

Jaw Fixation Techniques
Mandible
Mandibular Condyle
Mandibular Fractures
Motion Therapy, Continuous Passive
Stomatognathic System
Tooth