Mandibular condylar fractures: 12 years experience maxillofacial surgery service, Hospital Carlos Van Buren, Valparaíso, Chile

Introduction: The condyle is frequently affected anatomical area (25–35%), due to its relative structural weakness. Most often they are indirect fractures or shear and bending is common to alter the occlusion. Most causes described are traffic accidents, falls or assaults. The gender distribution is 3:1 (male:female). The treatment of these fractures is controversial, either surgical or orthopedic depend on which is most predictable, based on clinical and anatomical characteristics of each case, such as patient identification, type of fracture and degree of displacement mainly of the fragments and displacement of the condyle.

Objective: This study shows the clinical experience of Carlos Van Buren Hospital, Valparaiso 12 years with respect to condylar fractures bilateral or unilateral.

Methodology: Clinical evaluation and imaging of 80 cases in the period 1999–2011 admitted with a diagnosis of mandibular condylar fractures. Results are shown as well as trends in the therapy given. Mandibular dynamics, neurological disorders and aesthetic with regular clinical and imaging are controlled.

Results: The greater percentage of men (65%). Unilateral fractures were almost twice than bilateral. Orthopedic treatment prevailing during the first 7 years, and the surgical management evolves mainly in the last 5 years. The most prevalent complication was temporal damage to the facial nerve.

Conclusion: The focus of these fractures remains controversial because of different approaches to treatment, must meet the basic parameters of occlusal stability, fracture type, site of this and that is why the identification of each clinical case very important in determining the best treatment.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Mandibular condylar fractures: 12 years experience maxillofacial surgery service, Hospital Carlos Van Buren, Valparaíso, Chile
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