Abstract

Objective : The objective of this review was to provide reliable comparative results regarding the effectiveness of any interventions either open or closed that can be used in the management of fractured mandibular condyle Patients and Methods : Research of studies from MEDLINE and Cochrane since 1990 was done. Controlled vocabulary terms were used. MeSH Terms were "Mandibular condyle" AND "Fractures, bone". Only comparative study were considered in this review using the "limit" function. According to the criteria, two review authors independently assessed the abstracts of studies resulting from the searches. The studies were divided according to some criteria, and following were measured: Ramus height, condyle sagittal displacement, condyle Towns's image displacement, Maximum open length, Protrusion & Lateral excursion, TMJ pain, Malocclusion, and TMJ disorder. Results : Many studies were analyzed to review the post-operative result of the two methods of treatment. Ramus height decreased more in when treated by closed reduction as opposed to open reduction. Sagittal condyle displacement was shown to be greater in closed reduction. Condyle Town's image condyle displacement had greater values in closed reduction. Maximum open length showed lower values in closed reduction. In protrusive and lateral movement, closed reduction was less than ORIF. Closed reduction showed greater occurrence of malocclusion than ORIF. However, post-operative pain and discomfort was greater in ORIF. Conclusion : In almost all categories, ORIF showed better results than CRIF. However, the use of the open reduction method should be considered due to the potential surgical morbidity and increased hospitalization time and cost. To these days, Endoscopic surgical techniques for ORIF (EORIF) are now in their infancy with the specific aims of eliminating concern for damage to the facial nerve and of reducing or eliminating facial scars. Before performing any types of treatment, patients must be understood of both of the treatment methods, and the best treatment method should be taken on permission.

주제어

#Mandibular condyle fracture   #Open reduction   #Close reduction   #Systematic review  

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참고문헌 (20)

1. De Riu G, Gamba U, Anghinoni M, Sesenna E: A comparison of open and closed treatment of condylar fractures: a change in philosophy. Int J Oral Maxillofac Surg 2001;30(5):384-9 
2. Ellis E, 3rd, Simon P, Throckmorton GS: Occlusal results after open or closed treatment of fractures of the mandibular condylar process. J Oral Maxillofac Surg 2000;58(3):260-8 
3. Ellis E, 3rd, Throckmorton G. Facial symmetry after closed and open treatment of fractures of the mandibular condylar process. J Oral Maxillofac Surg 2000;58(7):719-28; discussion 29-30 
4. Konstantinovic VS, Dimitrijevic B: Surgical versus conservative treatment of unilateral condylar process fractures: clinical and radiographic evaluation of 80 patients. J Oral Maxillofac Surg 1992;50(4):349-52; discussion 52-3 
5. Throckmorton GS, Ellis E, 3rd. Recovery of mandibular motion after closed and open treatment of unilateral mandibular condylar process fractures. Int J Oral Maxillofac Surg 2000;29(6):421-7 
6. Takenoshita Y, Ishibashi H, Oka M: Comparison of functional recovery after nonsurgical and surgical treatment of condylar fractures. J Oral Maxillofac Surg 1990;48(11):1191-5 
7. Ishihama K, Iida S, Kimura T, Koizumi H, Yamazawa M, Kogo M: Comparison of surgical and nonsurgical treatment of bilateral condylar fractures based on maximal mouth opening. Cranio 2007;25(1):16-22 
8. Throckmorton GS, Ellis E, 3rd, Hayasaki H. Masticatory motion after surgical or nonsurgical treatment for unilateral fractures of the mandibular condylar process. J Oral Maxillofac Surg 2004;62(2):127-38 
9. M. Todd Brandt RH, Haug: Open Versus Closed Reduction of Adult Mandibular Condyle Fractures : A Review of the Literature Regarding the Evolution of Current Thoughts on Management. J Oral Maxillofac Surg 2003;61:1324-32 
10. Worsaae N, Thorn JJ: Surgical versus nonsurgical treatment of unilateral dislocated low subcondylar fractures: a clinical study of 52 cases. J Oral Maxillofac Surg 1994;52(4):353-60; discussion 60-1 
11. Lee C SM, Young DM: Cranial nerve VII region of the traumatized facial skeleton : Optimizing fracture repair with the endoscope. J Trauma 2000;48(423) 
12. Eckelt U, Schneider M, Erasmus F, Gerlach KL, Kuhlisch E, Loukota R, et al.: Open versus closed treatment of fractures of the mandibular condylar process-a prospective randomized multi-centre study. J Craniomaxillofac Surg 2006;34(5):306-14 
13. Hlawitschka M LR, Eckelt U: Functional and radiological results of open and closed treatment if intracapsular (diacapitular) condylar fractures of the mandible. Int J Oral Maxillofac Surg. 2005;34(6):597-604 
14. Lauer G SR: Endoscope-assisted fixation of mandibular condylar process fractures. J Oral Maxillofac Surg 1999;57(36) 
15. Widmark G, Bagenholm T, Kahnberg KE, Lindahl L: Open reduction of subcondylar fractures. A study of functional rehabilitation. Int J Oral Maxillofac Surg 1996;25(2):107-11 
16. Palmieri C, Ellis E, 3rd, Throckmorton G. Mandibular motion after closed and open treatment of unilateral mandibular condylar process fractures. J Oral Maxillofac Surg 1999;57(7):764-75; discussion 75-6 
17. Santler G, Karcher H, Ruda C, Kole E: Fractures of the condylar process: surgical versus nonsurgical treatment. J Oral Maxillofac Surg 1999;57(4):392-7; discussion 97-8 
18. Yang WG, Chen CT, Tsay PK, Chen YR: Functional results of unilateral mandibular condylar process fractures after open and closed treatment. J Trauma 2002;52(3):498-503 
19. Stiesch-Scholz M, Schmidt S, Eckardt A: Condylar motion after open and closed treatment of mandibular condylar fractures. J Oral Maxillofac Surg 2005;63(9):1304-9 
20. Haug RH, Assael LA: Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg 2001;59(4):370-5; discussion 75-6 

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