2019, Número 5
Fracturas del cóndilo mandibular: Un diagnóstico con tratamiento controversial
Ortiz-Gutiérrez AL, Beltrán-Salinas B, Cienfuegos R
Idioma: Ingles.
Referencias bibliográficas: 46
Paginas: 587-594
Archivo PDF: 385.49 Kb.
RESUMEN
Antecedentes: A lo largo de los años se ha discutido con gran preocupación el tratamiento que hay que escoger para la
resolución de las fracturas condilares. Este depende del tipo y la localización de la fractura, así como de otros factores asociados,
como las lesiones faciales y las enfermedades concomitantes.
Objetivo: Hacer una revisión de los diferentes criterios
para establecer un diagnóstico y un tratamiento para la resolución de las fracturas del cóndilo mandibular, de acuerdo con la
evolución de los años y lo que esto conlleva.
Discusión: El manejo de las fracturas condilares sigue siendo controvertido
entre los cirujanos. Sin embargo, a medida que pasa el tiempo y se realizan estudios comparativos y analíticos sobre el tema,
se establecen parámetros y criterios para facilitar las decisiones tomadas en relación con el manejo y el tratamiento de las
fracturas condilares.
Conclusión: Las fracturas condilares deben ser manejadas según la clínica y la presentación del caso.
REFERENCIAS (EN ESTE ARTÍCULO)
Sawazaki R, Júnior SM, Asprino L, Moreira RW, de Moraes M. Incidence and patterns of mandibular condyle fractures. J Oral Maxillofac Surg. 2010;68:1252-9.
Zachariades N, Mezitis M, Mourouzis C, Papadakis D, Spanou A. Fractures of the mandibular condyle: a review of 466 cases. Literature review, reflections on treatment and proposals. J Craniomaxillofac Surg. 2006;34:421-32.
Loukota RA, Eckelt U, De Bont L, Rasse M. Subclassification of fractures of the condylar process of the mandible. Br J Oral Maxillofac Surg. 2005;43:72-3.
Loukota RA, Neff A, Rasse M. Nomenclature/classification of fractures of the mandibular condylar head. Br J Oral Maxillofac Surg. 2010;48:477‑8.
Abdel-Galil K, Loukota R. Fractures of the mandibular condyle: evidence base and current concepts of management. Br J Oral Maxillofac Surg. 2010;48:520-6.
Ellis E 3rd, Palmieri C, Throckmorton G. Further displacement of condylar process fractures after closed treatment. J Oral Maxillofac Surg. 1999;57:1307-16.
Ellis E, Throckmorton GS. Treatment of mandibular condylar process fractures: biological considerations. J Oral Maxillofac Surg. 2005; 63:115‑34.
Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg. 1983;41:89-98.
Lukota AR, McCann PJ. Condylar neck fractures. In: Booth PW, Eppley BL, Schmelzeisen R. Maxillofacial Trauma and Esthetic Facial Reconstruction. 2nd ed. St. Louis, Missouri: Elsevier; 2012. p. 270-87.
Chang S, Yang Y, Liu Y, Wang J, Zhang W, Ma Q, et al. How does the remodeling capacity of children affect the morphologic changes of fractured mandibular condylar processes after conservative treatment? J Oral Maxillofac Surg. 2018;76:1279.
Silvennoinen U, Iizuka T, Oikarinen K, Lindqvist C. Analysis of possible factors leading to problems after nonsurgical treatment of condylar fractures. J Oral Maxillofac Surg. 1994;52:793-9.
Walker RV. Condylar fractures: nonsurgical management. J Oral Maxillofac Surg 1994;52:1185-8.
Ellis E 3rd. Method to determine when open treatment of condylar process fractures is not necessary. J Oral Maxillofac Surg. 2009;67:1685-90.
Zide MF. Discussion an accurate method for open reduction and internal fixation of high and low condylar process fractures. J Oral Maxillofac Surg. 1994;52:812.
Schmelzeisen R, Cienfuegos-Monroy R, Schön R, Chen CT, Cunningham L Jr., Goldhahn S, et al. Patient benefit from endoscopically assisted fixation of condylar neck fractures a randomized controlled trial. J Oral Maxillofac Surg. 2009;67:147-58.
Bayat M, Parvin M, Meybodi AA. Mandibular subcondylar fractures: a review on treatment strategies. Electron Physician. 2016;8:3144-9.
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;34:306-14.
Hlawitschka M, Eckelt U. Assessment of patients treated for intracapsular fractures of the mandibular condyle by closed techniques. J Oral Maxillofac Surg. 2002;60:784-91.
Vesnaver A. Open reduction and internal fixation of intra-articular fractures of the mandibular condyle: our first experiences. J Oral Maxillofac Surg. 2008;66:2123-9.
He D, Yang C, Chen M, Bin J, Zhang X, Qiu Y, et al. Modified preauricular approach and rigid internal fixation for intracapsular condyle fracture of the mandible. J Oral Maxillofac Surg. 2010;68:1578-84.
Alexander R, Su JY, Stark MM. An accurate method for open reduction and internal fixation of high and low condylar process fractures. J Oral Maxillofac Surg. 1994;52:808-12.
Ellis 3rd E, Zide MF. Transfacial aproaches to the mandible. In: Surgical Approaches to the Facial Skeleton. 2nd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2006. p. 151-89.
Kudva A, Kamath AT, Rajan J, D’Souza C. A modified peri-angular approach for exposure of condylar fractures. J Oral Maxillofac Surg. 2018;76:1504-8.
Jeter TS, Van Sickels JE, Nishioka GJ. Intraoral open reduction with rigid internal fixation of mandibular subcondylar fractures. J Oral Maxillofac Surg. 1988;46:1113-6.
Vajgel A, Santos Tde S, Camargo IB, de Oliveira DM, Filho JR, Vasconcellos RJ, et al. Treatment of condylar fractures with an intraoral approach using an angulated screwdriver: results of a multicentre study. J Craniomaxillofac Surg. 2015;43:34-42.
Colletti G, Battista VM, Allevi F, Giovanditto F, Rabbiosi D, Biglioli F, et al. Extraoral approach to mandibular condylar fractures: our experience with 100 cases. J Craniomaxillofac Surg. 2014;42:e186-94.
Satish KP, Anuradha V, Lalitha T, Kashi N. A comparative evaluation of the outcome of treating condylar fractures with the mini retromandibular and the pre auricular approaches. J Oral Maxillofac Surg. 2013;25:305-9.
Kanno T, Sukegawa S, Tatsumi H, Nariai Y, Ishibashi H, Furuki Y, et al. The retromandibular transparotid approach for reduction and rigid internal fixation using two locking miniplates in mandibular condylar neck fractures. Int J Oral Maxillofac Surg. 2014;43:177-84.
Hakim SG, Wolf M, Wendlandt R, Kimmerle H, Sieg P, Jacobsen HC, et al. Comparative biomechanical study on three miniplates osteosynthesis systems for stabilisation of low condylar fractures of the mandible. Br J Oral Maxillofac Surg. 2014;52:317-22.
Ahuja SA, Galinde J, Asnani U, Mistry YA. Comparative evaluation of clinical outcomes using delta plates and conventional miniplates for internal fixation of mandibular condylar fractures in adults. J Oral Maxillofac Surg. 2018;76:1255-66.
Lechler C, Probst F, Cornelius CP, Smolka W. Open reduction and internal fixation of mandibular condylar base and neck fractures using strut plates. J Oral Maxillofac Surg. 2018;76:1494-503.
Ellis E 3rd. Open reduction and internal fixation of combined angle and body/symphysis fractures of the mandible: how much fixation is enough? J Oral Maxillofac Surg. 2013;71:726-33.
Kolk A, Neff A. Long-term results of ORIF of condylar head fractures of the mandible: a prospective 5-year follow-up study of small-fragment positional-screw osteosynthesis (SFPSO). J Craniomaxillofac Surg. 2015; 43:452-61.
Meyer C, Martin E, Kahn JL, Zink S. Development and biomechanical testing of a new osteosynthesis plate (TCP) designed to stabilize mandibular condyle fractures. J Craniomaxillofac Surg. 2007;35:84-90.
Wagner A, Krach W, Schicho K, Undt G, Ploder O, Ewers R, et al. A 3-dimensional finite-element analysis investigating the biomechanical behavior of the mandible and plate osteosynthesis in cases of fractures of the condylar process. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:678-86.
Walker RV. Discussion: open reduction of condylar fractures of the mandible in conjuction with repair of discal injury: a preliminary report. J Oral Maxillofac Surg. 1988;46:262.
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;58:260-8.
Haug RH, Assael LA. Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg. 2001;59:370-5.
Schön R, Gutwald R, Schramm A, Gellrich NC, Schmelzeisen R. Endoscopy- assisted open treatment of condylar fractures of the mandible: extraoral vs intraoral approach. Int J Oral Maxillofac Surg. 2002; 31:237‑43.
Lauer G, Schmelzeisen R. Endoscope-assisted fixation of mandibular condylar process fractures. J Oral Maxillofac Surg. 1999;57:36-9.
Ellis E 3rd, McFadden D, Simon P, Throckmorton G. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2000;58:950-8.
Bruneau S, Courvoisier DS, Scolozzi P. Facial nerve injury and other complications following retromandibular subparotid approach for the management of condylar fractures. J Oral Maxillofac Surg. 2018;76:812-8.
Pau M, Navisany K, Reinbacher KE, Zrnc T, Wallner J, Schwenzer-Zimmerer K, et al. Use of a modified high submandibular approach to treat condylar base fractures: experience with 44 consecutive cases treated in a single institution. J Craniomaxillofac Surg. 2016;44:1641-5.
Hou J, Chen L, Wang T, Jing W, Tang W, Long J, et al. A new surgical approach to treat medial or low condylar fractures: the minor parotid anterior approach. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117:283-8.
Akdag O, Yildiran G, Abaci M, Tosun Z. Endoscopic-assisted treatment combined with transoral and transbuccal approach to mandibular subcondylar fractures. J Oral Maxillofac Surg. 2018;76:831.
Anyanechi CE. Temporomandibular joint ankylosis caused by condylar fractures: a retrospective analysis of cases at an urban teaching hospital in Nigeria. Int J Oral Maxillofac Surg. 2015;44:1027-33.