Ardila MCM; Duque SFL

Language: Spanish
References: 22
Page: 621-632
PDF size: 562.39 Kb.

ABSTRACT

Background: maxillofacial trauma affects a great number of people who suffer from different physical trauma.
Objective: to determine the prevalence, types of fractures and forms of treatment of mandibular condyle fractures.
Method: a retrospective study was conducted in the Maxillofacial Surgery Unit of the San Vicente de Paul University Hospital, Medellin, Colombia between the years 1998 and 2010. The sample was composed of 2679 patients with maxillofacial trauma. A complete medical history was made in which all the information related to the suffered trauma, as well as the family history and medicaments were annotated. A clinical and radiographic examination was also made.
Results: of the total of patients with maxillofacial trauma, 542 presented mandibular condyle fractures. A greater number of fractures were observed in the left condyle, in men, and in the age group 21-30 years old. Fractures were more frequently caused by traffic accidents. A total of 322 condyle fractures were treated by means of closed reduction and 220 by means of open reduction.
Conclusions: the results of the present study showed that traffic accidents were the main cause of condyle fractures being predominant in men between 21 and 30 years old. It is important to implement public policies regarding education in the area of traffic and means of transport that would increase the use of seat belts and reinforce the control of speed limits with the objective of decreasing facial lesions caused by traumas.

REFERENCES

1. Kaul RP, Sagar S, Singhal M, Kumar A, Jaipuria J, Misra M. Burden of maxillofacial trauma at level 1 trauma center. Craniomaxillofac Trauma Reconstr. 2014 Jun;7(2):126-30.

2. Boffano P, Benech R, Gallesio C, Arcuri F, Benech A. Current opinions on surgical treatment of fractures of the condylar head. Craniomaxillofac Trauma Reconstr. 2014 Jun;7(2):92-100.

3. Choi KY, Yang JD, Chung HY, Cho BC. Current concepts in the mandibular condyle fracture management part I: overview of condylar fracture. Arch Plast Surg. 2012 Jul;39(4):291-300.

4. Shi J, Chen Z, Xu B. Causes and treatment of mandibular and condylar fractures in children and adolescents: a review of 104 cases. JAMA Otolaryngol Head Neck Surg. 2014 Mar;140(3):203-7. 631

5. Yamamoto K, Matsusue Y, Murakami K, Horita S, Sugiura T, Kirita T. Maxillofacial fractures in older patients. J Oral Maxillofac Surg. 2011 Aug;69(8):2204-10.

6. Sawhney R, Brown R, Ducic Y. Condylar fractures. Otolaryngol Clin North Am. 2013 Oct;46(5):779-90.

7. Conci RA, de Barros Berthold RC, Luiz Griza G, Fritscher GG, Heitz C. Reduction and fixation of mandibular condylar fractures with neck screw. J Craniofac Surg. 2014 Jul;25(4):1432-4.

8. Singh V, Bhagol A, Goel M, Kumar I, Verma A. Outcomes of open versus closed treatment of mandibular subcondylar fractures: a prospective randomized study. J Oral Maxillofac Surg. 2010 Jun;68(6):1304-9.

9. Reddy NV, Reddy PB, Rajan R, Ganti S, Jhawar DK, Potturi A, et al. Analysis of patterns and treatment strategies for mandibular condyle fractures: review of 175 condyle fractures with review of literature. J Maxillofac Oral Surg. 2013 Sep;12(3):315-20.

10. Naveen Shankar A, Naveen Shankar V, Hegde N, Sharma Prasad R. The pattern of the maxillofacial fractures - A multicentre retrospective study. J Craniomaxillofac Surg. 2012 Dec;40(8):675-9.

11. Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jul;102(1):28-34.

12. Ellis E, Moos KF, el-Attar A. Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol. 1985 Feb;59(2):120-9.

13. Sakr K, Farag IA, Zeitoun IM. Review of 509 mandibular fractures treated at the University Hospital, Alexandria, Egypt. Br J Oral Maxillofac Surg. 2006 Apr;44(2):107-11.

14. Zhou HH, Liu Q, Cheng G, Li ZB. Aetiology, pattern and treatment of mandibular condylar fractures in 549 patients: a 22-year retrospective study. J Craniomaxillofac Surg. 2013 Jan;41(1):34-41.

15. 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 Oct;34(7):421-32.

16. Marker P, Nielsen A, Bastian HL. Fractures of the mandibular condyle. Part 1: patterns of distribution of types and causes of fractures in 348 patients. Br J Oral Maxillofac Surg. 2000 Oct;38(5):417-21. 632

17. Lindahl L. Condylar fractures of the mandible. I. Classification and relation to age, occlusion, and concomitant injuries of teeth and teeth-supporting structures, and fractures of the mandibular body. Int J Oral Surg. 1977 Feb;6(1):12-21.

18. Chen CT, Feng CH, Tsay PK, Lai JP, Chen YR. Functional outcomes following surgical treatment of bilateral mandibular condylar fractures. Int J Oral Maxillofac Surg. 2011 Jan;40(1):38-44.

19. Danda AK, Muthusekhar MR, Narayanan V, Baig MF, Siddareddi A. Open versus closed treatment of unilateral subcondylar and condylar neck fractures: a prospective, randomized clinical study. J Oral Maxillofac Surg. 2010 Jun;68(6):1238-41.

20. Kokemueller H, Konstantinovic VS, Barth EL, Goldhahn S, von See C, Tavassol F, et al. Endoscope-assisted transoral reduction and internal fixation versus closed treatment of mandibular condylar process fractures--a prospective double-center study. J Oral Maxillofac Surg. 2012 Feb;70(2):384-95.

21. Kotrashetti SM, Lingaraj JB, Khurana V. A comparative study of closed versus open reduction and internal fixation (using retromandibular approach) in the management of subcondylar fracture. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Apr;115(4):e7-11.

22. Maliska MC, Lima Júnior SM, Gil JN. Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil. Braz Oral Res. 2009 Jul-Sep;23(3):268-74. Recibido: 13 de agosto de 2014 Aprobado: 25 de septiembre de 2014