Treatment possibilities and postoperative complications at extracapsular fractures of the mandibular condyle

Nikolovski, Bruno and Popovic-Monevska, Danica and Radojkova-Nikolovska, Vera and Popovska, Mirjana and Spirov, Vancho and Markovska Arsovska, Mirjana and Evrosimovska, Biljana and Gigovska Arsova, Ana and Terzievska, Aneta and Stojanova, Irena (2023) Treatment possibilities and postoperative complications at extracapsular fractures of the mandibular condyle. In: 27th Congress of the Balkan Stomatological Society, 09-11 Nov 2023, Istanbul Atlas University, Istanbul, Turkiye.

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Abstract

Objective: Mandibular condylar fractures represent 25%–35% of all mandibular fractures. The treatment of mandibular condyle fractures remains controversial despite many studies regarding the subcondylar type of fracture.
The aim of this study is to analyze the outcome and recovery rates after open and closed treatment of extracapsular mandibular condyle fractures, regarding postoperative malocclusion, mouth opening, wound healing, pain, and swelling.
Materials-Methods: A retrospective cohort study based on 377 condylar fractures and prospective comparative study on a total of 16 patients were implemented, using two study groups – group A, consisted of 8 patients with placed closed vacuum drain, and 8 patients in group B, without closed vacuum drain, measured on 1st and 3rd postoperative days, whereas both the parameters were comparable on the 7th and 15th postoperative days.
Results: Evaluation of the early postoperative sequels, showed significantly higher values in group B, while malocclusion was the most frequent long-term complication after open reduction and rigid intermaxillary fixation (ORIF).
Conclusion: There was no statistically significant difference in the incidence of pain, mouth opening, swelling, and wound healing in patients with and without closed suction wound drainage after ORIF of condylar fractures. ORIF, using a retromandibular transparotid approach, is the appropriate treatment of choice for extracapsular condylar fractures of the mandible.

Keywords: extracapsular fractures, condyle, open reduction, postoperative complications

Item Type:	Conference or Workshop Item (Poster)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	07 Dec 2023 10:00
Last Modified:	07 Dec 2023 10:00
URI:	https://eprints.ugd.edu.mk/id/eprint/32632

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