“A majority of the condylar fractures (693, 92.5%) were treated by a surgical procedure. Condylar head were
mostly removed (95.0%, p < .001), condylar neck and condylar base fractures
were most frequently treated by open reduction and internal fixation with
miniplates (74.4%, p < .001). Most of the dislocated condylar fractures were
treated by open surgery (96.5%, p = .026).”
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. doi:
10.1016/j.jcms.2012.05.007. Epub 2012 Jun 23.
“Functional impairment had no influence on the
intensity of pain or pain-related disability in the patients with malocclusion
after conservatively treated bilateral condylar fractures.”
Forouzanfar T, Lobbezoo F, Overgaauw M, de Groot A,
Kommers S, van Selms M, van den Bergh B. Long-term results and complications
after treatment of bilateral fractures of the mandibular condyle. Br J Oral
Maxillofac Surg. 2013 Jan 29. pii: S0266-4356(13)00002-8. doi:
10.1016/j.bjoms.2012.12.005.
We watched the growing indication for surgery in the condylar fracture. However, in spite of the discomfort that the old, traditional conservative treatment brings, the security and the observed results still assure it an important place among the current alternatives.In this case, a male patient, 16 years old, bilateral condylar fracture associated laminar fracture of the right branch, treated with surgical reduction and fixation with transcortical screws followed by intermaxillary block and traction with elastics for 15 days. After myofascial therapy, adequate functional recovery.
Observamos a crescente indicação de cirurgia na fratura do côndilo mandibular. Entretanto, a despeito do desconforto que o antigo e tradicional tratamento conservador acarreta, sua segurança e os resultado obtidos asseguram-lhe ainda um importante lugar entre as alternativas atuais. Neste caso, paciente do sexo masculino, 16 anos de idade, fratura de côndilo bilateral associada a fratura laminar do ramo direito, tratada com redução cirúrgica e fixação com parafusos transcorticais, seguida de bloqueio intermaxilar e tração com elásticos por 15 dias. Após terapia miofacial, recuperação funcional adequada.
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