Year : 2019

Volume : Volume 10

Issue : Issue 1s

Address for correspondence :
Dr. Abhishek Kumar Singh.
abhisheksingh@gmail.com

Abstract

Background:  Condylar fractures represents one of the common fractures occurring in the maxillofacial region. The uniqueness of the condylar anatomy and associated structures results in special consideration in their management and correction. This study was carried out to assess the efficiency between the closed and open methods and requirement of surgical procedures in such fractures. Materials and Methods: The study was carried out on fifty patients with unilateral condylar fractures. Records of twenty-five patients were studied and divided into 2 groups – those who had been treated by surgical method (Group A) and by non-surgical method (Group B).  Results:  Maximal inter-incisional opening in group I, i.e close reduction achieved only in 10 (40%) out of 25 of the cases at the end of 3rd month and 6th month post operatively follow up whereas in Group II open reduction achieved 15(60%) out of 25 of the cases at the end of 3rd month and 4(80%) out of 5 cases at the end of 6th months post-operative follow up. This shows that open reduction is a better treatment technique when compared to closed reduction. Conclusion: Patients with condylar fractures treated with open reduction, the results proposed that postoperative occlusion was better rehabilitated at different follow up visits with minimal concerns in comparison to the closed reduction method.

Keywords: Mandibular condyle fractures, Temporomandibular joint, Occlusion, Open reduction, closed reduction.