AI Article Synopsis
- The study focuses on improving surgical treatment for condylar fractures by proposing a multistep surgical planning approach to minimize skin incisions and reduce the risk of injuries, especially to the facial nerve.
- Ten patients with dislocated condylar neck and sub-condylar fractures were evaluated using advanced imaging techniques and monitored for outcomes such as dental occlusion, bone alignment, nerve functionality, and patient satisfaction.
- The results showed a high level of satisfaction and no significant complications, indicating the effectiveness of the proposed mini-invasive surgical technique in managing condylar fractures.
Article Abstract
Purpose: Surgical treatment for condylar fractures is a challenging procedure most debated in scientific literature without a broad consensus on the selection of surgical techniques to be used and relative indications.The goal of this work is to propose a multistep surgical planning for condylar fractures based on an effective mini-invasive approach and safe procedure aimed to avoid as much as possible skin incision in the aesthetic areas of the face and neck, to decrease the risk of facial nerve injury.
Methods: Ten patients with dislocated condylar neck fractures and sub-condylar fractures were included in this study.All the patients were studied with radiological images, computed tomography scans with three-dimensional reconstructions preoperatively and immediate postoperatively.Patients were evaluated pre- and post-operatively for dental occlusion, bone fragment alignment after reduction and after fixation, facial nerve functionality, skin scarring, temporomandibular joint functionality, temporomandibular joint symptomatology, and patient satisfaction.
Results: Results were satisfactory for different parameters evaluated. No significant complications resulted in follow-up, particularly for facial nerve injury. By using this multistep procedure with each stage functional to the following one, the authors achieved satisfactory results following treatment of dislocated condylar fractures.
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| http://dx.doi.org/10.1097/SCS.0000000000008643 | DOI Listing |
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