Forschung & Innovation
Publikationen
Management of Mandibular Condyle Fractures in Pediatric Patients
PMU Autor*innen
Gian Battista Bottini, Wolfgang Hitzl, Maximilian Goetzinger
Alle Autor*innen
Gian Battista Bottini, Wolfgang Hitzl, Maximilian Goetzinger, Constantinus Politis, Kathia Dubron, Mario Kordic, Anamaria Sivric, Petia Pechalova, Angel Sapundzhiev, Valfrido Antonio Pereira-Filho, Luis Fernando de Oliveira Gorla, Emil Dediol, Boris Kos, Tabishur Rahman, Sajjad Abdur Rahman, Sahand Samieirad, Timothy Aladelusi, Vitomir S. Konstantinovic, Marko Lazic, Ales Vesnaver, Anze Birk, Karpal Singh Sohal, Sean Laverick, Euan Rae, Maria Beatrice Rossi, Fabio Roccia, Federica Sobrero
Fachzeitschrift
Journal of Clinical Medicine
Kurzfassung
Background: Mandibular condyle fractures in pediatric patients can lead to crippling sequelae such as ankylosis, pain and facial deformity if not managed properly. However, there is no consensus on the best approach for treating these fractures in children. Objective: This study aimed to describe the management of mandibular condyle fractures in growing patients across 14 maxillofacial departments worldwide. Methods: A retrospective multicenter study was conducted on children and adolescents aged 0 to 16 who had at least one mandibular condyle fracture. This study included patients who underwent expectant, closed, or open management and were treated over an 11-year period. Results: 180 patients had at least one mandibular condyle fracture, and 37 had a second condylar fracture. One hundred sixteen patients (65%) were males, and 64 (35%) were females (ratio 1.8:1). An expectant strategy was chosen in 51 (28%) patients, a closed treatment-stand-alone maxillomandibular fixation (MMF)-in 47 (26%), and open reduction and internal fixation (ORIF) was performed in 82 (46%) patients. The management varied significantly between the different departments (p < 0.0001). Significant differences were also identified between the fracture type (non-displaced, displaced or comminuted) and the management of the 180 patients with a single condylar fracture. Out of 50 non-displaced fractures, only 3 (6%) had ORIF, 25 (50%) had expectant management, and 22 (44%) had MMF. Out of 129 displaced fractures, 79 (62%) had ORIF, 25 (19%) had a soft diet, and 25 (19%) had MMF. Conclusions: Expectative management, MMF, and ORIF were all effective in treating pediatric mandibular condyle fractures, with a low incidence of complications and asymmetry.
Keywords
Expectant management, Mandibular condyle fractures, Maxillomandibular fixation, Open reduction and internal fixation, Pediatric mandibular condyle fractures, Pediatric maxillofacial trauma