Valiati Renato, Ibrahim Danilo, Abreu Marcelo Emir Requia, Heitz Claiton, de Oliveira Rogério Belle, Pagnoncelli Rogério Miranda, Silva Daniela Nascimento
School of Dentistry, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
Int J Med Sci. 2008;5(6):313-8. doi: 10.7150/ijms.5.313. Epub 2008 Oct 23.
The treatment of condylar process fractures has generated a great deal of discussion and controversy in oral and maxillofacial trauma and there are many different methods to treat this injury. For each type of condylar fracture, the techniques must be chosen taking into consideration the presence of teeth, fracture height, patient's adaptation, patient's masticatory system, disturbance of occlusal function, deviation of the mandible, internal derangements of the temporomandibular Joint (TMJ) and ankylosis of the joint with resultant inability to move the jaw, all of which are sequelae of this injury. Many surgeons seem to favor closed treatment with maxillomandibular fixation (MMF), but in recent years, open treatment of condylar fractures with rigid internal fixation (RIF) has become more common. The objective of this review was to evaluate the main variables that determine the choice of method for treatment of condylar fractures: open or closed, pointing out their indications, contra-indications, advantages and disadvantages.
髁突骨折的治疗在口腔颌面创伤领域引发了大量的讨论和争议，治疗这种损伤有许多不同的方法。对于每种类型的髁突骨折，必须考虑牙齿的存在情况、骨折高度、患者的适应性、患者的咀嚼系统、咬合功能紊乱、下颌偏斜、颞下颌关节（TMJ）内紊乱以及关节强直导致的下颌无法活动等因素来选择治疗技术，所有这些都是这种损伤的后遗症。许多外科医生似乎倾向于采用颌间固定（MMF）进行闭合治疗，但近年来，采用坚固内固定（RIF）进行髁突骨折的开放治疗变得更为常见。本综述的目的是评估决定髁突骨折治疗方法选择（开放或闭合）的主要变量，指出其适应证、禁忌证、优点和缺点。
