Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht, Utrecht University, The Netherlands.
Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht, Utrecht University, The Netherlands.
Int J Oral Maxillofac Surg. 2019 Jun;48(6):746-758. doi: 10.1016/j.ijom.2019.01.025. Epub 2019 Feb 14.
The majority of studies debating the optimization of treatment for condylar mandibular fractures focus on the bony aspect first. However, fractures of the mandibular condyle may go together with soft tissue injury of the temporomandibular joint. An electronic literature search for this topic was undertaken. Assessment of quality was carried out using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Sixteen articles were included in this review. The reviewed literature showed that intracapsular fractures and dislocated condylar fractures result in more severe injuries. Serious injury to the disc and capsule of the temporomandibular joint is a contributing factor towards development of complications after closed treatment. The results of this review give an overview of the published studies focusing on articular soft tissue injuries caused by condylar mandibular fractures. Additionally, an overview of the magnetic resonance imaging (MRI) settings used to detect these injuries is provided. Until now, the relation between soft tissue injuries and type of condylar trauma and their influence on clinical outcome has been insufficiently investigated. Before considering reduction of soft tissues next to reduction of the fracture, more research is needed into the impact of soft tissue injuries on oral functioning, in which a uniform classification is used.
大多数关于髁突下颌骨骨折治疗优化的研究首先关注的是骨骼方面。然而，下颌骨髁突骨折可能与颞下颌关节的软组织损伤同时发生。为此进行了这个主题的电子文献检索。使用观察性队列研究和横断面研究的质量评估工具对其进行了评估。本综述纳入了 16 篇文章。综述文献表明，关节内骨折和脱位的髁突骨折导致更严重的损伤。关节盘和关节囊的严重损伤是闭合治疗后发生并发症的一个促成因素。本综述的结果概述了发表的研究，重点关注髁突下颌骨骨折引起的关节软组织损伤。此外，还提供了用于检测这些损伤的磁共振成像（MRI）设置概述。到目前为止，软组织损伤与髁突损伤类型之间的关系及其对临床结果的影响还没有得到充分的研究。在考虑骨折复位的同时减少周围软组织之前，需要对软组织损伤对口颌功能的影响进行更多的研究，其中采用了统一的分类。
