Vanpoecke Jasper, Dubron Kathia, Politis Constantinus
OMFS IMPATH research group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven, Leuven, Belgium.
Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
Craniomaxillofac Trauma Reconstr. 2020 Mar;13(1):23-31. doi: 10.1177/1943387520902881. Epub 2020 Mar 11.
The treatment of mandibular condyle fractures remains a controversial topic in maxillofacial surgery. No uniform treatment protocol is currently available.
We performed a retrospective monocentric cohort study of patients with condylar fractures and their treatment, including long-term follow-up by telephone, followed by a short review of the literature.
The available data on condylar fractures presenting at Leuven University Hospitals between January 1, 2009, and December 31, 2015, were analyzed. Cause, age, sex, fracture level, degree of displacement, associated facial fractures, malocclusion, type of treatment, and complications were noted. Follow-up by telephone was performed after an average 261 weeks for the conservative group.
A total of 109 condylar fractures were observed with a male/female ratio of 1.14:1. Most fractures were subcondylar, unilateral, displaced, caused by road traffic accidents, and treated conservatively.
In children and intracapsular fractures, conservative management remains the first choice. Maxillomandibular fixation should be used sparingly in children and for as short a time as possible. Some patients indicated for surgery can still have acceptable results if treated conservatively.
下颌髁突骨折的治疗在颌面外科领域仍是一个存在争议的话题。目前尚无统一的治疗方案。
我们对髁突骨折患者及其治疗进行了一项回顾性单中心队列研究，包括通过电话进行长期随访，随后对文献进行简要综述。
分析了2009年1月1日至2015年12月31日期间在鲁汶大学医院就诊的髁突骨折的现有数据。记录病因、年龄、性别、骨折部位、移位程度、相关面部骨折、错牙合、治疗类型及并发症。保守治疗组平均在261周后通过电话进行随访。
共观察到109例髁突骨折，男女比例为1.14:1。大多数骨折为髁突下骨折、单侧、移位、由道路交通事故引起，并采用保守治疗。
在儿童和囊内骨折中，保守治疗仍是首选。儿童应尽量少用颌间固定，且使用时间应尽可能短。一些适合手术治疗的患者若采用保守治疗仍可获得可接受的结果。
