Assessment of complications of the open treatment of mandibular condylar fractures | Journal of Pakistan Medical Association 2021

Author(s)

Muhammad Adil Asim Department of Oral and Maxillofacial Surgery, Shifa College of Dentistry,Islamabad,Pakistan

Waseem Ahmed Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

Muhammad Wasim Ibrahim Department of Oral and Maxillofacial Surgery, Combined Military Hospital,Malir Cantt, Karachi,Pakistan

Syed Gulzar Ali Bukhari Department of Oral and Maxillofacial Surgery, Combined Military Hospital Institute of Medical Sciences,Multan,Pakistan

Muhammad Nazir Khan Department of Oral and Maxillofacial Surgery, Combined Military Hospital Institute of Medical Sciences,Multan,Pakistan

Abstract

The objective of our study was to analyze the complications of open treatment of mandibular condylar fractures operated via various surgical approaches. Thirtyeight patients with 42 fracture sides having moderate to severely displaced condylar fractures were studied. Open treatment was performed, and patients were assessed for complications of open treatment in terms of facial nerve paresis, unaesthetic scar, salivary fistula/sialocele. Facial nerve paresis was noted in 13 (31%) cases, mostly transient in nature (n=9, 69.2%), that recovered within 8 weeks. Furthermore, 5 (11.9%) patients had unaesthetic scar formation, while just 1 (2.4%) case of salivary fistula was observed. Facial nerve paresis was the most common complication of open treatment of mandibular condylar fractures and most of them were observed in cases operated by preauricular approach.

Publication Details

Page(s) 1689-1692

DOI DOI not available

Published Journal: Journal of Pakistan Medical Association, Volume: 71, Issue: 6, Year: 2021

Keywords

internal fixation open reduction Maxillomandibular ifxation Mandibular condyle

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