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Assessment of complications of the open treatment of mandibular condylar fractures
Author(s):
1. Muhammad Adil Asim: Department of Oral and Maxillofacial Surgery, Shifa College of Dentistry,Islamabad,Pakistan
2. Waseem Ahmed: Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan
3. Muhammad Wasim Ibrahim: Department of Oral and Maxillofacial Surgery, Combined Military Hospital,Malir Cantt, Karachi,Pakistan
4. Syed Gulzar Ali Bukhari: Department of Oral and Maxillofacial Surgery, Combined Military Hospital Institute of Medical Sciences,Multan,Pakistan
5. 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.
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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